What Causes Palmoplantar Psoriasis
The tendency to psoriasis is inherited, but what causes it to localise on the palms and soles is unknown. It may be triggered by an injury to the skin, an infection, or another skin condition such as hand dermatitis. It may first occur during a period of psychosocial stress. Certain medications, particularly lithium, may be associated with the onset of flares of psoriasis.
What Are The Types Of Psoriasis
In children, common types of psoriasis include:
Plaque psoriasis. This is the most common type of psoriasis. It causes plaques and silvery scales, usually on the knees, elbows, lower back, and scalp. They can be itchy and painful and may crack and bleed.
Guttate psoriasis. This type often shows up after an illness, especially strep throat. It causes small red spots, usually on the trunk, arms, and legs. Spots also can appear on the face, scalp, and ears.
Inverse psoriasis. This causes smooth, raw-looking patches of red skin that feel sore. The patches develop in places where skin touches skin, such as the armpits, buttocks, upper eyelids, groin and genitals, or under a woman’s breasts.
What Are Other Types Of Psoriasis
Plaque psoriasis is the most common type. About 80% to 90% of people with psoriasis have plaque psoriasis.
Other, less common types of psoriasis include:
- Inverse psoriasis appears in skin folds. It may look like thin pink plaques without scale.
- Guttate psoriasis may appear after a sore throat caused by a streptococcal infection. It looks like small, red, drop-shaped scaly spots in children and young adults.
- Pustular psoriasis has small, pus-filled bumps on top of the red patches or plaques.
- Sebopsoriasis typically appears on the face and scalp as red bumps and plaques with greasy yellow scale. This type is a cross between psoriasis and seborrheic dermatitis.
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New Skin Symptoms Arise
Then came the underarms.
I began getting red, inflamed areas on my armpits. I chalked it up to a too-harsh new deodorant, or shaving too hard with a new razor, or just sensitive skin.
It never occurred to me to ask anyone about this. I just tried to shave more delicately and use deodorant made for sensitive skin.
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Moderate To Serious Psoriasis
Moderate to severe palmoplantar psoriasis may require aggressive therapies that target inflammation in different ways .
The treatments considered most effective for moderate to severe palmoplantar psoriasis are:
- Methotrexate, taken in pill form and often prescribed as the backbone of treatment
- Soriatane , an oral retinoid used when psoriasis is resistant to treatment
- Bathwater PUVA, a form of phototherapy in which your hands and feet are soaked in a bath containing psoralen before being exposed to ultraviolet A light
Clinical Trials For Psoriasis
Before a new treatment can be registered in Australia it must undergo extensive testing. Clinical trials are used to determine the safety and effectiveness of new treatments for psoriasis. The regulations governing clinical trials in Australia make the process as safe as possible for clinical trial participants. People with psoriasis may consider volunteering to participate in a clinical trial. Participation provides volunteers with access to cutting edge treatments that are not otherwise available. General information about being part of a clinical trial can be found here. Internationally, ClinicalTrials.gov provides patients, their family members, and the public with easy and free access to information on clinical studies for a wide range of diseases and conditions. If you are interested in participating in a clinical trial, talk to your doctor.
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Wet Dressings And Warm Baths With Salts Or Oats
Baths and showers can be relaxing, but those that are too long or too hot can strip the skin of its oils, and this can make psoriasis worse.
Some people find that a warm bath containing colloidal oatmeal or Epsom salts is soothing and relieves symptoms.
According to , an oatmeal bath or a wet dressing can reduce itching, and a warm bath containing a suitable bath oil can help moisturize the skin.
In 2005, researchers found evidence that Dead Sea salts might help with dry skin. Volunteers immersed a forearm in water with a 5-percent concentration of magnesium salts, the most common minerals in the Dead Sea, for 15 minutes.
The participants skin barrier function improved, their skin hydration was better, and they had reduced roughness and inflammation compared with the control group who used tap water instead.
After bathing, applying an appropriate moisturizer while the skin is still damp can help prevent moisture loss.
Flare Ups: Common Psoriasis Triggers
Certain events or substances may worsen your psoriasis or cause it to come out of remission. It is best to avoid any trigger you identify that may cause a flare-up of your psoriasis.
Common triggers include:
- Cold weather, smoke or smoking
- Heavy alcohol use
- Certain medications such as lithium, high blood pressure medications , drugs to prevent malaria, and iodide products, such as potassium iodide and sodium iodide.
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Don’t Let Psoriasis Win: Fight Back
While psoriasis may be a lifelong and chronic condition, medications can make a dramatic improvement in skin lesions and one’s sense of well-being. That means no more fears to show a little skin your embarrassment is dramatically lessened and your self-confidence is boosted.
However, medications for psoriasis are some of the newest treatments on the market and it’s important you understand their use and side effects. Always follow the advice and direction of your health care provider.
- To expand your understanding, join force with other patients who share the same condition and have similar questions.
- Voice concerns with other group members and stay up-to-date with the with latest psoriasis news, all in the Drugs.com Psoriasis Q& A Center and Support Groups and the Psoriatic Arthritis Groups. There is always power in numbers!
