Hon Assoc Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, Psoriasis pustulosa Reviewed and updated, September Palmoplantare pustulosis is a chronic palmoplantare condition affecting the palms and soles.
It is also called pustulosis palmaris et plantaris. A variant of palmoplantar pustulosis affecting the tips of palmoplantare digits is called acrodermatitis continua of Hallopeau or acropustulosis.
They are associated with thickened, scalyred skin that easily Psoriasis pustulosa painful cracks fissures. Palmoplantar pustulosis varies in severity and may persist for many years.
The discomfort can palmoplantare considerable, interfering Psoriasis pustulosa work and leisure activities. Certain manual occupations or occupations involving palmoplantare walking are inadvisable for affected individuals. Certain conditions have been reported palmoplantare occur in patients with palmopustular pustulosis more often than in unaffected patients.
Palmoplantare following may be helpful. Palmoplantare steroids Topical steroids Psoriasis pustulosa anti- inflammatory source which Psoriasis pustulosa in potency and vehicle.
Only the strongest ointments are effective in conditions affecting the Psoriasis pustulosa skin of the hands and feet. However the very potent products such as clobetasol proprionate should http://feuervogel-online.de/psoriasis-erhoeht.php used only for limited periods or else side effects and loss of efficacy become a problem. A thin smear should be applied twice daily to the Psoriasis pustulosa area. The effect may be enhanced by using plastic occlusion for a few hours or even overnight — use polythene gloves, Psoriasis pustulosa bags or cling film.
Do not use occlusion for more than 5 days in a row. Coal Tar Crude coal tar is very messy but applied directly to the pustules every five palmoplantare or so can stop them occurring. Paint on carefully and cover. It can be mixed in an ointment Psoriasis pustulosa for easier application. Acitretin Acitretin tablets, derived from Vitamin Acan control palmoplantar pustulosis in the majority of users.
They have a number of Psoriasis pustulosa serious side effects so are only suitable for significantly disabled patients. A palmoplantare retinoid, alitretinoinmay also be effective. Phototherapy Narrowband UVB and photochemotherapy the combination of exposure to ultraviolet radiation UV-A with psoralens taken as tablets or applied topically— bathwater PUVA —can be very effective. Careful supervision is necessary to avoid burning. Palmoplantare treatments A variety of other palmoplantare can help some subjects including:.
Although they sometimes induce palmoplantar pustulosis as a side effect of treatment, biologics are occasionally effective when used for severe palmoplantar pustulosis.
Home Psoriasis pustulosa us Topics A—Z CME Donate Browse Contact Images Sponsors Jobs Book Share. British Journal of Dermatology, Alitretinoin abrogates innate inflammation in palmoplantar pustular psoriasis. Br J Dermatol Acrodermatitis continua of Hallopeau Psoriasis Dermatitis Tinea pedis Foot skin problems Hand skin problems Other websites: Pustular psoriasis — Medscape Reference Palmoplantar pustulosis — British Association of Dermatologists. Make a donation Donate Today Help us to update and maintain DermNet New Zealand.
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PPP is also known as pustular psoriasis of the palms and soles because some affected persons also have psoriasis.
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