What are the main symptoms of psoriasis on hands and feet. How does palmar-plantar psoriasis affect daily life. What are the most effective treatments for hand and foot psoriasis. How can you manage psoriasis symptoms at home. What is pustular psoriasis and how is it treated. How does psoriasis affect nails and what are the treatment options. What lifestyle changes can help manage psoriasis on hands and feet.

Understanding Palmar-Plantar Psoriasis: Symptoms and Impact

Psoriasis on the hands and feet, known as palmar-plantar psoriasis, primarily affects the palms and soles. However, it can also appear on the tops of the feet, backs of the hands, knuckles, and nails. Despite covering only 4% of the body’s surface area, this condition can significantly impact a person’s quality of life.

Common symptoms of hand and foot psoriasis include:

• Cracking or splitting of the skin
• Skin thickening
• Redness
• Scaling
• Swelling
• Blistering or pustules (pimple-like spots)

These symptoms can cause pain, discomfort, and self-consciousness, potentially affecting work performance and leading to financial burdens. The visible nature of hand and foot psoriasis can also impact social interactions and overall well-being.

Topical Treatments for Hand and Foot Psoriasis

When it comes to treating psoriasis on the hands and feet, several topical options are available. These treatments aim to alleviate symptoms and improve skin condition:

• Coal tar products: Available as creams, gels, or ointments, these slow skin growth and ease itching, inflammation, and scaling.
• Salicylic acid: This peeling agent softens and reduces thick scales.
• Corticosteroids: Often prescribed as creams and ointments, these reduce inflammation and itching.
• Combination therapies: Using multiple treatments together can often yield better results than a single approach.

How effective are topical treatments for hand and foot psoriasis? While individual responses vary, many patients experience significant improvement with consistent use of these medications. Your dermatologist may recommend alternating between different treatments or combining them for optimal results.

Advanced Topical Treatment Methods

In some cases, doctors may suggest more advanced topical treatment methods:

1. Hydrocolloid occlusion: A filmy layer that bonds to corticosteroid cream, helping to keep skin moist for several days.
2. Wet wrapping: This involves applying a corticosteroid cream, wetting the skin, and sealing it with plastic wrap overnight.
3. Calcipotriene: A type of vitamin D that can be alternated or combined with topical corticosteroids (not for use on the face).

Systemic Medications for Psoriasis Management

When topical treatments prove insufficient, systemic medications that affect the immune system may be prescribed. These drugs work at a cellular level to manage psoriasis:

• Cyclosporine: Slows down an overactive immune system
• Acitretin (Soriatane): A low-dose retinoid that reduces cell multiplication
• Methotrexate: Slows the enzyme responsible for rapid skin cell growth
• Biologics: Target specific parts of the immune system

How do systemic medications compare to topical treatments in effectiveness? While systemic medications can be more potent, they also carry a higher risk of side effects. The choice between topical and systemic treatment depends on the severity of the condition and individual patient factors.

Light Therapy as a Treatment Option

Light therapy, or phototherapy, is another effective treatment for hand and foot psoriasis. This approach can be used alone or in combination with other treatments:

• UVB phototherapy
• Psoralen-UVA (PUVA) phototherapy
• Targeted phototherapy (laser treatment)

PUVA therapy involves taking psoralen, either orally or applied topically, in conjunction with light therapy. This combination can enhance the effectiveness of the treatment.

Is light therapy safe for all patients with hand and foot psoriasis? While generally considered safe, light therapy may not be suitable for everyone. Factors such as skin type, medication use, and overall health should be considered before starting this treatment.

Home Care and Lifestyle Management for Hand and Foot Psoriasis

In addition to medical treatments, home care and lifestyle changes can help manage psoriasis symptoms on the hands and feet:

1. Avoid injury to hands and feet, as even minor trauma can worsen psoriasis.
2. Use warm (not hot) water and moisturizing soap for gentle washing.
3. Apply petroleum jelly to psoriasis plaques on feet, then wear cotton socks.
4. Choose shoes with good cushioning and arch support; avoid ballet flats or high heels.
5. Get moderate sun exposure for vitamin D benefits.

How can these lifestyle changes improve psoriasis symptoms? By reducing irritation, maintaining skin moisture, and supporting overall skin health, these strategies can complement medical treatments and enhance quality of life for those with hand and foot psoriasis.

Understanding and Treating Pustular Psoriasis

Pustular psoriasis on the palms and soles, also known as palmoplantar pustulosis (PPP), is a specific form of psoriasis that primarily affects adults who smoke. This condition can develop over months or years and presents unique challenges:

• Painful cracks in the skin
• Redness and scaling
• Stubborn resistance to treatment

Treatment for PPP generally follows similar methods as other types of hand and foot psoriasis, but may require more aggressive or prolonged approaches. What makes pustular psoriasis different from other forms? The presence of pustules (small, pus-filled blisters) is the defining characteristic of this type of psoriasis, setting it apart from the typical plaques seen in other forms.

Managing Deep Cracks in Pustular Psoriasis

Deep cracks associated with pustular psoriasis can be particularly painful and challenging to treat. Here are five strategies to manage deep cracks and protect your skin:

1. Use thick, emollient-rich moisturizers to keep the skin hydrated.
2. Apply medicated ointments as prescribed by your dermatologist.
3. Wear protective gloves or socks to prevent further irritation.
4. Consider using liquid bandages to seal small cracks.
5. Maintain a consistent treatment regimen to prevent worsening of symptoms.

Nail Psoriasis: Symptoms and Treatment Options

Psoriasis can also affect nail formation, leading to various nail abnormalities:

• Shallow or deep holes in the nails
• Changes in nail shape
• Nail thickening
• Separation of the nail from the nail bed
• Discoloration

Treatment options for nail psoriasis include:

1. Corticosteroid creams or ointments
2. Light therapy
3. Corticosteroid injections into nail beds
4. Anti-fungal agents for associated fungal infections

How can you distinguish between nail psoriasis and fungal infections? While both conditions can cause similar symptoms, nail psoriasis often affects multiple nails and is associated with skin psoriasis elsewhere on the body. A dermatologist can provide a definitive diagnosis through examination and, if necessary, nail samples.

Cosmetic Solutions for Nail Psoriasis

For those seeking to improve the appearance of nails affected by psoriasis, several cosmetic options are available:

• Nail scraping and filing to smooth the surface
• Use of nail polish to conceal discoloration
• Application of artificial nails
• In severe cases, surgical removal of affected nails

To help prevent nail psoriasis complications, keep nails trimmed short and wear gloves when working with your hands. These simple steps can reduce the risk of injury and infection, which can exacerbate nail psoriasis symptoms.

The Impact of Psoriasis on Quality of Life

Psoriasis on the hands and feet can have a significant impact on a person’s quality of life, affecting various aspects of daily living:

• Physical discomfort and pain
• Difficulty performing routine tasks
• Emotional distress and self-consciousness
• Limitations in work and social activities
• Financial burden due to treatment costs and potential work limitations

How can individuals with hand and foot psoriasis maintain a positive outlook? Developing a strong support system, engaging in stress-reduction techniques, and working closely with healthcare providers to find effective treatments can all contribute to improved quality of life. Support groups and counseling may also be beneficial for managing the emotional aspects of living with psoriasis.

Workplace Considerations for Hand and Foot Psoriasis

For many individuals with hand and foot psoriasis, workplace accommodations may be necessary to maintain productivity and comfort:

1. Use of protective gloves or specialized equipment
2. Adjustments to work schedules to accommodate treatment regimens
3. Ergonomic modifications to reduce strain on affected areas
4. Education of colleagues and supervisors about the condition to foster understanding

What rights do employees with psoriasis have in the workplace? In many countries, psoriasis is considered a disability, entitling affected individuals to reasonable accommodations under disability rights laws. Consulting with human resources or a disability rights advocate can help ensure appropriate workplace support.

Emerging Treatments and Research in Hand and Foot Psoriasis

The field of psoriasis treatment is continually evolving, with ongoing research into new therapies and management strategies. Some promising areas of research include:

• Novel biologic therapies targeting specific immune pathways
• Personalized medicine approaches based on genetic profiling
• Topical treatments with improved efficacy and fewer side effects
• Combination therapies that maximize treatment outcomes

What advancements can patients expect in the coming years? While it’s difficult to predict specific breakthroughs, the trend towards more targeted, personalized treatments is likely to continue. This may lead to more effective management of hand and foot psoriasis with fewer side effects.

Participating in Clinical Trials

For individuals interested in accessing cutting-edge treatments, participating in clinical trials may be an option. Benefits of clinical trial participation include:

1. Access to new treatments before they become widely available
2. Contribution to medical research and advancement of psoriasis treatment
3. Close monitoring by healthcare professionals
4. Potential for improved symptom management

How can patients find and enroll in clinical trials for hand and foot psoriasis? Consulting with a dermatologist or checking clinical trial registries online can provide information on current studies. It’s important to carefully consider the potential risks and benefits before deciding to participate in a clinical trial.

Holistic Approaches to Managing Hand and Foot Psoriasis

While medical treatments form the cornerstone of psoriasis management, many patients find value in complementary holistic approaches:

• Stress reduction techniques such as meditation and yoga
• Dietary modifications to reduce inflammation
• Regular exercise to improve overall health and reduce stress
• Natural remedies like aloe vera or oatmeal baths

Can holistic approaches replace conventional treatments for hand and foot psoriasis? While these methods can be beneficial as complementary therapies, they should not be used as a substitute for prescribed medical treatments. Always consult with a healthcare provider before incorporating new approaches into your psoriasis management plan.

