The disease is accompanied by thickening of the skin of the affected surfaces, roughness of the top layer, due to which calluses are formed. Psoriasis causes sufferers physical suffering and psychological problems in interacting with other people. Therefore, the main rule for treating palmoplantar psoriasis to prevent its spread is: “The sooner, the better.”
Causes of development of palmoplantar psoriasis
This disease can be triggered by certain factors:
- Too frequent contact with detergents, solvents, cosmetics.
- If you have recently had a streptococcal infection.
- The mechanism of the disease could be triggered by stress (both psychological and physiological).
- The period of exacerbation of chronic diseases can also have an impact.
- Hormonal disorders.
- HIV infection.
- Constant chafing of the skin on the palms and soles.
- Heredity.
- Taking medications of certain groups: beta blockers, anticonvulsants, sedatives.
Some medications can trigger psoriasis
Causes
As for the reasons that can cause the development of the disease, the situation here is the same as in the case of other types of psoriasis. It has not yet been possible to finally determine the reason why the active development of pathology begins.
There are a number of factors that, according to experts, may contribute to the appearance of psoriasis. These include:
- failure in the functioning of the body's immune system;
- thin dry skin;
- hereditary factor;
- presence of bad habits (smoking, alcohol abuse);
- severe stress;
- sudden climate change;
- skin irritants;
- frequent allergic reactions;
- some other circumstances.
Both one factor and their combination can cause the development of the disease.
Patients with a hereditary predisposition to psoriatic manifestations are advised to avoid circumstances that can provoke the development of the disease.
Symptoms and first signs
When the disease mechanism is started, the following manifestations can be noted:
- the skin on the soles and palms of a person begins to peel off;
- small bubbles appear;
- certain areas of the skin are covered with plaques (depending on the type of disease);
- the surface of the plaques is weeping and painful;
- plaques may bleed if scratched.
You can see what palmoplantar psoriasis looks like in the photo.
The disease can affect the palms and soles of the feet
If such signs appear, you should not make a diagnosis yourself - seek advice from a qualified specialist.
Forms of psoriasis of the palms and feet
There are three forms of pathology:
- The vulgar form is the appearance of pink spots (papules or plaques) on the feet and palms, sharply bordering on healthy skin. These places are covered with transparent or silvery scales. Scraping does not remove the scales. If there is no treatment, then painful cracks in the skin occur, which are easily susceptible to infection.
- Horny form - the formation of compacted keratinized lesions from several mm to 3 cm occurs, which peel off poorly. These lesions can connect and completely cover the entire surface of the palms or soles.
- Barber's psoriasis is the most difficult to treat manifestation of the disease. The formation of single purulent pustules with a diameter of up to 2 mm and plaques, on top of which small pustules may appear. Next, the pustules unite, creating large purulent zones (“purulent lakes”). The symmetry of the lesions is noted. This pathology develops rapidly and frequent relapses occur.
Types of palmoplantar psoriasis
There are two main types:
- Pustular type, or psoriasis of the palms and soles of Barber. Characterized by the presence of pustules - small bubbles filled with liquid. The skin around them thickens and peels off. Additionally, complications in the form of microbial infections are possible. During this period, suppuration of the pustules occurs. All this is accompanied by unbearable itching. However, this form is highly resistant to therapy, making it difficult to treat.
- Non-pustular type. This case is called ordinary (vulgar) psoriasis. Certain areas of the skin become covered with plaques. Inside these plaques are blood vessels. If they are injured, the plaques may begin to bleed.
The pustular type is characterized by the presence of small blisters on the skin
Prevention
The main preventive measures include:
- taking medicinal baths;
- maintaining normal skin moisture;
- delicate skin care;
- adequate sun exposure;
- maintaining a correct lifestyle;
- exclusion of stressful situations.
Palmar-soil psoriasis is a pathological process that requires timely treatment and prevention of complications. If you ignore doctor's orders, your quality of life is significantly reduced. Modern treatment methods help to significantly lengthen the period of remission.
