The soles and palms are the areas affected by palmoplantar pustulosis psoriasis. Treating this condition is challenging. People who smoke currently or even those who have smoked in the past are the ones who are primarily affected by palmoplantar pustular psoriasis. There is also no assurance that it will go away when one stops smoking. This condition can be passed down in families and usually happens only during adulthood.

When palmoplantar pustular psoriasis occurs, it’s characterized by the development of tiny blisters that are filled with fluid. The amount of pus is very small and it becomes brown and scaly. The scaling may stand out so much that only this and redness is visible. There are no germs in the pustules and aren’t contagious. They arrive in cycles and appear on at least on one hand and/or foot, and in some cases both. Palmoplantar pustular psoriasis is linked to skin that is red, scaly, thick, and easily cracks. No food or allergy is known to cause it.

The severity of this condition varies and may be around for a long time. How the flare-ups are triggered is not yet known. A person’s overall health is not affected a whole lot by palmoplantar pustular psoriasis, but does create a great deal of discomfort. Friction, rubbing, and pressure will actually worsen palmoplantar pustular psoriasis.

Usually the symptoms can be managed, but this can’t be cured with treatment. There is no one treatment that will be effective for everyone. Finding a treatment that is successful could require some trial and error.

Applying topic steroid ointments overnight that are super potent, such as Psorcon and Diprolene, and using Saran Wrap to cover it for several days has been helpful quite often. When occlusion is prolonged and the steroid left is milder, then you can cover it for the next week or so with a plastic bandage. However, if these potent products are used for an extended period of time, damage to the skin can occur and its effectiveness will be lost. Once improvement is made, then a topical steroid that is only moderately strong should be applied to the affected area a few times a day.

You can also use tar solution or salicylic acid ointment with crude coal tar to soak the pustules every so often to prevent their occurance or to peel the scales off.

Other ointments that are useful for some patients include Dovonex or Tazorac gel. When used with additional treatments, their effectiveness increases. They can be bothersome, but unlike steroid ointments they won’ cause any harm to the skin.