Palmoplantar pustular psoriasis is less common, but very serious type of psoriasis and can be manifested as generalized or localized. If the disease affects the entire body, it is defined as generalized pustular psoriasis, and if it affects only one part of the human body (like in the case of palmoplantar psoriasis that affects only the hands and the feet), it is called localized psoriasis. There are two subtypes of localized pustular psoriasis: the first which we already mentioned is called palmoplantar and it affects the soles and the palms, while the other one is called acropustulosis and it only attacks fingertips. Let’s learn more about the palmoplantar type of pustular psoriasis.
What causes palmoplantar pustular psoriasis?
There is still no clear explanation about what causes palmoplantar pustular psoriasis. It has been established that the disease affects the eccrine sweat glands which are located on the soles and the palms. Scientists believe that plamoplantar pustulosis is a type of auto-immune disease, which actually means that the immune system of the body attacks the sweat glands on the palms and the soles. The disease is more common in smokers or people who have been heavy smokers in the past. When it comes to palmoplantar pustulosis, scientists are still not sure if the disease is a specific form of psoriasis or it is a completely unique disease. It has been established that psoriasis on other body parts is only found in 10%-20% of patients, and there have been cases when TNF-alpha antagonists psoriasis treatments have been the cause of palmoplantar pustulosis. On the other hand, many common psoriasis treatments are also effective in treating palmoplantar pustulosis.
Palmoplantar pustular psoriasis signs and symptoms
The main symptom of palmoplantar pustular psoriasis is sterile pustules which appear on the feet or hands. They are actually red, scaly and thickened patches which can easily turn into painful fissures. The severity of the disease may vary in different patients. In some it may be very intense and may persist for several years. In most of the patients, the disease may be latent for certain period, followed by periods of outbreak. It is still unknown what causes such periods of remission and breakout. The disease is not infectious and it can be transmitted through touch. In addition, it does not have any influence on the overall health of patients. Palmoplantar pustulosis is accompanied by considerable discomfort, and it may interfere with everyday tasks. The esthetical moment is also important when it comes to this disease, making patients self-conscious. Patients affected by palmoplantar pustulosis find it difficult to do everyday manual activities as they may also worsen the symptoms of the disease.
Palmoplantar pustular psoriasis treatment
Patients affected by palmoplantar pustular psoriasis should know that the disease can’t be cured completely. There are several treatment methods aimed at controlling the disease. The most common treatment methods include application of ointments and creams, light therapy and medications. There are also certain lifestyle changes you can apply to control the symptoms. Quitting smoking, frequent application of moisturizers, and wearing clothes made of natural materials will surely help you control the severity of the symptoms.