What are the main symptoms of psoriasis on feet. How is psoriasis on feet different from athlete’s foot. What treatment options are available for managing psoriasis on feet. How can lifestyle changes help reduce psoriasis flare-ups on feet.

Understanding Psoriasis on Feet: Types and Manifestations

Psoriasis is a chronic skin condition affecting millions of people worldwide. When it appears on the feet, it can cause significant discomfort and impact daily activities. Let’s explore the different types of psoriasis that can affect the feet and their unique characteristics.

Plaque Psoriasis on Feet

Plaque psoriasis is the most common form, accounting for about 90% of cases. On the feet, it manifests as dry, scaly patches known as plaques. These plaques may appear:

• Red or pink on light skin
• Violet, gray, or dark brown on darker skin
• Covered in silvery scales
• Itchy and sore
• Cracked and bleeding in severe cases

Palmoplantar Pustular Psoriasis

This type specifically targets the soles of the feet and palms of the hands. It is characterized by:

• Tiny, pus-filled blisters
• Non-infectious and non-contagious nature
• Potential to cause significant discomfort when walking

Erythrodermic Psoriasis

While rare, erythrodermic psoriasis is a severe form that can affect the feet along with most of the body. It is characterized by:

• Inflammation over 90% of the body’s surface
• Erythematous and inflamed appearance
• Deeper red or dusky color on darker skin
• Requirement for immediate medical attention

The Root Causes of Psoriasis on Feet

Understanding the underlying causes of psoriasis on feet is crucial for effective management. While the exact etiology remains unclear, several factors contribute to its development and exacerbation.

Immune System Dysfunction

Psoriasis is believed to be an autoimmune disease, where the body’s immune system mistakenly attacks healthy skin cells. This leads to an accelerated skin cell turnover rate, causing the characteristic plaques and scales.

Genetic Predisposition

A person’s genetic makeup plays a significant role in their susceptibility to psoriasis. Those with a family history of the condition are more likely to develop it themselves.

Environmental Triggers

Various environmental factors can trigger or worsen psoriasis symptoms on the feet. These may include:

• Skin injuries (cuts, insect bites, sunburns)
• Emotional stress
• Weather changes, especially those causing skin dryness
• Illnesses or infections
• Certain medications

Distinguishing Psoriasis from Athlete’s Foot

Psoriasis on the feet can often be mistaken for athlete’s foot, a common fungal infection. Understanding the key differences is crucial for proper diagnosis and treatment.

Location and Appearance

How do psoriasis and athlete’s foot differ in their location on the foot? Psoriasis can affect any part of the foot, including the soles and nails. Athlete’s foot, however, typically appears between the toes or under the nails. Both conditions can cause redness and scaling, but psoriasis tends to change color and develop silvery scales over time.

Symptoms and Sensations

What are the distinct sensations associated with each condition? Psoriasis on the feet often feels sore and painful, while athlete’s foot is primarily itchy. Prolonged scratching of athlete’s foot can lead to pain, but this is secondary to the itching sensation.

Nail Involvement

How do these conditions affect the toenails? Both can cause nail changes, but in different ways. Athlete’s foot may lead to a fungal infection under the nails, causing them to lift and appear yellow and brittle. Psoriasis, on the other hand, can cause the nails to look dented or pitted.

Additional Systemic Symptoms

Are there any systemic symptoms associated with these conditions? Some individuals with psoriasis may experience joint stiffness and pain, a condition known as psoriatic arthritis. Athlete’s foot, being a localized fungal infection, does not typically cause systemic symptoms.

Effective Treatment Strategies for Psoriasis on Feet

While there is no cure for psoriasis, various treatment options can help manage symptoms and improve quality of life for those affected by psoriasis on their feet.