Methods of treating the disease
When the autoimmune process has started, monoclonal bodies and steroid hormones are used.
These drugs help suppress the immune system to temporarily reduce cell aggression. Vitamin D derivatives help reduce the process of uncontrolled cell proliferation, preventing the development of the disease. Also on the topic: Treatment of pustular psoriasis
Therapy with pharmaceutical drugs
For internal use:
- Neotizagon. Prescribed when psoriasis has become severe. Apply until the skin recovers. If irregularities occur in keratinization, the dose is reduced.
- Methotrexate. It also helps in the treatment of severe forms. It is a cytostatic drug and helps suppress the uncontrolled division of skin cells. It also has the property of suppressing the immune system in order to temporarily reduce cell aggression.
- Psoril. Suitable if skin lesions are less than 20%. Therapy usually lasts two months, then there is a break for a month.
- Lecithin. Helps significantly reduce treatment time and relapses. Suitable even if fat metabolism is impaired and cholesterol is increased. Usually used in combination with vitamins.
Neotizagon is used for severe disease
For treatment, it is important to use combination therapy - not only tablets alone, but also ointments. In psoriasis, cells begin to divide uncontrollably, causing plaques to form on the skin. Salicylic ointments help soften and remove such areas and relieve inflammation.
Local products:
- Daivobet. Especially recommended for people suffering from vulgar psoriasis. It is not recommended to use for a long time. Should be used with great caution in diabetes;
- Tsinocap. It comes in the form of a cream or aerosol. Does not contain hormones, so it helps remove plaques without side effects for the body;
- Psoril (ointment). Has an antimicrobial effect and helps eliminate flaking. Contains natural herbal extracts, does not contain hormones;
- Uroderm. Contains urea, which affects the intercellular space, filling it with moisture. This helps reduce dryness and eliminate keratinization of the skin.
Uroderm will quickly relieve dry and keratinized skin
Phototherapy
This type of treatment uses ultraviolet rays.
The course is selected depending on the medical history. The rays that are invisible to humans, which are part of such radiation, can have a healing effect. Melanin synthesis begins to accelerate. This is important, since it is responsible for skin pigmentation and metabolizes vitamin D. Also on the topic: Psoriasis in children
There are 3 main methods:
- Selective. It is used both for the simple form of psoriasis and at the progression stage. Helps achieve remission. The procedure is carried out in a specialized solarium. It contains a fluorescent lamp, which is necessary for the treatment of psoriasis. This method is often chosen when dermatological manifestations are widespread.
- Narrowband. For this procedure, special gas-discharge lamps are used. This helps prevent burns and irritation. Suitable when foci of inflammation are localized (for example, only the foot).
- Photochemical (photochemotherapy). This combines exposure to ultraviolet rays and drug therapy. A special treatment is applied to the patient’s skin, then phototherapy begins. Additionally, they may prescribe special medications 2-3 hours before the start of the procedure.
Ultraviolet rays effectively treat psoriasis
Contraindications to these methods are:
- any cancer;
- pregnancy;
- severe hypertension;
- active form of tuberculosis;
- heart and kidney failure;
- thyroid diseases;
- diabetes;
- high sensitivity to light;
- mental disorders.
Treatment with folk remedies
You can help yourself in treating psoriasis at home. But it is necessary to continue using drug therapy. For treatment at home you can try:
- Drink herbal teas (mint, chamomile, linden).
- You can also take special baths (with the addition of a solution of nut shells, essential oils of lavender, jasmine, bergamot).
- To relieve itching and irritation, you can lubricate the skin with moistened oat flakes, a special mixture of beaten eggs, and calendula ointment.
Effective recipes for palmoplantar psoriasis:
Celandine tincture
- chop the roots;
- pour 4 tbsp. spoons of roots 0.5 liters of alcohol;
- let it brew.
Rub problem areas as needed.
Celandine has healing properties
Egg mixture
- take 2 eggs and 1 tbsp. a spoonful of vegetable oil;
- beat and add half a tbsp. spoons of vinegar;
- Store in a dark place, tightly closed.