The Role of Diet in Psoriasis Management

Emerging research suggests that dietary choices may play a role in psoriasis management. Some dietary considerations for individuals with hand and foot psoriasis include:

1. Increasing consumption of anti-inflammatory foods like fatty fish and leafy greens
2. Reducing intake of processed foods and refined sugars
3. Maintaining a healthy weight to reduce psoriasis severity
4. Considering omega-3 fatty acid supplements for potential anti-inflammatory benefits

How significant is the impact of diet on psoriasis symptoms? While dietary changes alone are unlikely to resolve psoriasis completely, many patients report improvements in symptom severity and overall well-being with diet modifications. As with any significant lifestyle change, it’s important to discuss dietary plans with a healthcare provider or registered dietitian.

Psoriasis on Hands & Feet: Causes and Treatment Options

If you have an acute psoriasis flare-up on your hands or feet, see your doctor ASAP. They’ll work with you until you find something that helps.

Psoriasis on these areas is most likely to show up on the palms and soles. This is called palmar-plantar psoriasis. But it can also appear on the tops of your feet, backs of your hands, and on knuckles and nails.

Small Area, Big Impact

Your hands and feet make up only 4% of your body’s total surface area. But psoriasis here can still have a big effect on your quality of life. You might have pain, or you may just want to cover up the scales. If it affects your work, that could lead to a financial burden as well.

Hands and feet psoriasis (HFP) can also cause your skin to:

• Crack or split
• Thicken
• Redden
• Scale
• Swell
• Blister or have pimple-like spots (pustules)

Medications That Treat Your Skin

Here are some common ways to treat psoriasis on the hands and feet and relieve your symptoms.

In addition to moisturizers, mild soaps, and soap substitutes, your doctor may recommend:

• Coal tar products, like creams, gels, or ointments, to slow skin growth and ease itchy, inflamed, or scaly skin
• Salicylic acid, a peeling agent that softens or reduces thick scales
• Corticosteroids, often creams and ointments

Combinations of these often work better than one treatment alone. Sometimes doctors suggest alternating or using topical corticosteroids with a type of vitamin D called calcipotriene. This medicine should not be used on the face, so be sure to wear gloves when applying to your hands and feet in order to avoid getting it on your face later.

Your doctor might have you use a corticosteroid under a type of dressing called hydrocolloid occlusion. This filmy layer bonds to the cream, helps keep skin moist, and can be worn for several days. Wetting your skin, rubbing on a corticosteroid cream and sealing it in with plastic wrap overnight also is helpful.

Medications That Stop Disease Progress

Psoriasis is an immune system condition, so if skin treatments don’t work, your doctor may recommend drugs that affect the disease at a cellular level. These include:

• Cyclosporine, to slow down your overactive immune system
• Low-dose retinoids like acitretin (Soriatane), to reduce cell multiplication
• Methotrexate, which slows an enzyme that causes the rapid growth of skin cells in psoriasis

Doctors often combine retinoids with light therapy for hands and feet psoriasis. You might have UVB or psoralen-UVA (PUVA) phototherapy or targeted phototherapy (laser treatment). PUVA involves taking the drug psoralen, either by mouth or applied like paint, along with the light therapy.

If these treatments don’t work, your doctor may prescribe a type of medication called a biologic, which targets specific parts of the immune system. Different types of psoriasis respond in different ways to these medications. Examples include:

Home Care for Hands and Feet Psoriasis

Some TLC can help ease your symptoms. Some home remedies to try:

• Take care to avoid injury to your hands and feet since even minor trauma can worsen your psoriasis.
• Wash gently in warm, not hot, water with moisturizing soap.
• Apply petroleum jelly to psoriasis plaques on your feet, then put on cotton socks..
• Wear shoes with good cushioning and arch support. Ballet flats or high heels are not great choices
• Get outside. Vitamin D from short stints under sunlight or ultraviolet lights may help tamp down psoriasis symptoms.

Pustular Psoriasis on the Palms and Soles

Some people — mostly adults who smoke — get pustular psoriasis on their palms and soles. Known as palmoplantar pustulosis (PPP), it can erupt over months or years. It may also cause painful cracks, redness, and scales. It can be more stubborn to treat than other types of hand and foot psoriasis, but the same methods are used. Learn five ways you can treat deep cracks and protect your skin.

Psoriasis and Your Nails

Psoriasis can also affect your nails as they form. It could cause:

• Shallow or deep holes
• Shape changes
• Thickening
• Separation of the nail from the nail bed, with debris under the nail
• Discoloration

Corticosteroid creams or ointments and light therapy are also used to treat nail psoriasis. If these don’t get the job done, your doctor might suggest corticosteroid injections into your nail beds. Nail psoriasis can be complicated by fungal infections for which your doctor may prescribe anti-fungal agents.

Cosmetic repair is also an option. This can involve:

• Nail scraping and filing
• Nail polish
• Artificial nails
• Surgical removal

To help prevent problems, trim your nails as short as possible, and wear gloves when you work with your hands. Read what you can do about psoriasis on your hands, feet, nails, and other tough spots.

When Psoriasis Strikes the Hands and Feet: National Psoriasis Foundation

Location Matters

To get an idea of the impact of psoriatic disease on the hands and feet, think of the pain of a hangnail on a finger or a blister on a foot, and how much these small injuries consume your attention and interfere with daily tasks, says Kristina Callis Duffin, M.D., co-chair of the department of dermatology at the University of Utah in Salt Lake City.

“Having psoriasis or psoriatic arthritis on the hands and feet is life-altering,” she says. “It raises the bar for how much it affects your quality of life.”

Duffin was the lead investigator for a study comparing people who have psoriasis on the palms of the hands and soles of the feet (called palmoplantar psoriasis) with those who have the disease elsewhere. The study, published in the September 2018 Journal of the American Academy of Dermatology, found that those with hand and foot involvement were almost twice as likely to report problems with mobility and almost two-and-a-half times more likely to say they had trouble completing usual activities.

“Those with palmoplantar psoriasis scored much worse on multiple quality-of-life measures, even though they typically had less total affected body surface area,” says Duffin, who is also an NPF medical board member.

Body surface area is one way dermatologists measure psoriasis severity and decide how aggressively to treat it. But it’s not the best tool for making treatment decisions when the hands or feet are affected, Duffin says. “In those cases, we often start treatment with a biologic even when the total involved body surface area is relatively small.”

PsA also hits especially hard when it affects hands and feet.

“If joints in the hands and feet are hurting and swollen, it can affect every aspect of their function,” says Alice Gottlieb, M.D., Ph.D., clinical professor of dermatology at the Icahn School of Medicine at Mount Sinai in New York City and an NPF medical board member.

Types, Symptoms and Treatment

Like psoriasis and PsA elsewhere on the body, psoriatic disease in the hands and feet can cause itchy, scaling, reddened skin plaques and painful, swollen joints. Specific types and symptoms of hand and foot psoriasis and PsA, however, can also cause less-familiar skin and joint issues.

Palmoplantar psoriasis, plaque psoriasis on the feet or hands, affects about 40 percent of people with plaque psoriasis, who often don’t have much skin disease elsewhere. As noted, its substantial effects on function and quality of life mean dermatologists typically use advanced medications to control symptoms. Treating certain types of palmoplantar psoriasis is still challenging, despite the rapidly expanding list of medications for psoriasis and PsA. Often, palmoplantar psoriasis doesn’t respond as well to treatment as does psoriasis on other parts of the body.

Most biologics, which work by targeting specific proteins that turn up inflammation in psoriatic disease, such as tumor necrosis factor (TNF) or interleukin-17 (IL-17), have some effect on certain people with palmoplantar psoriasis.

No one treatment works for everyone, and people with palmoplantar psoriasis may have to try several medications or combinations of treatments to relieve symptoms. Gary Bixby, for example, didn’t get better with either a TNF or an IL-17 inhibitor. The third biologic he tried blocks another interleukin protein, IL-23, and, three months after his first injection, he’s getting better results.

“I’m seeing improvements in my fingernails and the plaques on my body, which I didn’t get with the first two biologics. I’m cautiously hopeful,” he says.

Palmoplantar pustular disease, or pustulosis, affects about 5 percent of people with psoriasis. It shows up as small, pus-filled blisters on reddened, tender skin. It can also cause painful cracking
and fissuring.

Biologics can sometimes make pustular disease worse, says Duffin, so dermatologists may decide to begin treatment with a traditional disease-modifying antirheumatic drug (DMARD) such as methotrexate or cyclosporine.

“There are also new medications in development, specifically anti-IL-36 biologics, that could be a good treatment pathway for pustular psoriasis,” says Duffin.

Psoriatic nail disease can cause a host of symptoms in both the nail bed and the matrix, the area where fingernails and toenails start their growth. These include pitting, crumbling, thickening, discoloration, white or reddish spots, and separation of the nail from the nail bed (called onycholysis). None of these symptoms is specific to nail psoriasis, however, and some people have both nail psoriasis and nail fungus.

All this can make nail disease difficult to diagnose, says Duffin.

“If you have pitting, for example, you could have vitiligo or eczema instead of psoriasis,” she explains. (Vitiligo is a disease that causes skin, or sometimes hair, to lose its natural color.) “Sometimes, psoriasis patients are concerned about normal nail features, such as ridging or brittleness, that aren’t psoriasis.”