Topical Treatments

What are the first-line treatments for psoriasis on feet? Topical treatments are often the initial approach and may include:

• Corticosteroid creams or ointments to reduce inflammation
• Vitamin D analogues to slow skin cell growth
• Retinoids to normalize skin cell production
• Salicylic acid to help remove scales
• Coal tar to reduce inflammation and slow skin cell growth

Systemic Medications

When might systemic medications be necessary for foot psoriasis? In more severe cases or when topical treatments prove ineffective, doctors may prescribe systemic medications such as:

• Methotrexate to slow skin cell growth
• Cyclosporine to suppress the immune system
• Biologics to target specific parts of the immune system

Phototherapy

How does light therapy help manage psoriasis on feet? Phototherapy involves exposing the affected skin to controlled amounts of natural or artificial light. This can help slow skin cell turnover and reduce inflammation. Options include:

• Narrowband UVB therapy
• PUVA (psoralen plus ultraviolet A) therapy
• Excimer laser treatments

Lifestyle Modifications to Manage Foot Psoriasis

In addition to medical treatments, certain lifestyle changes can help manage psoriasis symptoms on the feet and reduce the frequency of flare-ups.

Foot Care and Hygiene

How can proper foot care help manage psoriasis symptoms? Implementing a good foot care routine can make a significant difference:

• Keep feet clean and dry
• Moisturize regularly to prevent dryness and cracking
• Wear comfortable, breathable shoes to reduce friction
• Use soft, absorbent socks to manage moisture

Stress Management

What role does stress play in psoriasis flare-ups? Stress is a known trigger for psoriasis. Incorporating stress-reduction techniques can help manage symptoms:

• Practice mindfulness meditation
• Engage in regular exercise
• Seek support through therapy or support groups
• Prioritize adequate sleep and rest

Dietary Considerations

Can dietary changes impact psoriasis on feet? While research is ongoing, some dietary modifications may help reduce inflammation and manage symptoms:

• Increase intake of omega-3 fatty acids
• Reduce consumption of processed foods and sugar
• Consider an anti-inflammatory diet
• Stay hydrated to support overall skin health

Coping with the Psychological Impact of Foot Psoriasis

Living with psoriasis on the feet can have significant psychological effects. It’s important to address these aspects for comprehensive management of the condition.

Body Image and Self-Esteem

How does foot psoriasis affect body image? Visible symptoms on the feet can impact self-esteem and body image. Strategies to cope may include:

• Seeking support from mental health professionals
• Joining support groups to connect with others
• Practicing self-acceptance and positive self-talk
• Focusing on overall health and well-being

Social and Relationship Impacts

What challenges might foot psoriasis pose in social situations? The condition can affect social interactions and relationships. Coping strategies include:

• Educating friends and family about the condition
• Being open about limitations and needs
• Finding activities that don’t exacerbate symptoms
• Seeking support from understanding individuals

Emerging Research and Future Treatments

The field of psoriasis research is continually evolving, with new treatments and management strategies on the horizon.

Targeted Therapies

What new approaches are being developed for psoriasis treatment? Researchers are exploring more targeted therapies that aim to address specific pathways involved in psoriasis development. These may include:

• New biologics targeting different immune system components
• Small molecule inhibitors that can be taken orally
• Personalized treatments based on genetic profiles

Microbiome Research

How might understanding the skin microbiome impact psoriasis treatment? Emerging research is exploring the role of the skin microbiome in psoriasis. This could lead to new treatment approaches such as:

• Probiotic therapies for the skin
• Treatments targeting specific microbial imbalances
• Personalized skincare regimens based on individual microbiome profiles

Living with psoriasis on the feet can be challenging, but with proper understanding, treatment, and lifestyle modifications, many individuals can effectively manage their symptoms and improve their quality of life. As research continues to advance, new and more effective treatments may become available, offering hope for even better management of this chronic condition. Remember, each person’s experience with psoriasis is unique, and working closely with healthcare providers to develop a personalized management plan is crucial for optimal outcomes.

Psoriasis on feet: Symptoms, causes, and treatment

Psoriasis typically causes a dry, scaly rash that can affect the feet. Topical treatments, moisturizers, medication, phototherapy, and other approaches can help manage it.

Psoriasis is a long-term condition that affects over 8 million people in the United States. Doctors do not fully understand what causes this skin condition, but they believe it may arise from an immune system issue.

In this article, we look at the symptoms, causes, and treatment of psoriasis on the feet. We also cover how people can tell the difference between psoriasis on the feet and athlete’s foot and offer lifestyle tips for reducing psoriasis flare-ups.

There are several types of psoriasis. The most common type is plaque psoriasis, which occurs in around 90% of people with the condition.