Also on the topic: Treatment of psoriasis with baths
Apply at night, lubricating stains.
Walnut bath
- take 500 gr. walnuts;
- remove the kernels from them;
- Pour boiling water over the shells and let it brew;
- then strain;
- fill the bathtub with water, about a quarter full;
- add the strained solution (without shells) to the water
Take this bath for 30 minutes.
A bath with nuts will improve your skin
What is and features of the disease
Scientists mean by a pathological condition pustular rashes of a non-infectious nature on the skin of the hands and feet. Other sources do not include persistent acrodermatitis suppurativa Allopeau in the group. In the literature, there is an opinion that palmoplantar pustulosis includes diseases with a pustular rash, in addition to forms of pustular psoriasis.
American dermatologist J. Andrews was the first to describe lesions of the limbs back in 1934. He called it a type of psoriasis. Andrews pustular bacterid is a rare phenomenon, its treatment takes a long time. It affects women and men aged 20 – 50 years.
In the epidermis, under the influence of an unknown factor, cells of the germ layer multiply, resulting in thickening of the skin. Subthreshold pustules appear, fill with neutrophils, and grow in volume. Under the elements of the rash in the dermis, massive inflammation is detected, which is clinically manifested by pain.
Diet for palmoplantar psoriasis
The diet should be aimed at stabilizing the acid-base balance. You need to eat more vegetables and fruits. For example, beets, carrots, cucumbers, cabbage, dill, onions, caraway seeds. It is necessary to add proteins to the diet (not very fatty meat, eggs, nuts). You also need to eat cereals (buckwheat, pearl barley), dairy products (cheese, cottage cheese). Be sure to take vitamins (A, B, D) to maintain the nervous system and healthy skin and hair. Drink as much water as possible. It is good if it is purified distilled water or fresh juice.
It is useful to cleanse the body and practice fasting at least once a week. On this day it is better to limit yourself to only water. In the morning after such a day, you can drink tea and eat a light salad, and then continue your diet again as usual. A combination of such a diet and fasting days, which lasts at least 2-3 weeks, can contribute to a clear improvement.
Prohibited: alcohol, citrus fruits, chocolate, full-fat milk. Anything spicy or smoked is also undesirable. You should eat honey with great caution, as well as foods containing red pigment - strawberries, red peppers, tomatoes. It is better to reduce the amount of salt.
Reviews
Vladimir 56: “I use psoril in tablets together with ointment. I like its natural herbal composition. The remedy has a pleasant smell. It also does not cause irritation and does not stain clothes. Helps relieve itching and remove plaques. The skin no longer peels. Overall I was pleased."
Kalina: “I use Methotrexate along with injections. After completing the course, the plaques first began to turn white, and then disappeared completely. The skin cleared up, all redness subsided. I feel better. Severe peeling has also stopped bothering me.”
Irishka: “I decided to try Daivobet ointment. I had especially a lot of inflammation on my hands. The doctor prescribed this ointment for me. It helped me. The skin on my hands began to look noticeably better, the dryness disappeared, and flaking stopped bothering me. The only thing is that it’s a little expensive.”
Stages of limb damage
Palmoplantar localization of psoriasis is distinguished by three clinical stages. In each case, the patient experiences pain, discomfort and stiffness:
- Initial stage. The usual rashes form on the patient's arms and legs. The plaques have a characteristic red color, but in some cases they may have whitish purulent foci. At this stage, a person is most worried about severe itching. In the absence of qualified treatment, plaques can merge into larger lesions. The number of rashes directly depends on the individual clinical picture.
- Stabilization of the situation. The patient's condition stops progressing, since new pathological lesions do not form, but the old ones are still bothersome. The color of the plaques gradually brightens, the itching becomes less pronounced.
- The final stage. Specific regression of elements is noted, itching and burning are absent. Drug treatment of pathology is supportive. Dermatologists can offer the patient effective recommendations to prevent possible relapses.