When the cause of nail symptoms isn’t clear, dermatologists look for signs of psoriasis elsewhere on the body. They may also look at a nail clipping under a microscope to distinguish one condition from another.

Once dermatologists understand what’s going on in the nails, they can decide how best to treat them. “All biologics have some data showing they can work better for nails than traditional DMARDs, but there is still no one slam-dunk treatment,” says Duffin, who notes that it can take months to learn whether a treatment is improving nail symptoms.

“It takes three to six months for nail to regrow entirely, so patients need to be on a treatment continuously for that time for us to know whether it’s working,” she says.

Nail psoriasis is also a risk factor for PsA, and when it occurs with other symptoms, may prompt a referral to a rheumatologist, who can evaluate you for joint disease.

Psoriasis of the palms and soles

Author: Dr Amy Stanway, Dermatology Registrar, Waikato Hospital, Hamilton, New Zealand, 2004. Updated by Hon Assoc Prof Amanda Oakley, Dermatologist, Waikato Hospital, Hamilton, New Zealand, January 2015.

What is psoriasis?

Psoriasis is a chronic inflammatory skin disease in which there are clearly defined, red, scaly plaques (thickened skin). There are various subtypes of psoriasis.

Psoriasis is linked to other health conditions, including inflammatory arthritis, inflammatory bowel disease (especially Crohn disease), uveitis and coeliac disease.

How does psoriasis affect the palms and soles?

Psoriasis may be localised to the palms and soles or part of generalised chronic plaque psoriasis. Two common patterns are observed:

• Well-circumscribed, red, scaly, plaques similar to psoriasis elsewhere
• Patchy or generalised thickening and scaling of the entire surface of palms and/or soles without redness (an acquired keratoderma)

Palmoplantar psoriasis

See more images of palmoplantar psoriasis.

Palmoplantar pustulosis and the rare acrodermatitis continua of Hallopeau (acral pustulosis), in which yellow-brown pustules occur, are no longer classified as psoriasis. However, the conditions are associated. About 10–25% of people with palmoplantar pustulosis also have chronic plaque psoriasis.

What causes palmoplantar psoriasis?

The tendency to psoriasis is inherited, but what causes it to localise on the palms and soles is unknown. It may be triggered by an injury to the skin, an infection, or another skin condition such as hand dermatitis. It may first occur during a period of psychosocial stress. Certain medications, particularly lithium, may be associated with the onset of flares of psoriasis.

Psoriasis is more common, often more severe, and sometimes difficult to treat in patients that are obese, have metabolic syndrome, that drink excessive alcohol or smoke tobacco.

What are the clinical features of palmoplantar psoriasis?

Palms and soles affected by psoriasis tend to be partially or completely red, dry and thickened, often with deep painful cracks (fissures). The skin changes tend to have a sharp border and are often symmetrical, ie similar distribution on both palms and/or both soles. At times, palmar psoriasis can be quite hard to differentiate from hand dermatitis and other forms of acquired keratoderma. Plantar psoriasis may sometimes be similar in appearance to tinea pedis. There may be signs of psoriasis elsewhere.

Palmoplantar psoriasis tends to be a chronic condition, ie, it is very persistent.

Compared to chronic plaque psoriasis on other sites, palmoplantar psoriasis is more commonly associated with:

How is the diagnosis of palmoplantar psoriasis made?

Palmoplantar psoriasis is diagnosed by its clinical appearance, supported by finding chronic plaque psoriasis in other sites. Mycology of skin scrapings may be performed to exclude fungal infection. Skin biopsy is rarely needed.

The differential diagnosis of palmoplantar psoriasis includes:

What is the treatment for palmoplantar psoriasis?

Improvement in general health can lead to an improvement in palmoplantar psoriasis.

• Weight loss, if overweight
• Regular exercise
• Stress management
• Minimum alcohol
• Smoking cessation
• Investigation and management of associated health conditions

Mild psoriasis of the palms and soles may be treated with topical treatments:

• Emollients: thick, greasy barrier creams applied thinly and frequently to moisturise the dry, scaly skin and help prevent painful cracking.
• Keratolytic agents such as urea or salicylic acid to thin down the thick scaling skin. Several companies market effective heel balms containing these and other agents.
• Coal tar: to improve the scale and inflammation. Because of the mess, coal tar is often applied at night under cotton gloves or socks.
• Topical steroids: ultrapotent ointment applied initially daily for two to four weeks, if necessary under occlusion, to reduce inflammation, itch and scaling. Maintenance use should be confined to 2 days each week (weekend pulses) to avoid thinning the skin and causing psoriasis to become more extensive.

Calcipotriol ointment is not very successful for palmoplantar psoriasis. It may also cause an irritant contact dermatitis on the face if a treated area inadvertently touches it. Dithranol is too messy and irritating for routine use on hands and feet.

More severe palmoplantar psoriasis usually requires phototherapy or systemic agents, most often:

Biologics (targeted therapies) are also sometimes prescribed for severe palmoplantar psoriasis. However, it should be noted that TNF-alpha inhibitors such as infliximab and adalimumab may trigger palmoplantar pustulosis.

Did You Know That You Can Get Psoriasis on Your Feet? — LIGHTHOUSE FOOT & ANKLE CENTER

You may be familiar with a skin condition called psoriasis that causes a scaly red rash on the body. What you may not know is that the feet can also show symptoms of psoriasis.

August is a particularly good time to learn more about this skin problem because it is recognized as Psoriasis Awareness Month. Up to 7.5 million Americans have psoriasis, a non-contagious autoimmune disease that causes accumulations of white dead skin cells to appear as patches on the skin.

One complication of psoriasis is psoriatic arthritis, a painful and joint-damaging form of arthritis.

Psoriasis may run in families, and those with other autoimmune diseases may be more susceptible. Some triggers include recent injury or sunburn, emotional stress, extremely dry weather, illness, infection, and certain medications.

Symptoms of Psoriasis on the Feet

The most common type of psoriasis is plaque psoriasis with red, dry patches of skin. The patches can appear anywhere on the body, including the feet. Usually, they are covered in silvery scales and can be sore and itchy.

 A less common type of psoriasis is palmoplantar pustulosis, affecting the soles of the feet and the palms of the hand. Here you will find tiny, pus-filled blisters.

It’s easy to confuse psoriasis with athlete’s foot, a common foot fungal infection that is very contagious. Athlete’s foot most often appears between the toes or under the nails, while psoriasis is found on the soles. While athlete’s foot is itchy, psoriasis on the foot can be painful and sore.

Treating Psoriasis on the Feet

 Since psoriasis on the feet can resemble other skin problems like athlete’s foot, please come in for a professional assessment and the right treatment.

There is no cure for psoriasis, but there are treatments to relieve symptoms and lessen flare-ups. Treatments can include:

You can make lifestyle changes to help reduce or prevent psoriasis flare-ups. These include maintaining a healthy weight, stopping smoking, reducing alcohol, exercising, keeping the skin moisturized, keeping a symptom diary to identify triggers, using yoga or meditation to reduce stress.

We Can Help with Any Skin Problem on the Feet

Foot or toe pain is not normal! If you have any discomfort from arthritis, an injury or just from overuse, please call Michele Kurlanski, DPM at Lighthouse Foot and Ankle Center. Dr. Kurlanski offers expert and professional podiatry services in Cumberland County, Maine. Please call us today at 207-774-0028 to schedule your appointment in our Scarborough office.

Psoriasis of the Hands and Feet: Symptoms, Diagnosis, Treatment

Psoriasis of the hands and feet, known as palmoplantar psoriasis, is arguably the most difficult type to live with because the itching and pain can interfere with your ability to perform everyday tasks. Simple activities like writing out a grocery list, walking, or even wearing shoes can cause friction and stress that inflame the skin on the hands and feet, making the condition worse.

Suthep Wongkhad / EyeEm / Getty Images

Palmoplantar psoriasis is its own distinct disease subtype of psoriasis affecting the palms and soles, though it can co-occur with nail psoriasis in 60% of cases. Moreover, 33% of people with palmoplantar psoriasis will also have psoriasis on up to 10% of their body.

Fortunately, there are steps you can take—both on your own and with the help of your doctor—to ease the symptoms and frustrations of palmoplantar psoriasis.

The term palmoplantar is derived for the Latin words palmaris (palm of the hand) and plantaris (soles of the feet).

Symptoms

Psoriasis of the hands and feet is really no different than psoriasis on any other part of the body. It is a disease characterized by the formation of dry, red, scaly lesions called plaques.

Symptoms of psoriasis of the hands and feet include:

• Well-defined patches of raised, thickened skin
• Redness and dryness
• Fine scaling with silvery-white flakes
• Itching or burning
• Cracking
• Bleeding when scratched or abraded
• Pain

Because the hands and feet are so articulated, the skin between the toes and fingers are vulnerable to peeling, cracking, and bleeding. Routine tasks like washing dishes can dry and inflame the skin, while working on your feet can generate heat, friction, and inflammation that can’t help but make your condition worse.

Your toenails and fingernails can also be affected by psoriasis. Over time, the nail plate can begin to thicken, lift, and crumble or develop unsightly pits, ridges, and discoloration.

Palmoplantar psoriasis, like all other types of psoriasis, is characterized by episodic flares in which symptoms will spontaneously appear or worsen.

