Palmoplantar psoriasis is not such a rare form of chronic disease, in which the lesions are found on the soles and palms. Can be combined with lesions of the joints and other parts of the skin. The cause of the disease is a genetic predisposition in combination with constant chemical or mechanical stimuli, such as wearing tight low-quality shoes or contact with chemicals. Also triggering factor may be the infection or intoxication.
Symptoms of palmoplantar psoriasis are skin tightening circular plaque fan-shaped or calloused forms, which have a distinct reddish color, and covered with scales. In the folds of the soles and palms appear deep painful cracks.
There are pustular psoriasis or psoriasis Barber and psoriasis vulgaris.
Psoriasis Barber is characterized by the appearance of reddened areas of pustules (blisters) that are not getting gradually dried out and formed a brown crust. The whole process is accompanied by severe itching. Initially, small size, plaques gradually increase together and form large purulent bubbles, so-called "septic lake". Often the disease is striking and the nail plate.
Psoriasis vulgaris is characterized infiltrated isolated plaques with clear outlines in the form of skin thickening covered with yellowish or silvery-white scales.
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The process of treatment of palmoplantar psoriasis is complex and begins with the elimination of external stimuli, that is, a change of shoes, exceptions mechanical and chemical effects on the hands and feet. Also patients should stick to a certain diet, avoiding alcohol, spicy, fried food, and to stop Smoking. As external therapy are prescribed in combination ointment containing calcipotriol and corticosteroids. First slows down the fission process of skin cells and reduces flaking, second and reduces inflammation. Are also drugs that promote dissolution of the cornified layer of the skin, for example, contains salicylic acid. In the absence of a positive effect is assigned to the irradiation of the skin with ultraviolet light using psoralen - photoactive substances.