Psoriasis Palm Laufsohle
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Psoriasis Palm Laufsohle
View this article online at https: Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines.
They are designed for health professionals to use, so you may find the language more technical than the condition leaflets.
Palmoplantar pustulosis is a chronic inflammatory skin condition. It is considered by some to be a variation of psoriasis and Psoriasis Palm Laufsohle in patients with other types of psoriasis. Neuroendocrine dysfunction of the sweat glands has been learn more here in the pathogenesis.
There is a separate article on Psoriatic Nail Disease. See also the separate article on Chronic Plaque Psoriasis. Further treatment options in secondary care include low doses of oral retinoids with Psoralen combined with ultraviolet A PUVA or UVB phototherapy, methotrexate, ciclosporin or acitretin.
Psoriasis of the hands and feet tends to be persistent and, in some, quite resistant to treatment. The cause of palmoplantar pustulosis PPP is unknown.
It is probably autoimmune in origin as there is an association with Psoriasis Palm Laufsohle autoimmune diseases, particularly coeliac disease, thyroid disease and type Psoriasis Palm Laufsohle diabetes.
It is therefore now considered that they are distinct conditions with different genetic backgrounds. The condition occurs much more commonly in smokers and ex-smokers. It may run in families and rarely occurs in childhood. Gluten sensitivity and tonsillar streptococcal infection have been implicated in some cases. PPP typically presents as multiple sterile pustules on the palms and soles initially yellowish fading to brown macular pinpoint lesions.
Affected areas may become Psoriasis Palm Laufsohle, scaly and frequently painful. Eruptions of pustules occur unpredictably and may return repeatedly over years. Infected eczema - less defined, white vesicles rather than pustules, swabs often grow Staphylococcus aureus. Evidence-based treatment for PPP is contentious. Those who claim that PPP is simply a variation of psoriasis believe that the condition should be managed as per the guidelines for psoriasis Psoriasis Palm Laufsohle there is no consensus on this.
The condition tends to be chronic and poorly responsive to treatment. This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our Psoriasis Palm Laufsohle. Assess your symptoms online through our Psoriasis Palm Laufsohle symptom checker.
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Blog Posts What your nails reveal about your health All over me like a rash Psoriasis - more than skin deep Psoriasis - more than skin deep Steroids and their side effects Read Psoriasis Palm Laufsohle blog posts. Did you find this information useful? Epub Aug 5. Gelfand JM, Weinstein R, Porter SB, et al ; Prevalence and treatment of psoriasis in the United Kingdom: Psoriasis - General Management, British Association of Dermatologists Mrowietz U, van de Kerkhof PC ; Management of palmoplantar pustulosis: Bordignon M, Zattra E, Albertin C, et al ; Successful treatment of a 9-year-old boy affected by acrodermatitis continua of Photodermatol Photoimmunol Photomed.
Diagnosis and management of psoriasis and psoriatic arthritis in adults ; Scottish Intercollegiate Guidelines Network - SIGN October Marsland AM, Chalmers RJ, Hollis S, et al ; Interventions for chronic palmoplantar pustulosis. Cochrane Database Syst Rev. Shan SJ, Li YH, Zhang G, et al ; Treatment of palmoplantar click at this page with arotinoid ethylester. Epub Jun 5. Bissonnette R, Poulin Y, Bolduc C, et al ; Etanercept in the treatment Psoriasis Palm Laufsohle palmoplantar pustulosis.
Hayama K, Inadomi T, Fujisawa D, et al ; A pilot study of medium-dose cyclosporine for the treatment of palmoplantar Eur J Dermatol. Epub Nov 4. Psoriasis Palm Laufsohle Colin Psoriasis Palm Laufsohle Peer Reviewer: Dr John Cox Document ID: Comprehensive Discussions for nearly every medical condition.
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