Plaque psoriasis can occur on almost any part of the body, including the feet. This type causes dry patches of skin known as plaques.

Psoriasis may present differently on light and dark skin. For example, psoriasis often appears red or pink on light skin but may cause violet, gray, or dark brown patches on darker skin.

These plaques are usually covered in silvery scales and can be itchy and sore. In more severe psoriasis, plaques may also crack open and bleed.

The second type of psoriasis, called palmoplantar pustular psoriasis, specifically affects the palms of the hands and the soles of the feet.

People with palmoplantar pustular psoriasis typically notice many tiny, pus-filled blisters on their feet, hands, or both. Despite their appearance, these blisters are not infectious or contagious.

When a person has psoriasis, a rare acute condition can develop on their feet. Doctors call it erythrodermic psoriasis.

Erythrodermic psoriasis is an acute condition and causes inflammation on over 90% of the body’s surface, making it appear erythematous and inflamed. This means the affected skin becomes red, which may appear a deeper red or dusky color on darker skin.

Other than psoriasis, other triggers for this condition include other inflammatory skin conditions, certain cancers and some drugs.

Erythrodermic psoriasis is serious and requires immediate medical attention.

Psoriasis develops when the body replaces skin cells too fast. Doctors do not fully understand what causes this skin condition, but they believe it to be an autoimmune disease. This means the body’s immune system attacks healthy tissue, such as skin cells, by mistake.

A person’s genes may play a role in the development of psoriasis, and it may run in families. People with other autoimmune diseases are also more likely to develop the condition.

Many people with psoriasis find that certain things trigger or worsen their symptoms. Potential triggers can vary from person to person, but may include:

• a recent injury to the skin, such as a cut, insect bite, or sunburn
• emotional stress
• weather changes, especially when they cause skin dryness
• an illness or infection
• certain medications

Some people first notice psoriasis after they have experienced a trigger. If the condition affects the feet, a person may mistake their foot symptoms for an allergic reaction or an infection, such as athlete’s foot.

Share on PinterestPsoriasis and athlete’s foot can look similar. However, athlete’s foot is a contagious condition.
Rattana/Shutterstock

Athlete’s foot is a common fungal infection that occurs on the feet. Unlike psoriasis, it is contagious.

A person can get athlete’s foot from surfaces, towels, and clothes carrying the fungus.

In most cases, the condition requires treatment. However, a person can usually treat the infection at home with over-the-counter antifungal medications.

Psoriasis on the feet and athlete’s foot can look similar. A person may need to consult a doctor if they are unsure which condition they have, particularly if they have not had psoriasis before.

Some differences between athlete’s foot and psoriasis might include:

• Location: Though both conditions can affect any part of the foot, athlete’s foot can appear between the toes or under the nails. Psoriasis can also affect the nails and the soles of the feet.
• Color: Psoriasis and athlete’s foot can both look scaly and red in people with light skin. On darker skin, these may also appear gray, purple, or dark brown. Psoriasis also tends to change color and appearance over time or develop overlying silvery scales.
• Pain: Psoriasis on the foot can feel sore and painful. Athlete’s foot is mainly itchy, but frequent scratching can cause the infection to hurt.
• Nail changes: Athlete’s foot can trigger an infection in the area under the nails. It can cause the nails to lift and look yellow and brittle. Psoriasis can also cause the nails to look dented.
• Joint stiffness: Some people with psoriasis have achy, stiff joints and other symptoms.

As yet, there is no cure for psoriasis, but a range of treatments can help relieve symptoms and reduce flare-ups. The choice of treatment will often depend on the type, location, and severity of a person’s psoriasis.

The three primary treatments include topical medications, light therapy, and systemic drugs.

Topical medications come in the form of different topical formulations, such as creams and ointments, that people apply directly to their skin. Examples include:

• emollients
• steroids
• vitamin D analogs
• calcineurin inhibitors
• coal tar

A person can buy some topical treatments, such as emollients, mild steroids creams, and coal tar foams, over the counter. A doctor can prescribe stronger topical formulations.

Light therapy, also known as phototherapy, usually takes place in hospitals or clinics and involves doctors exposing a person to UV light. For light therapy to be effective, people may require 2 or 3 sessions a week.