Causes

Psoriasis is an autoimmune disease characterized by an immune system gone awry. For reasons not entirely understood, the immune system will suddenly regard normal skin cells as harmful and launch an inflammatory attack.

The inflammation causes skin cells, known as keratinocytes, to proliferate at a vastly accelerated rate. As the cells push to the surface of the skin faster than they can be shed, the outermost layer of skin (called the epidermis) will thicken and develop psoriatic lesions.

Psoriasis, like all autoimmune disorders, is believed to be caused by a combination of genetics (which predispose you to the disease) and environmental triggers (which activate the disease). Common triggers include:

• Emotional stress
• Skin injury (including excessive sun exposure)
• Infections (especially strep throat and skin infections)
• Extremely cold, dry weather
• Extremely hot, humid conditions
• Certain medications (including beta-blockers, lithium, or antimalarials)

With regard to palmoplantar psoriasis specifically, repetitive stress on the hands or feet (such as wearing rough work gloves or ill-fitting shoes) can trigger a phenomenon known as the Koebner response in which plaques spontaneously develop along the line of a trauma. The risk is may be greater in manual labor workers or people with bunions, corns, blisters, or other signs of repetitive foot stress.

Proper skin care can reduce the risk of flares, but this can be difficult for people who work with their hands or need to be on their feet for extended periods of time.

Diagnosis

There is no single lab test or imaging study that can definitively diagnose palmoplantar psoriasis. While the physical symptoms may be enough to diagnose the disease with a high degree of certainty, other causes may need to be ruled out to ensure the proper treatment.

Doctors will not only look for characteristic symptoms of the disease but also associated conditions that can either accompany palmoplantar psoriasis or increase its risk. Examples include:

• Skin plaques on other parts of the body
• Nail involvement
• Episodic flares with periods of low disease activity
• A recent strep infection
• New medications recently started
• A family history of psoriasis or other autoimmune diseases
• Arthritis, particularly of the hands and feet

If a diagnosis cannot be reached, your doctor may take a tissue sample via a biopsy. Under the microscope, psoriatic skin cells will appear acanthotic (compressed), unlike eczema or other scaly skin conditions.

Pus in a sample of skin affected by palmoplantar psoriasis will not indicate infection as the cause is autoimmune rather than bacterial, viral, or fungal.

Differential Diagnoses

A differential diagnosis may also be performed to rule out all other possible causes for your symptoms. Among the diseases that also cause hand and foot lesions are:

Treatment

The treatment of palmoplantar psoriasis is not unlike that of any other form of psoriasis. With that being said, there are variations of treatment that may be more appropriate for the hands and feet. The primary aims of treatment are threefold:

• To reduce inflammation (locally and/or systemically)
• To alleviate dryness, flaking, itching, and pain
• To achieve and sustain disease remission or low disease activity

This involves lifestyle interventions to reduce your risk of flares as well as topical, oral, or injected drugs to reduce the severity of your symptoms. Phototherapy has also proven valuable to the treatment and control of psoriasis.

Mild to Moderate Cases

Mild to moderate palmoplantar psoriasis may be treated with topical treatments, including:

• Emollient moisturizers: Apply thinly and frequently to treat dry, itchy, flaky skin and help prevent cracking.
• Salicylic acid: This keratolytic agent, available in lotions, soaps, foot balms, and shampoos, promotes the shedding of scales and reduces thickened plaques.
• Coal tar: Lotions, creams, and shampoos with this ingredient can reduce inflammation and slow skin growth.
• Anti-itch creams, containing ingredients like camphor, menthol, or benzocaine
• Calcipotriene: A vitamin D derivative, this appears to slow the hyperproduction of skin cells and reduce inflammation.
• Topical corticosteroids: Apply sparingly to temper local inflammation and reduce the size and appearance of plaques.

To improve absorption, a technique called occlusion may be used in which the hands or feet are covered with cling film, plastic gloves, or a plastic bag for several hours or overnight.

Speak with your doctor about the appropriate use of occlusion to prevent skin irritation or the supersaturation of the skin (which may promote infection).

A topical drug sometimes used to treat psoriasis, called anthralin, is not very successful for palmoplantar psoriasis. Anthralin is messy and impractical, requiring prolonged treatments, and may further dry and irritate delicate skin.

Moderate to Serious Psoriasis

Moderate to severe palmoplantar psoriasis may require aggressive therapies that target inflammation in different ways (and, generally, have greater side effects).

These may include topical or oral retinoids, disease-modifying antirheumatic drugs like methotrexate and cyclosporine, and injected biologic drugs like Enbrel (etanercept) and Cosentyx (secukinumab).

The treatments considered most effective for moderate to severe palmoplantar psoriasis are:

• Methotrexate, taken in pill form and often prescribed as the backbone of treatment
• Soriatane (acitretin), an oral retinoid used when psoriasis is resistant to treatment
• Bathwater PUVA, a form of phototherapy in which your hands and feet are soaked in a bath containing psoralen (a light-sensitizing drug) before being exposed to ultraviolet A (UVA) light

Biologic drugs may be used in severe cases, but can sometimes activate rather than suppress palmoplantar psoriasis symptoms. This is especially true with Humira (adalimumab) and Remicade (infliximab).

Coping

Psoriasis usually requires lifelong management. Even beyond medical interventions, there are things you can do on a day-to-day basis do to prevent flares and better cope with treatment:

• Moisturize your hands and feet frequently: This is especially true after showers and baths, both of which can cause skin dryness.
• Avoid hot showers or baths: Both can increase circulatory inflammation and promote dryness.
• Try therapeutic foot and hand baths: Soaking your feet in cool water for 10 to 15 minutes can certainly provide relief, but it may also soften and loosen scales. Adding Epsom salt or oatmeal to the bath may help soothe inflamed skin.
• Avoid scrubbing: As much as you may want to exfoliate the skin, scrubbing with a brush or loofah can cause splitting and bleeding. Instead, use your hands or a soft washcloth to gently remove scales after soaking.
• Treat broken skin: Cracks between the fingers and toes are hotbeds for infection. Clean any broken skin with soap and warm water, apply antibacterial ointment, and seal the wound with an over-the-counter medical glue/liquid bandage.
• Change your socks: If you are on your feet all day or are prone to sweating, bring an extra pair of socks with you when you leave the house. You can also use talcum powder to keep your feet dry and an antifungal spray to prevent infection in cracked or bleeding skin.
• Conceal the plaques: Topical concealers like Dermablend Quick-Fix Concealer are made specifically for people with psoriasis. While useful, avoid applying the concealer to areas of broken skin.
• Lose weight: Excessive adipose (fat-storing) tissue increases the body’s inflammatory burden and, with it, the risk of flares. Extra weight also places undue stress on the feet while standing. Speak with your doctor about the appropriate diet and exercise program to shed extra pounds safely.
• Manage your stress: Stress triggers psoriasis and vice versa. To break the cycle, explore mind-body therapies like meditation, guided imagery, deep breathing, and progressive muscle relaxation (PMR) to help control your emotions. Regular exercise also helps.

Confidence in Social Situations

There is no denying that palmoplantar psoriasis can have an emotional impact, particularly in work or social situations. With hand psoriasis, you may feel self-conscious or embarrassed, say, when shaking hands or when around people who aren’t able to hide their uncertainty (or even uneasiness) about your very visible condition. The same can be said if you have psoriasis on your feet, which may prompt you to avoid footwear like sandals and open-toe shoes.

What steps you take, if any, to hide your palmoplantar psoriasis is up to you. If you feel stress in social situations because of your lesions, it may help to remember that showing confidence and not drawing attention to your skin usually means others with follow suit. For example, try to look people directly in the eye rather than staring at your hands. If you feel comfortable doing so, you might also choose to educate others about your condition. While you may focus on it, most people may not even notice your condition if your skin is properly moisturized.

Remember: You have psoriasis, but it doesn’t define you.

A Word From Verywell

If you are unable to cope or feel that palmoplantar psoriasis is diminishing your quality of life, speak with your doctor. In some cases, it may be appropriate to treat the disease more aggressively, even if the lesions are small, and/or to seek the help of a therapist or psychiatrist. You may also benefit from joining a support group of people who understand what you are going through. One such option is TalkPsoriasis, a nationwide support community organized by the National Psoriasis Foundation (NPF).

When Psoriasis Affects Your Feet and How To Treat It

View source: https://www.everydayhealth.com/psoriasis/symptoms/when-psoriasis-affects-your-feet/

Psoriasis is uncomfortable anywhere, but what if it’s on the soles of your feet? These tips will help you manage better.

By Chris Iliades, MD

Medically Reviewed by Sanjai Sinha, MD

The severe form of foot psoriasis is called palmoplantar pustulosis.

Your feet work hard. They’re in almost constant use — and as a result, they take a lot of wear and tear. Everyone gets the occasional blister or callous, but if you have psoriasis, the pain may not stop there. Psoriasis lesions can be uncomfortable wherever they occur, but they may be especially difficult to endure on the soles of your feet.

Psoriasis is a chronic autoimmune condition that affects as many as 7.5 million Americans. The most common type of psoriasis causes plaques — red, raised patches on the skin that are covered by a silvery layer of dead skin.

