Non-pustular palmoplantar psoriasis appears on the palms of the hands, the soles of the feet or both. Palmoplantar psoriasis manifests with blisters, cracking, thickening and scaling of the skin. It can affect the entire surface of hands and/or feet, or localize in some parts of the palmoplantar surfaces.
It occurs in 17% of patients and can appear in the context of a generalized disease (generalized plaque psoriasis) or in isolation.
The main factor that stimulates this form of psoriasis is the contact with water and detergents. The water penetrates creating moisture and subsequent microbial proliferation; surfactants in detergents increase the inflammatory reaction. The main rule for those suffering from palmoplantar psoriasis is to wash hands and feet as little as possible.
For this purpose, often those affected wear in daily practice vinyl gloves which may cause bad transpiration, sweating and make the hand moist. As for the feet instead the problem may be represented by little breathable footwear that create a warm and humid environment inside the shoe. To avoid these consequences, it is recommended the use of appropriate gloves and socks.
It is a clinical form that limits the patient a lot and affects its quality of life, since the painful fissures affect the walking and therefore the work and social life.
As for the treatment, the fissures improve with keratolytic ointments (salicylic acid) alone or in combination with potent steroids, mainly in occlusive treatments.
In refractory cases, the same systemic therapy is used as in plaque psoriasis.
The Psotherapy treatment improves this clinical form due to its moisturizing and emollient action, with reports of patients who have used it and have observed an improvement of lesions so far.
For palmoplantar psoriasis, the combination of Restorative Calming Cream and Body Wash Psotherapy has been proven highly effective.
The Body Wash plays a key role since it allows the area to be ready for the application of the Psotherapy Cream.
The advice is to dispense three times the Body Wash in about 5 liters of water and perform handbaths or footbaths twice a day for 15 minutes each. Dry hands and feet carefully, avoiding rubbing strongly, using the utmost delicacy in irritated areas. Proceed to apply the right amount of Psotherapy Cream.
#In the case of dermatitis, replace the Restorative and Moisturizing Cream with the Psotherapy Restorative Calming Cream.
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The information in this site is for informational purposes only, in no case may constitute the formulation of a diagnosis or the prescription of a treatment; it’s not intended and must not in no way replace the direct doctor-patient relationship or the specialist visit; it is recommended to always ask the opinion of your doctor and/or specialists about any indication given. If you have doubts or questions about the use of a Psotherapy product do not hesitate to contact your doctor. Read the Disclaimer »
** "Consideringthat every person get different results from any
treatment, the photospublished testimonies and in vitro assay show that it is possible but not totally sure that people obtain the same results when using Psotherapy products.” Disclaimer