Systemic treatments work throughout the body and include oral and injected drugs. Doctors typically only prescribe these medications for severe psoriasis due to the risk of serious side effects and the need for close monitoring.

Examples of systemic treatments include:

• immunosuppressants, such as methotrexate or cyclosporine
• steroids
• retinoids
• phosphodiesterase 4 inhibitors
• biologics

Treating psoriasis on the feet can be challenging due to its location. Working with a doctor, people may need to try several different treatments before finding one that is effective. In some cases, an individual may require a combination of treatments.

A doctor may recommend coal tar, light therapy, or systemic drugs for people with psoriasis on the feet that they find difficult to treat in other ways.

Current guidelines suggest prescribing a biologic drug, such as infliximab (Remicade) or adalimumab (Humira), among others, for palmoplantar psoriasis. These drugs affect how the immune system works and aim to treat the underlying cause of psoriasis.

Some lifestyle changes may help reduce or prevent flare-ups of psoriasis. These may include:

• staying healthy, such as by maintaining a moderate weight, avoiding smoking if applicable, reducing alcohol intake, and eating a balanced diet
• keeping the skin moisturized, such as by regularly using emollients and avoiding soaps and cosmetics that can dry the skin
• using a symptoms diary to identify and avoid specific psoriasis triggers, such as certain foods and weather
• minimizing stress, such as through meditation, yoga, therapy, or other strategies
• exercising regularly

Here are a few common questions about psoriasis on the feet.

How do you get rid of psoriasis on your feet?

Treatment for psoriasis on the feet may involve a combination of topical medications, light therapy, and systemic drugs, such as immunosuppressants. Several lifestyle changes can also help prevent flare-ups of psoriasis over the long term.

A person can work with a doctor to determine the best course of treatment for them, which may depend on the specific type, location, and severity of psoriasis.

What does psoriasis on feet feel like?

Plaque psoriasis can cause dry patches of skin on the feet, which often feel itchy or sore. Other types of the condition may cause painful, pus-filled blisters on the soles of the feet or scaly, dry patches of skin throughout the body.

Why am I getting psoriasis on my feet?

While exactly what causes psoriasis on the feet is unclear, certain triggers may worsen psoriasis for some people.

Potential triggers may include stress, changes in the weather, illness or infection, certain medications, or a recent injury to the skin.

Psoriasis on the feet can be painful and more challenging to treat than the condition developing on other parts of the body. There are many treatment options available, but a person may need to work with their doctor to find one that is effective for them.

Keeping the skin moisturized, avoiding potential triggers, and maintaining a healthy lifestyle may also help prevent psoriasis flare-ups.

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Tips for Managing Foot Psoriasis

Psoriasis can affect your feet, making getting around a challenge. Here are steps you can take to prevent problems.

By Nina WassermanMedically Reviewed by Ross Radusky, MD

Reviewed: January 28, 2021

Medically Reviewed

Foot psoriasis can cause painful, itchy, dry patches on skin on the bottom or soles of your feet.iStock

Our feet are extremely sensitive, thanks to the high concentration of nerve endings that help us with balance. They are also a complex mass of joints, muscles, and bones that serve for stability, mobility, and support.

In short, our feet are the foundation for a healthy and active life. So when psoriasis involves the feet, it’s a serious problem.

When Psoriasis Affects the Feet

Psoriasis is a condition caused by an overactive immune system that triggers abnormal skin cell growth.

Normally, skin cells grow and shed in a monthly cycle. With psoriasis, the skin cells grow and build up on the surface of the skin, forming plaques and scales.

Foot psoriasis — or palmoplantar psoriasis, which means psoriasis of the hands and feet — is a less common type of psoriasis. It causes painful, itchy, red, discolored patches of skin on the bottom or soles of your feet. A more rare form of the condition, called pustulosis, involves small, pus-filled blisters in the same area. In both cases, the psoriasis can crack and bleed, which can make everyday tasks like standing or walking difficult.

Forty percent of people who have psoriasis experience palmoplantar psoriasis, according to the National Psoriasis Foundation (NPF). In a study published in the August 2020 issue of the Journal of the American Academy of Dermatology, people with palmoplantar psoriasis were six times as likely to have mood disorders — likely due to problems with mobility — than those with psoriasis affecting other parts of the body.