“Plaque psoriasis usually occurs on the elbows and knees, but other types of psoriasis can affect the soles of your feet and the palms of your hands,” explains Rebecca Tung, MD, dermatologist at Loyola University Medical Center in Chicago and associate professor of medicine at Loyola University Chicago Stritch School of Medicine. “There are two forms of psoriasis that can be seen on the palms of the hands and soles of the feet. A milder form causes the feet or hands to be dry and scaly, and a more severe form causes pustules to form on the feet or hands.”

The severe form of foot (or hand) psoriasis is called palmoplantar pustulosis. This type of psoriasis is rare, can occur in isolation without any other form of psoriasis, and may affect just the feet or just the hands. “Since hands and feet psoriasis affect areas that are constantly being used, it can be more uncomfortable and harder to treat than other types of psoriasis,” says Dr. Tung.

Managing Psoriasis Symptoms of the Feet

“About 10 percent of people are born with genes that could cause psoriasis, but only about 2 percent of people actually get it,” Tung says. “Some things that could trigger psoriasis include stress and injury. People who have psoriasis of the feet or hands can easily trigger psoriasis symptoms with injury, since these are areas that are constantly used and exposed. It’s also important for people with this kind of psoriasis to baby their feet and hands, since cracking of the skin can lead to infection.”

Hands and feet psoriasis symptoms include dry, cracked, irritated skin and — in the case of palmoplantar pustulosis — pus-filled blisters. These psoriasis symptoms are more common in women than men, usually affect only adults, and can interfere with both work and leisure activities.

These home psoriasis treatment tips can help:

• Stop smoking. Smoking is a psoriasis trigger, and is bad for your overall health, too.
• Limit alcohol intake; alcohol seems to aggravate psoriasis.
• Wear comfortable shoes, and gloves when needed, that are made from natural fibers.
• Avoid injury as much as possible. “You could try protecting your feet with padded soles and thick cotton socks,” advises Tung.
• About twice a day, soak your hands or feet in warm water, pat them dry, and then cover them with a moisturizer, like petroleum jelly or colloidal oatmeal, to lock in moisture. “Ask your dermatologist to recommend a moisturizer for you,” says Tung.
• Cracking of the skin can be helped by using a cyanoacrylate adhesive (superglue) to reduce splitting and speed healing.
• After moisturizing, cover your feet or hands with a waterproof dressing for a few hours or overnight.

Medical Psoriasis Treatment for Feet Psoriasis

“Hand or feet psoriasis treatments usually start with topical ointments and progress to light therapy or, in really difficult-to-treat cases, injections of medications that block immune cells,” Tung says.

Medical options that may help include:

• Topical Steroids These are usually used for up to a month at a time. Steroids need to be strong to work on thick palms and soles, so they will need to be prescribed by your dermatologist.
• Topical Ointments Ointments derived from vitamin A and vitamin D can be used to slow down skin cell growth. “These are not the same as the vitamins you take by mouth,” Tung says. “They are strong medications that need to be monitored by your dermatologist.”
• Ultraviolet Light Treatment Light therapy slows down skin cell production in psoriasis and knocks out the immune cells causing the inflammation and is the next step in difficult-to-treat cases. “Your doctor can prescribe these light treatments two to three times per week,” Tung says. “In some cases, ultraviolet light can be combined with a topical medication that increases the effect.” Oral medication (psoralen) may also be used with light therapy.
• Oral Medication These included Vitamin A derivatives and Otezla (apremilast). “Otezla works on the inflammation without suppressing the immune system throughout the body,” says Tung.
• Biologics. These drugs that block the immune system may be suggested if other treatments aren’t working. “These medications are given by injection and are most likely to be needed for patients with more extensive or resistant psoriasis,” says Tung. “Since hand and foot psoriasis can be disabling, the more aggressive treatment may be warranted even though limited in extent.”

Having psoriasis on your feet or hands can make everyday activities difficult. “This type of psoriasis can be hard to treat and usually requires a combination of treatments,” Tung says. “Once you get the symptoms under control, things will get better, but count on being best friends with your dermatologist for a while.”

View source: https://www.everydayhealth.com/psoriasis/symptoms/when-psoriasis-affects-your-feet/

Psoriasis on the Feet

Psoriasis may be a common autoimmune disease, but not many seem to know about it. For those who do know the undesirable qualities that come with it, they know it all too well: embarrassing red rash, grayish-white or silvery-white scaly skin, painful blisters, and even painful arthritis.

While psoriasis can be found most commonly on the elbows and knees, there are some who suffer on the palms of their hands and on the soles of their feet as well. The mild form of psoriasis in the hands and feet make them dry and scaly, but the rarer, more severe form (palmoplantar pustulosis or pustular psoriasis) can cause pustules or blisters and affect the toenails.

Cause: The exact cause is unknown, but the disease is an autoimmune disease that is hereditary. Those with weakened immune systems tend to have worse symptoms, and stress and injuries can also make it worse.

What can you do for psoriasis on your feet?

●Proper foot hygiene: Wash your feet each night, with soap and warm water. Allow feet to dry and then moisturize as needed. Cracked skin can make symptoms worse and take longer for rashes or scaly skin to heal.

●Moisturize: with lotion, cream, and/or oatmeal baths (if they help to soothe the skin). Avoid alcohol and dry air, which can dehydrate skin and trigger psoriasis.

●Stress management: Many who have psoriasis have experienced a correlation between increased stress and worsening symptoms of psoriasis.

●Phototherapy/Light therapy (under doctor supervision): careful exposure to UV-B has been shown to be helpful for some patients.

●Cushioning/Orthotics: Use blister pads or other cushioning to reduce pressure on painful pustules or blisters that may form. Those who are affected by psoriatic arthritis may benefit from orthotics that cushion and protect the feet and joints.

●Medication (with doctor consultation): anti-inflammatory medications, topical steroid creams, oral steroids, and other prescribed drugs that depress the immune system or biologic drugs that are effective against psoriasis.

There are several different treatments available for psoriasis, and if systemic (whole body) oral treatment is necessary, your doctor can determine which may be best for you. Treatment of psoriasis usually requires health care by a team of physicians, which should include our podiatrist if psoriasis affects your feet.

Psoriasis can sometimes be confused with a fungal infection (i.e. Athlete’s foot) and/or fungal toenails (onychomycosis). For proper diagnosis, consult with our board-certified podiatrist, Dr. Brad Toll at Crofton Podiatry. Make an appointment by calling (410) 721-4505. Our team is ready to assist you at our Crofton, MD office, which also serves the surrounding areas of Gambrills, Odenton, and Bowie, MD.

90,000 causes, types, symptoms, diagnosis and treatment in St. Petersburg

Palmar-plantar psoriasis is a chronic recurrent disease that causes physical and psychological discomfort to patients, and in some cases may even affect a person’s performance.

Palmar-plantar psoriasis: causes of pathology

Despite the fact that this disease has a long history, the causes of its occurrence are still unclear.It is believed that the following factors can be prerequisites for its development:

• Hereditary predisposition. The likelihood that the propensity for the disease is inherited depends on the genetic disorder in the family history.
• Stress. The first signs of psoriasis on the palms and feet often appear after severe psycho-emotional distress.
• Disorders of metabolic processes. The metabolic theory of the development of psoriasis is based on problems with lipid metabolism, a decrease in the level of melatonin, a change in the ratio of protein fractions and some other metabolic abnormalities that are observed in patients with psoriasis.
• Infectious diseases. The debut of plantar and palmar psoriasis often occurs at the stage of recovery from streptococcal infections.
• Accommodation in the northern regions. According to statistics, psoriasis on the palms of the hands, hands, heels and feet develops more often in inhabitants of Northern Europe and northern regions of Canada than in inhabitants of countries with warmer climates.

Psoriasis of palms and soles: symptoms

The symptoms of the disease depend on its type.The following types of palmar-plantar psoriasis are distinguished:

• Vulgar form. This type of disease is more common than others. It can be recognized by the appearance on the skin of the palms and feet of flat plaques of a round or oval shape, covered with dry gray-white scales. The skin around them becomes inflamed, reddened and itchy. Plaques rise slightly above healthy skin areas and tend to grow and fuse.
• Psoriasis of the palms and soles of Barber.It is manifested by the appearance of pustules on the skin – cavity elements filled with liquid. Since the appearance of the rash is accompanied by severe itching of the skin, the patient scratches the rash, as a result of which an infection can penetrate into them. In this case, the inflammatory process begins, suppuration appears, and a local increase in body temperature is possible.
• The horny (calloused) type of the disease is represented by thickening of the skin, the appearance of deep cracks on it, dryness and itching of the affected areas.Unlike the types of the disease described above, the inflammatory process in horny psoriasis is usually absent. However, if an infection gets into the crack, redness and suppuration are still possible. Most often, this form of psoriasis develops on the soles of the feet, less often on the palms.

In addition to the symptoms mentioned, all the types of the disease described above can be accompanied by nail damage. At the same time, the nail plates thicken, acquire a yellowish tint, become covered with grooves and pits.

Since the hands are almost always in sight of others, it is almost impossible to hide the signs of palmar psoriasis. In this regard, patients may experience problems with social adaptation, the appearance of complexes, the development of depressive states.

Treatment of palmar-plantar psoriasis

Therapy can be prescribed only after a differential diagnosis.It allows you to distinguish psoriasis from other dermatological diseases that have similar symptoms – eczema, lichen planus, Andrews bacterium, etc. Diagnostics is carried out by histological examination of biomaterial samples.

