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Psoriasis of the hands and feet

Palmar-plantar psoriasis is a form of psoriasis that primarily affects the palms of the hands and the soles of the feet. It appears as thick red plaques, sometimes covered with scales, which can cause itching, pain, and cracking. Similar to nail psoriasis, this type of psoriasis is often difficult to relieve because of the daily pressure placed on the affected areas. Learn more in the sections below.
FAQ about psoriasis of the hands and feet

How can you distinguish palmoplantar psoriasis from eczema or a fungal infection?

Palmar-plantar psoriasis often presents as well-defined, thick, red plaques covered with white scales, whereas eczema is generally more oozy and poorly demarcated, and fungal infection is often accompanied by intense itching and an active, advancing border.

How to treat palmoplantar psoriasis?

The use of creams containing corticosteroids or keratolytic agents can help control flare-ups of psoriasis. However, there is currently no definitive cure.

Can palmoplantar psoriasis affect mobility?

In cases of severe lesions, pain and fissures can make walking and the use of the hands difficult.

Can palmoplantar psoriasis become infected?

When cracks are deep or the lesions are open, there is a risk of infection in palmoplantar psoriasis. It is therefore important to consult your dermatologist as quickly as possible.

Can phototherapy relieve palmoplantar psoriasis?

Yes, some studies have shown that PUVA therapy, which combines irradiation of the affected areas with ultraviolet A (UVA) rays and the administration of psoralen, can significantly improve symptoms and quality of life in patients with palmoplantar psoriasis.

Is nail psoriasis contagious?

No, nail psoriasis is not contagious; it is a chronic inflammatory disease with genetic and environmental origins.

Can you wear nail polish when you have psoriasis in that area?

Yes, it is possible to apply nail polish in cases of psoriasis, provided that you choose non-irritating polishes and avoid acetone-based removers. However, it is still preferable to space out applications.

Can nail psoriasis disappear without treatment?

Nail psoriasis generally does not go away without treatment. Although it may sometimes improve temporarily, medical care is often necessary to control it and prevent it from worsening.

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