“In some cases, people with foot psoriasis can’t even walk,” says Abby S. Van Vorhees, MD, chair of dermatology at Eastern Virginia Medical School and emeritus chair of the NPF Medical Board. “But the good news is that there are treatments available and there’s a lot that can be done to make patients feel better.”

8 Ways To Relieve Your Psoriasis Itch

How to Find Relief for Foot Psoriasis

Between treatments and lifestyle changes, there are plenty of steps you can take to help control your symptoms. Start with these strategies to help you manage foot psoriasis and get back on your feet.

1. Try Topical Medication

The first line of defense against psoriasis symptoms is medication, according to Mark Lebwohl, MD, professor and chair of the department of dermatology at Mount Sinai Hospital in New York City. For mild cases, topical steroids could be enough to abate flare-ups, Dr. Lebwohl says.

Over-the-counter and prescription lotions, ointments, creams, sprays, and foams reduce swelling and itching and can help make you more comfortable, Lebwohl notes. Besides topical steroids, there are topical vitamin D analogues and topical retinoids, according to the Psoriasis and Psoriatic Arthritis Alliance (PAPAA).

Since psoriasis is also characterized by thick scaly plaques, using topical medications to effectively remove the scale is helpful. Ask your doctor if over the counter treatments with salicylic acid or lactic acid are right for you.

2. Seek Phototherapy

If topical medications don’t work, Lebwohl recommends moving to phototherapy treatment. Phototherapy, or light therapy, is usually prescribed by a dermatologist, according to the NPF. It involves treating affected areas of the skin, such as the bottom of the feet, with ultraviolet (UV) light on a regular basis.

These treatments can be done under medical supervision in your dermatologist’s office or at home with a personal phototherapy unit. Light therapy has been shown to slow the growth of skin cells on the feet that are affected by psoriaris, Lebwohl says.

3. Pursue Other Treatment Options

If symptoms persist, it may be time to consider biologic therapy.

Injectable biologics, which target specific parts of the immune system, block cells or proteins that play a role in the development of psoriasis, or oral systemic medications are used to calm down underlying inflammation in the body.

4. Avoid Foot Trauma

Any kind of trauma to the feet can trigger psoriasis, notes Dr. Van Vorhees. Psoriasis can flare up in a previously unaffected part of the skin following even a minor bump or bruise, which is known as the Koebner phenomenon, according to the National Institutes of Health. So protecting your feet from injury is critical for people with psoriasis.

The NPF recommends avoiding tight shoes and high heels because of the pressure they place on the toes. The type of material the shoe is made of is less important than the fit, Van Vorhees explains.

In general, the front of the shoe should be round, rather than triangular, and loose shoes that cause friction or rubbing on the heel should also be avoided, says Van Vorhees. Flip-flops or other open-toe sandals should be worn with caution as they expose your toes to possible injury, she adds.

5. Focus on Diet and Exercise

There are no studies showing that a particular food can exacerbate or benefit psoriasis, says Lebwohl. However, a general healthy diet, combined with exercise, can have great benefits, he says.

That’s because there’s a strong correlation between obesity and psoriasis. Often, those who are obese experience more severe psoriasis symptoms. Conversely, weight loss can have a dramatically positive impact on people with psoriasis.

“Exercise and diet that specifically lead to weight loss can help,” Lebwohl notes. “There are many studies that have shown that weight loss in combination with therapy improves psoriasis.”

In addition, psoriasis medications have been shown to be more effective for those who have lost weight, he says.

A review of clinical trial data published in October 2018 in the journal Cureus found that weight reduction through diet and exercise is an “accessible, inexpensive, empowering method” that gives people with psoriasis more control over their symptoms.

In this review, researchers used a Psoriasis Area and Severity Index (PASI) score to measure the severity of psoriasis based on how much of the body is covered and the appearance of the plaques. Results found that exercise improved PASI scores in people with foot psoriasis.

When to Call Your Dermatologist

Above all, seeing your dermatologist is essential for managing symptoms that affect your feet. That’s because foot psoriasis can sometimes be mistaken for something else, such as a fungal infection like athlete’s foot.