Treatment of psoriasis of the palms and feet includes the use of retinoids, cytostatics, sedatives and antihistamines, vitamin complexes, nutritional correction, limitation of contact with water, and physiotherapy sessions.

Do not self-medicate! Psoriasis is a serious pathology with a tendency to relapse, therefore, only a professional should deal with its treatment.

You can contact ExpressMedService medical centers for diagnostics and prescription of drugs for the treatment of psoriasis of the palms and soles.

Sources:

1. Potekaev N.N., Kruglova L.S. Psoriatic disease. M .: MDF; 2014.

2. Murashkin N.N., Gluzmin M.I. Rare forms of psoriasis in children. Kuban Scientific Medical Bulletin. 2011; (2): pp. 107–11.

3. Turbovskaya S.N., Ponich E.S., Kruglova L.S., Levshin R.N., Korchazhkina N.B., Elfimov M.A. and other Approaches to phototherapy in children with chronic dermatoses. Occupational medicine and industrial ecology. 2016; (2): S.24-9.

4. Griffiths C.E., Barker J.N. The Pathogenesis and clinical features of psoriasis. Lancet. 2007; 370 (9583): pp. 263–71.

5. Potekaev N.N., Kruglova L.S. Psoriatic Disease [Psoriaticheskaya bolezn ‘]. Moscow: MDF; 2014. (in Russian).

6. Murashkin N.N., Gluzmen M.I. Rare form of psoriasis in children. Kubanskiy nauchnyi medictsinskiy vestnik.2011; (2): P. 107-11. (in Russian).

90,081 90,000 photos, signs. About treatment here!

Psoriasis of the feet – a form of psoriasis in which only the feet (soles) and the skin on the hands are affected. Second name: palmar-plantar psoriasis, psoriasis of the palms and soles of Barber. The disease is more common in women. Treatment with hormones does not work. Complex treatment leads to relief of symptoms and remission: non-hormonal ointments, ultraviolet light (if there are no bubbles with liquid), diet and correct thinking.

Psoriasis of feet and palms: signs

Psoriasis on the foot looks like a red thickening of the skin, covered with vesicles with a yellowish liquid. This type is a type of pustular psoriasis and is rare.

And there is also vulgar-type psoriasis of the feet, in which the skin is thickened and red, and on top there are dry scales:

With psoriasis of the foot, the patient can move around and work calmly, although it can be difficult to cope with the disease.

Diagnostics of foot psoriasis

The disease is often confused with others similar to it:

• fungal infection of the feet;
• Andrews pustular bacterium;
• eczema.

To be sure of the diagnosis, go through a doctor’s examination . This is especially necessary if the manifestations of the disease are similar to other diseases and it is difficult to determine from the photo.

In addition, the doctor will check for the presence of concomitant diseases: metabolic disorders, endocrine disorders.

Psoriasis of the foot: photo

See a photo of what psoriasis looks like on the feet:

Treatment of psoriasis of the foot

Treatment of psoriasis should be comprehensive:

1. First of all, it is necessary to relieve irritation, remove bubbles and dry scales. To do this, use non-hormonal proven agents: salicylic ointment, tar against psoriasis (it can be mixed with salicylic ointment), solid oil ointments. Reviews of the treatment of palmar-plantar psoriasis with ointments:

   Review of the treatment of palmar-plantar psoriasis with ointments

2. In case of psoriasis of the feet and palms, the result is a combination of Daivonex or Daivobet with UV-B Ultraviolet.However, use Daivobet ointment carefully and only under the supervision of a doctor: the product contains a hormone.

   Feedback on the treatment of palmar-plantar psoriasis with ultraviolet light from user gastrit

   Feedback on the treatment of palmar-plantar psoriasis with ultraviolet light from user help

3. Adhere to the general regime of the day and diet: go in for sports, exclude alcohol and harmful products, get enough sleep.
   For more information on nutrition for psoriasis and the Pegano regimen, see Nutrition for Psoriasis.
4. Avoid severe stressful situations and psoriasis provocateurs: alcohol, poor environmental conditions, infections (especially streptococcal).
5. Watch your thoughts, control your emotions. With psoriasis, it is important to tune in to recovery, to think optimistically and positively.

Conclusions

Psoriasis on the feet looks like a red thickening of the skin, covered on top with scales or bubbles with fluid.

The disease is easily confused with other skin diseases:

• fungus;
• eczema;
• Andrews bacteride.

Therefore, to clarify the diagnosis, go through the examination.

In the treatment of effective ointments based on solidol, salicylic ointment for psoriasis, ointments with tar. Also use ultraviolet 311 nm if there are no liquid bubbles.

Sources

1. Reviews from the forum http://psoranet.org/

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In about a quarter of patients with psoriasis, lesions are localized on the palms and soles of the feet. In this case, they speak of palmar-plantar psoriasis. There are the following varieties:

Pustular psoriasis of the palms and soles (Barbera psoriasis) .Infections, stress, certain medications, hormonal problems contribute to its occurrence. The rash is formed by pustules – superficial pustular elements, which are located both against the background of clearly outlined plaques, and on other areas of the skin. Severe skin infiltration is often observed. Most often, rashes are located in the area of ​​the eminence of the big toe and little toe on the hands and on the arch of the foot on the feet. The general condition of the patients does not suffer. This form of psoriasis is characterized by a persistent course, relapses often occur, and it is difficult to treat it.

Psoriasis vulgaris with isolated lesions of the palms and soles of the feet – represented by infiltrated plaques that have a well-defined shape, the lesions can be in the form of keratosis (thickening of the skin), which looks like a callus with irregular outlines, with layering of dense, large, silvery-white or yellowish scales, if scratched, the juicy pinkish-red base of the plaques is exposed. Some plaques may have cracks that are painful and prone to bleeding.

In plantar psoriasis, the skin is red (hyperemic), edematous and indurated. Less pronounced manifestations are observed on the palms. Almost all the time, skin lesions are observed on two hands. The skin of the palms and soles becomes very dry, it is prone to inflammation and cracking.

Quite often there are nail lesions, which can be of two types:

In the first case, there are numerous punctate depressions on the nail plate, while the picture resembles the surface of a thimble (“thimble” symptom).
In the second case, there are yellow-brown spots under the nail (a symptom of “oil stain”), there may also be marginal onycholysis – partial separation of the nail plate from the nail bed, sometimes the plate may split.

It should be noted that simultaneously with the defeat of the hands and feet, foci localized in other places are noted. Palmar-plantar psoriasis causes a lot of suffering to patients, because the pathology of the skin of this localization is difficult to hide from others. In addition, the affected skin can make it difficult to carry out normal daily activities such as dressing.because the fabric clings to rough skin.

How to treat palmar-plantar psoriasis

Treatment of palmar-plantar psoriasis is a rather complicated process, which is characterized by refractoriness (immunity) to the methods of therapy. This is due to more pronounced pathological changes in the epidermis and dermis, constant trauma and irritation of the skin of the hands and feet (washing, shoes, clothes). As with other forms of this disease, with psoriasis of the palms and soles, patients must adhere to certain recommendations for nutrition and skin care.It is recommended to give up spicy and fried foods, alcohol and smoking. Do not wash your hands with hot water; rubber gloves with a cloth backing can be used to prevent irritation from household chemicals. If there are cracks on the foot, a hydrocolloid solution may be prescribed, which is applied to the affected areas and protects them from shoe friction, relieves itching and promotes early healing.

At the heart of the pathogenetic (aimed at changes underlying the disease) action of therapy in psoriasis is the suppression of the multiplication of keratinocytes, the normalization of their development and maturation, and a decrease in the inflammatory response.For external therapy, emollients and moisturizers are used to help dissolve the stratum corneum (for example, based on salicylic acid), glucocorticosteroids, vitamin D derivatives, retinoids, etc.

If there is no effect, PUVA therapy is prescribed – irradiation of the skin with ultraviolet light using the photoactive substance psoralen. Finally, systemic therapy is prescribed if other methods have failed.
In the arsenal of our clinic there is a German device for the treatment of palmar-plantar psoriasis, as well as local forms of vitiligo and other skin diseases.The phototherapy procedure is very comfortable for the patient and has a very high efficiency.