The wrong treatment for the wrong condition can worsen symptoms and lengthen their duration.

“Each person has a unique situation,” Lebwohl says. “Their dermatologist is the best trained to help.”

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causes and treatment of disease

Psoriasis is a chronic inflammatory skin disease. This is a genetic disease that manifests itself in the form of characteristic formations on the patient’s body: papules or plaques of pink-red color visible to the eye, the surface of which is flaky and covered with scales. The disease, as a rule, is accompanied by severe itching and pain, causing suffering to patients, both physical and moral. Psoriasis rashes can appear on any part of the body, but most often they are localized on the scalp, elbows and hands of the patient. Chronic psoriasis on the head especially often causes moral discomfort to patients, because it cannot be hidden under clothing.

What is the origin of the name of the disease “psoriasis”?

The name of the disease “psoriasis” comes from the Greek word – Psora – to scratch (-sya). Indeed, itching of rough, scaly, silvery-white skin, difficult to treat, is a typical picture of the manifestation of this disease.

Who is affected by this disease?

A disease such as skin psoriasis affects approximately 3-5% of the population in different countries. Men and women – equally. Psoriasis can develop at any age, but it usually first appears around the age of 20, often earlier in women than in men. However, the Medical On Group Corporation has collected impressive statistics on the treatment of children and the elderly suffering from this disease.

In addition to heredity, psoriasis has the following causes:

• excessively active division of skin cells;
• stress;
• decreased immunity after illness.

Answers to frequently asked questions

Is psoriasis contagious?

Ordinary vulgar psoriasis is a hereditary, genetic disease accompanied by metabolic disorders, endocrine glands, immune system lesions. Psoriasis is not contagious! It is not an external infection, and there is no need to fear or avoid people suffering from this affliction.

Is it likely that children of parents with psoriasis will also have the disease?

Since we are talking about a hereditary, genetic disease, there is such a probability, and it is quite high: if both parents suffer from psoriasis, then the children will be sick with this disease with a probability of approximately 33.3%.

Is it good for patients to spend as much time as possible in the sun?

It is generally accepted that the sun’s rays in a certain amount contribute to the treatment of psoriasis, but in some cases, exposure to the sun, on the contrary, can exacerbate the process. Be that as it may, before any medical procedure and if any changes in the condition of the skin are detected, it is recommended to consult a professional dermatologist.

What causes periodic flare-ups and waning of the disease?

Experience shows that mental stress, stress and neuroses, unhealthy lifestyle and diet cause exacerbated manifestations of psoriasis. In addition, cases are not uncommon when the disease worsened even more precisely as a reaction to irrationally formulated treatment.

Does smoking, drinking alcohol affect the course of the disease?

Yes, it does. Smoking and drinking alcohol adversely affect the development of the disease, may contribute to the intensification of the manifestations of psoriasis.

Treatment of psoriasis. Is it possible to?

Hereditary psoriasis on the legs, arms or head is one of the most common but difficult to treat skin diseases. Psoriasis is characterized by scaly redness on the skin, the appearance of which is not caused by an infection, but by increased cell division. In a healthy person, a complete renewal of skin cells occurs in almost a month, and in a patient – seven times faster.

Exacerbation of psoriasis can be caused by stress and physical overexertion, wounds and cuts on the skin, streptococcal infection of the upper respiratory tract and a reaction to medication. Unfortunately, it is impossible to protect oneself from all this, which means that medicine is not yet capable of either preventing an attack of the disease or completely curing it. But to control the course of psoriasis, choosing effective methods of treating symptoms, modern dermatologists are quite capable.

Can psoriasis be permanently cured?

Since we are talking about a hereditary, genetic disease, the treatment of psoriasis offered by modern medicine comes down to getting rid of the external manifestations of the disease, cleaning the patient’s skin from rashes for a long time.

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Psoriasis in children: causes, symptoms and treatment

Psoriasis is a pronounced inflammation of the epidermis – the outer layer of the skin. Another name for the disease is scaly lichen. Psoriasis accounts for 20% of all skin diseases in the world, and the number of cases is growing every year. The cause of psoriasis is an increased activity of the immune system, an excess of local immunity.

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