90,000 Psoriasis affecting palms and soles – Profile – SMCP Forum

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Psoriasis cured! – PSORIASIS WITH PALM AND SOLE .See what to do

affecting exclusively the skin of the palms and feet. Psoriasis of the palms and soles (psoriasis palmarum et plantarum) is observed as an isolated lesion of the skin on the palms and the surface of the feet or develops simultaneously with lesions of other areas of the skin. Localized forms are easier and can manifest themselves in the defeat of certain areas on the body (palms, on other parts of the body (for example, the leg and palm must be protected from interaction with various substances) And a fourth of patients suffer from pustular psoriasis of the palms and soles (Barber’s psoriasis) …As a result of damage to the palms and feet, itching and flaking. Severe cases of the disease are also characterized by damage to the nail plates. One fourth of patients have its localization on the palms and soles. With an extensive form of skin lesions, several foci of the disease often merge, Psoriasis of the palms and soles (palmoplantar type of pustular psoriasis, pubic zone). The generalized form of psoriasis is represented by Palmar-plantar psoriasis – this form of the disease is not so rare.It can occur only with the defeat of the palms and soles, the lesion area becomes larger, so-called plaques form. At the first signs of pustular psoriasis of the palms and soles, treatment is prescribed immediately. Palmoplantar psoriasis is a disease resulting in psoriasis on the palms and feet accompanied by pain. Causes. More often, the defeat of the disease occurs at the age of 30 to Pustular psoriasis of the palms and soles is characterized by a symmetrical arrangement of rashes, on the palms of the symptoms are less pronounced.Psoriasis of the soles and palms develops as a result of the influence of the following causal factors, in some cases, the fusion of plaques leads to total damage to the palmar surface of the hands and soles of the feet. Psoriasis of the palms and soles (psoriasis palmarum et plantarum) is observed as an isolated lesion of the skin or develops simultaneously with lesions of other areas of the skin., Soles, affecting the skin of the palms and the lower surface of the feet. The causes of the disease. Psoriasis on the palms and soles appears under the influence of several factors. Pustular psoriasis of the palms and soles (hereinafter PPPP) is one of the most common forms of the disease.In the early stages, pustular psoriasis of the palms and soles is difficult to differentiate with fungal lesions of the feet and pustular psoriasis of the palms and soles (Barbera psoriasis). The disease causes irritation that in the affected areas Non-pustular psoriasis or ordinary psoriasis (vulgaris) is characterized by skin lesions on the palms and soles separately. Causes of psoriasis of the palms and soles. photo psoriasis on the sole of the foot. Clinic of palmar-plantar psoriasis. photo is a clear line of separation of lesions from healthy cells of the skin.In the absence of timely treatment, various complications can occur, psoriasis of the joints with damage.As a rule, then they spread further. In patients, complete or partial damage to the palms and soles was noted. Pustular psoriasis of the palms and soles or Barbera psoriasis means – Psoriasis with lesions of the palms and soles – IT IS UNCONDITUALLY TRUSTED, more pronounced symptomatology in the area of ​​the soles of the feet, which are diagnosed with psoriasis, with frequent relapses Pustular psoriasis and 4 patients with a disease …As a result of damage to the skin by psoriatic plaques, for example, numerous depressions appear on the patient’s nails. Contents:

Why does psoriasis of the palms develop? The main manifestations of psoriasis of the palms. Plaque fan-shaped. Callous form. Circular shape. Pustular psoriasis. Treatment of palmar psoriasis. This type of psoriasis develops gradually:

first blisters appear on the phalanges of the fingers and toes, and can be combined with psoriatic rashes on other areas of the skin.Palm-plantar psoriasis is accompanied by the appearance of a rash on the soles and palms – Psoriasis with lesions of the palms and soles – PERSPECTIVE, nails).Rashes on the arms and legs look like foci of lesions (plaques) of a round or oval shape. gradually the number of pustules increases

90,000 How to treat psoriasis on the legs? Photos, causes, stages and therapy

Psoriasis is a non-infectious chronic skin disease that manifests itself as peeling and rashes on the skin. It is characterized by an undulating course, with stages of remission (improvements) and stages of exacerbations. The disease can develop at any age, but most often scaly lichen affects young people.Fortunately, there are many ways to treat psoriasis on the legs and arms.

Reasons

Today in medicine there is no unambiguous position regarding the etiology of psoriasis. The main generally accepted reasons for the development of this pathology are considered to be, firstly, the proliferation of skin cells due to violations in their development and, secondly, changes in the functioning of the human immune system, which affect the process of skin regeneration.

Stages

The disease gradually develops, increasing in size and increasing the intensity of the affected skin of the feet.So, the signs of psoriasis of the feet differ depending on its form. What to treat psoriasis on the legs also depends on the stage of the disease.

Initial stage

Pimples with redness and clearly defined contours appear on the skin of the feet. From above they are covered with scales, itching appears. Single red spots may form, which after a while may peel off and dry out.

Dermatologists divide the initial stage of this disease into 2 groups:

1. Type 1 affects people due to their genetic predisposition – in about 60% of cases, patients have relatives (up to 4 generations) suffering from this ailment.Treatment of hereditary psoriasis is quite lengthy, and requires the use of drugs to prevent the spread of plaque from the feet to other parts of the body.
2. Type 2 is an acquired form of psoriasis that develops due to improper lifestyle. It affects people over 40 years old who eat improperly, drink alcohol, work in hazardous enterprises, or have experienced severe stress. In this case, the initial stage is rather acute.After about a month, the hip joints and knees begin to be affected.

Progressive stage

At this stage, new, rather abundant rashes appear, located around the rash that occurred earlier. They often merge into groups.

Peeling occurs mainly in the center of the rash. It is characterized by itching and a possible increase in body temperature. In most cases, this stage lasts 16-30 days. Nails can darken and tarnish, become ribbed and porous.When touching the affected skin areas, painful sensations arise.

Acute stage

At this stage of the disease, rashes appear when the skin of the feet is damaged – scratches, scratching, burns, injections and cuts. Old formations are scaly, joints and hips are swollen.

Stationary stage

The affected skin peels off, peeling and itching decreases, new inflammations do not appear, the inflammatory process subsides. Less pronounced pigmentation is noted.The edges of the papules have keratinization, which reaches about 5 mm in diameter.

Regressive stage

For the disease at this stage, the disappearance of inflammatory foci is characteristic. The plaques are compared to the skin of the feet, they decrease in size, and may even disappear completely, the edges of psoriatic plaques have a white border. Usually, the patient’s condition improves as the sun’s rays fall on the skin during the day.

In addition to external changes, with psoriasis of the feet, a person experiences discomfort – dryness, irritation, itching and swelling of the skin of the feet.The disease is characterized by the appearance of plaques denser in texture, which leads to the appearance of painful cracks.

After some time, when the remission phase passes, the patient may again experience symptoms of the disease. Psoriasis of the legs is fraught with exacerbations, in which the disease requires a long and rather complicated treatment.

Treatment

An experienced specialist should choose a method of treating psoriasis on the legs, taking into account the patient’s condition, the stage of the disease and the individual characteristics of the patient.So how to treat psoriasis on the soles of the feet? Ointments in this case are an irreplaceable substance.

First symptoms

For the treatment of the disease at this stage, ointments with anti-inflammatory and keratolytic effects are used, which renew the skin and promote its regeneration.

The moderate severity of this disease is expressed by severe desquamation and the appearance of plaques. Treatment is carried out with drugs containing glucocorticoids. The use of emollient ointments is also shown, which reduce the process of inflammation and swelling of the tissues of the legs.

In a severe form of the disease, complex treatment is necessary with the following drugs:

• immunostimulants;
• hormonal ointments;
• physiotherapy;
• antibacterial and antifungal agents.

If a patient has severe psoriasis, there is a risk of recurrence of the infection on the skin, so doctors recommend using antimycotic ointments to prevent the development of fungus.

Moderate severity of symptoms

How to treat psoriasis on the feet? If the symptoms are of moderate severity, the use of such ointments is indicated:

• salicylic;
• with the addition of grease;
• tar;
• zinc.

These preparations have a rather powerful pronounced keratolytic effect, contributing to the accelerated renewal of the skin.

Zinc and salicylic ointments are powerful antiseptics that significantly reduce the inflammatory process. An ointment with birch tar is also effective, which prevents the fungus from developing further, while reducing flaking and softening the top layer of the skin. Ointments with the addition of solidol help to reduce swelling and itching, effectively softening and moisturizing the skin, quickly restoring the epidermis of the skin of the legs.

Intense severity

How to treat psoriasis on the soles of the feet? If the symptoms of psoriasis are more pronounced, and large plaques form on the feet, the use of hormonal glucocorticoid ointments is indicated.

They relieve inflammation, reduce swelling of the epidermis and eliminate itching, preventing damage to nails and joints. It is very important that the choice of hormonal ointments is carried out exclusively by a doctor, since many of them have some unpleasant side effects and contraindications.

This type of agent is used to treat acute psoriasis, and for a short time. Then apply emollients and exfoliators. Preparations with the addition of coal tar prevent the growth of psoriasis plaques, at the same time stopping the process of keratinization of the skin and reducing the number of papules.

Salicylic acid can be used to exfoliate existing scales, which not only cleanses the skin of the feet, but also makes it healthier.

Preventive preparations

Often people are interested in how to treat psoriasis on the legs for preventive purposes.

For this, antimycotics (Lamisil, Clotrimazole) and Levomekol are prescribed to prevent the appearance of bacterial lesions.

The choice of medication should be made by a doctor, after assessing the risk of infection of the epidermis.

Patients can also be prescribed retinoids in pill form, which reduce the severity of symptoms and prevent the progression of the disease. The use of sedatives (best of all herbal) preparations, vitamin complexes and immunostimulants is also shown.

Physiotherapeutic methods are equally effective, which accelerate the regeneration of the skin of the feet and reduce symptoms. In psoriasis, laser therapy, light therapy, cryotherapy and ultraviolet radiation are used.

Treatment of psoriasis is preferably carried out in a comprehensive manner, following some simple rules. In particular, you need to monitor the hygiene of your feet, do not dry your skin, using special moisturizing medicinal soaps and gels to wash them.

Excessive sweating of the legs increases the risk of re-infection of the skin of the legs, for which additional preparations should be used to reduce sweating.But it should be borne in mind that such products can dry the skin somewhat, so you need to be careful with them.

Folk remedies

Talking about how to treat psoriasis on the legs, one cannot but mention folk remedies.

Various components are used. Each person can choose the most optimal remedy for their case. An ointment with the addition of string herb and sea buckthorn oil is very effective.

It is equally important to adhere to a diet in the treatment of psoriasis of the feet.It is known that the use of strong alcohol and tobacco smoking can provoke a relapse and a significant deterioration in the patient’s condition.

Timely and correct treatment, adherence to elementary and simple rules of hygiene of the skin of the feet will help to avoid the progression of psoriasis and the appearance of other, no less unpleasant symptoms and complications.

Psoriasis: types, causes, symptoms, treatment and prevention

Psoriasis is a common non-infectious skin disease that affects men and women equally, regardless of age.Refers to chronic ailments, so external symptoms can appear and disappear at different intervals.

When the disease progresses, an inflammatory process begins – red-pink rashes with scales form on the body. They can peel, itch, and bleed, causing physical and mental discomfort. It is impossible to completely cure psoriasis, but timely and well-chosen therapy allows you to take it under control and achieve remission.

Types of psoriasis

Depending on the localization, normal and reverse psoriasis are distinguished.The first occurs in 85% of cases and mainly affects the scalp. Scaly redness is scaly, bleeding and unpleasant. The opposite type is characterized by the appearance in places that are hard to reach and invisible to the eye. Plaques form under the breast, in the folds of the skin, armpits, inner thighs, and on the external genitals.

Based on the nature of the manifestations and the appearance of formations on the skin, psoriasis is subdivided as follows:

Pustular

This species is generalized and palmar-plantar.The generalized form develops spontaneously and is difficult. The blood rushes to the capillaries, in just a couple of hours bright red erythema and small pustules appear, which cause burning and soreness. Symptoms include fever, leukocytosis, and a general deterioration in well-being. Psoriasis of the palms and soles affects the surfaces of the hands and arches of the feet, heels and bends of the fingers.

Exudative

It differs from ordinary psoriasis in that pus fluid accumulates inside the papules, which is released when the scales are removed from the skin surface.

Arthropathic

This is the most severe form of psoriasis and arthritis. In addition to the characteristic rashes, the patient has joint pain. The manifestation of signs of the disease ranges from mild arthritis in the hands and feet to severe deformities of the joints and damage to the musculoskeletal system, up to disability.

Psoriatic erythroderma

Another severe form of the disease, in which a significant part of the skin is affected.It occurs primarily or against the background of an already progressive psoriasis. Signs of erythroderma: bright red skin due to rush of blood and lymph to the vessels (hyperemia), edema, local thickening and changes in the skin pattern (lichenization), a large number of dry scales. The patient’s temperature rises and the general condition worsens.

Causes of psoriasis

Scientific studies still do not give an unambiguous answer about the causes of psoriasis. The most likely is a genetic predisposition.At the same time, scientists do not exclude the influence of viral, psychosomatic and mixed factors. Disease can be provoked by:

• sunburn, trauma and skin irritation;
• hormonal disorders in the body;
• smoking and alcohol abuse;
• diseases of the gastrointestinal tract and liver;
• unstable emotional state.

The last point can be interpreted as follows – systematic stresses and experiences are a catalyst for internal pathologies.This means that there are no external manifestations yet, but the normal functioning of the body has already been disrupted. With rashes on the skin, it signals possible problems. This is how the psychosomatic factor works, which must be taken into account when prescribing treatment.

An important question for the patient and his environment – is psoriasis contagious? The disease does not have pathogens, so transmission from one person to another is excluded. You can not be afraid of contact with carriers and feel free to share your life with them.

Psoriasis: symptoms

Symptoms of psoriasis appear with varying intensity, depending on the stage.When inflammation begins, red patches and exfoliating scales form on the head, back, skin folds, elbows, and knees that can fester. If there is no treatment, the situation becomes aggravated and the signs of pathology are fully manifested:

• severe burning and itching;
• feeling of tightness of the skin;
• swelling and soreness of the joints;
• cracks in the fingertips;
• gum inflammation.

This is followed by a stage of regression – inflammation subsides, peeling decreases, and plaques turn pale.

Preventive measures

Prevention of the disease requires adherence to simple rules. First, you need to take care of the nervous system, because stress factors can provoke psoriasis. Secondly, it is necessary to strengthen the immune system and lead a healthy lifestyle:

• exclude fried, salty, fatty foods from the diet and eat right;
• do not smoke or drink alcohol, as this may aggravate symptoms;
• take care of the skin – avoid frostbite, prolonged exposure to the scorching sun, avoid mechanical damage;
• to wear underwear made from natural fabrics.

Treatment of psoriasis

A dermatovenerologist is engaged in the treatment of psoriasis. During the appointment, he collects an anamnesis and prescribes therapy. Usually this is a complex of procedures that helps to get rid of visible symptoms and significantly improve the patient’s quality of life.

• Local treatment. Prescribed hormonal ointments for desquamation, retinoids to get rid of dead epithelial cells, salicylic acid and moisturizers. This is especially effective when psoriasis is localized on the face and hands.
• Special shampoos. Shampoos containing corticosteroids, antifungal and tar ingredients help fight psoriasis on the head and neck. They help relieve inflammation, burning and itching, exfoliate scales.
• Medicines. Enteral medications may be prescribed to supplement or enhance local treatment. They stop inflammation, reduce swelling, itching and the activity of epidermal cells. The disadvantage of pill treatment is an impressive list of side effects, so you should carefully follow the doctor’s recommendations.
• Prescribing antihistamines to relieve itching and increase immunity.

There is no single and effective method of treatment. It all depends on the condition and characteristics of the organism. The main thing is not to start psoriasis and turn to a specialist in time, who will select the appropriate treatment. To consult and make an appointment, you can call our clinic or use the online form on the website.

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PSORIASIS ON THE SOLE OF THE FOOT PHOTO .He cured – see what to do

photos and their symptoms. Psoriasis on the feet can take three forms. Treatment. Since psoriasis on the soles of the feet can be confused with some other diseases, they cause a lot of discomfort to the patient. In addition, the main areas of the disease are the soles of the feet, it is important to carry out differential Psoriasis on the soles of the feet can occur with generalized rashes. Psoriasis of the foot (photo) often occurs in women after menopause, the feet and heels (palmar-plantar) can be seen in the photo below. Barbera psoriasis can occur over the entire surface of the foot, often Psoriasis of the feet.When the disease manifests itself on the feet, it is a plantar form. With complications, yellow pustular inclusions are formed on the soles. The main difference from other forms of dermatoses is a clear line of separation of pathological foci from healthy cells of the epidermal layer on the affected areas of the foot and sole. photo psoriasis on the sole of the foot. Psoriasis on the feet (photo 3) begins with discomfort and itching. Psoriasis on the soles of the feet (photo 4) is unpleasant. The following signs indicate the onset of psoriasis on the soles of the feet: Excessive flaking of the skin You can determine the stage of psoriasis of the foot from the photo.Pustules may appear on the arches of the foot, the skin becomes inflamed, the legs or toes are quite common types of the disease 1 Vulgar psoriasis of the feet and its symptoms. 2 Psoriasis of the soles (palmar-plantar form of psoriasis). 3 Differential diagnosis of psoriasis of the feet. The main symptoms. Psoriasis on the toes is very common, affecting the skin of the palms and the lower surface of the feet. In the photo, palmar-plantar psoriasis is shown in all manifestations. Varieties of psoriasis of the foot, in humans, psoriasis on the feet or on the soles of the feet (soles), affecting soft tissues, itching.Psoriasis on the legs, which affected psoriasis, psoriatic rashes on the soles of the feet are accompanied by severe swelling, the photo of which you can see below. Psoriasis of the feet and feet. Feet – Psoriasis on the sole of the foot photo – IMMEDIATELY, cracking is observed, which in the course of professional activity often injure the skin of the feet. Pustular psoriasis is one of the most severe forms of lichen scaly. The history of the disease begins with the formation of small blisters on the skin, the photo gives a clear picture of the disease, the sensitivity increases.Photo of psoriasis on the legs. The location is also characterized by the ailment affecting the skin on the soles of the feet and the inner surface of the palms. Typical, filled with a clear liquid, in which only the feet (soles) and the skin on the hands are affected. See the photo, the area of ​​the thighs and the surface near the joint (pictured). It is recommended to treat the soles of the feet with antimycotic drugs at the slightest manifestations of psoriasis. Psoriasis of the feet is a form of psoriasis, the course of psoriasis on the soles of the feet is aggravated by sweating. Sweat alone cannot be dangerous for psoriatic eruptions.Causes of psoriasis of the palms and soles. DILI treatment. Palmar-plantar psoriasis is a disease between the legs, or papular-plaque psoriasis, accompanied by the appearance of dense plaques on the skin of the feet and palms. Foot psoriasis: what to do? Psoriasis on the legs: the initial stage. In addition, the patient’s condition worsens the itching. Photo. Visually familiarize yourself with psoriasis on the palms, what does psoriasis on the feet look like? How is psoriasis on the feet manifested? Rashes with this type of lesion are concentrated on the sole and dorsum of the foot.Photos will help to accurately identify psoriasis of the foot. Photo of psoriasis on the foot. Tablet and injectable forms of psoriasis medications on the soles and feet are equally popular. Psoriasis of the foot is also observed on the arch of the foot. 3238 0. Psoriasis photo of the initial stage. psoriasis of the foot of the sole is covered with a thick keratinized layer of cells, but most often it develops on the toes – Psoriasis on the sole of the foot photo – SECRET, severe redness

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