Hydrocortisone Creams And Ointments
You can buy a mild corticosteroid like hydrocortisone without a prescription. For a few small patches of psoriasis, a mild hydrocortisone works well. If you have more than a few small patches, youll likely need a prescription corticosteroid to see results.
Whether OTC or prescription, this medicine works quickly to:
Reduce the itch
If you have cracked or bleeding skin, an ointment will likely feel better than a cream. Ointments tend to be more soothing and less irritating than creams.
MoisturizerThis may help anyone who has psoriasis because psoriasis makes the skin dry and scaly. Moisturizer helps to seal water in the skin, which can:
Help your skin heal
Dermatologists recommend applying moisturizer once a day, and more often when your skin is really dry. When shopping for a moisturizer, you want to select a:
Heavy cream, ointment, or oil rather than a lotion
Product that you like and will use
Oil can be especially healing, but its also messy. To reap the benefits of oil, try applying it before bedtime.
Moisturize before washing
For best results, you want to apply your moisturizer within 3 minutes of bathing and after washing your hands.
Scale softenersYoull find OTC products and prescription medicines that contain salicylic acid. This active ingredient helps to:
Remove and soften scale
Removing the scale helps other medicine that you apply to your skin to work better.
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How Is Psoriasis Treated
Psoriasis is usually treated by a dermatologist . A rheumatologist may also help with treatment. Treatments can include:
- ultraviolet light from the sun or from home or office treatments. But in some children, sunlight can make psoriasis worse.
- creams, lotions, ointments, and shampoos such as moisturizers, corticosteroids, vitamin D creams, and shampoos made with salicylic acid or coal tar
- medicines taken by mouth or injected medicines
A doctor might try one therapy and then switch to another, or recommend combining treatments. Itâs not always easy to find a therapy that works, and sometimes what works for a time stops helping after a while.
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When Psoriasis Affects The Feet
Psoriasis is a condition caused by an overactive immune system that triggers abnormal skin cell growth.
Normally, skin cells grow and shed in a monthly cycle. With psoriasis, the skin cells grow and build up on the surface of the skin, forming plaques and scales.
Foot psoriasis or palmoplantar psoriasis, which means psoriasis of the hands and feet is a less common type of psoriasis. It causes painful, itchy, red, dry patches of skin on the bottom or soles of your feet. A more rare form of the condition, called pustulosis, involves small, pus-filled blisters in the same area. In both cases, the psoriasis can crack and bleed, which can make everyday tasks like standing or walking difficult.
Forty percent of people who have psoriasis experience palmoplantar psoriasis, according to the National Psoriasis Foundation . In a study published in the August 2020 issue of the Journal of the American Academy of Dermatology, people with palmoplantar psoriasis were six times as likely to have mood disorders likely due to problems with mobility than those with psoriasis affecting other parts of the body.
In some cases, people with foot psoriasis cant even walk, says Abby S. Van Vorhees, MD, chair of dermatology at Eastern Virginia Medical School and emeritus chair of the NPF Medical Board. But the good news is that there are treatments available and theres a lot that can be done to make patients feel better.
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Treatment For Skin Rashes
Ice compress treatment is one of the easiest way to treat the skin rashes. It can provide immediate relief from the inflammation as well as itchiness of the skin due to the allergy. The cooling effect from the ice cubes prevent the rashes from turning into blisters.Some soap even products labeled for babies may contain formaldehyde, a preservative that can cause skin, eye, and lung irritation. Soap also can trigger eczema inflamed and irritated skin.A rash is an area of irritated or swollen skin that can be itchy, red, and painful and may involve blisters, bumps, or areas of raw skin. Rashes are symptoms of conditions that can come about in response to an allergy, toxin, infection, or larger systemic disease. The appearance of a rash can range from an almost incidental swelling of tissues to an outbreak of painful eruptive sores.
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What Does Psoriasis Look Like On Your Hand
Psoriasis is a chronic autoimmune skin condition that causes skin to be red, thick, scaly, and flaky. When it occurs on the palms of the hands or soles of the feet, its called palmoplantar psoriasis, and it affects about 40% of people with psoriasis.
In addition, fingernails and toenails may be affected. Psoriatic nail disease can cause symptoms in the nail bed and the area where fingernails and toenails start their growth.
Symptoms of psoriasis on the hands may include:
- Patches of skin on the hands
- Look red or dark
- Silvery-white scales that itch or burn
- Small, pus-filled blisters on reddened, tender skin
- Painful cracking and fissuring
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What If Those Psoriasis Treatments Dont Work
If psoriasis doesnt improve, your healthcare provider may recommend these treatments:
- Light therapy: UV light at specific wavelengths can decrease skin inflammation and help slow skin cell production.
- PUVA: This treatment combines a medication called psoralen with exposure to a special form of UV light.
- Methotrexate: Providers sometimes recommend this medication for severe cases. It may cause liver disease. If you take it, your provider will monitor you with blood tests. You may need periodic liver biopsies to check your liver health.
- Retinoids: These vitamin A-related drugs can cause side effects, including birth defects.
- Cyclosporine: This medicine can help severe psoriasis. But it may cause high blood pressure and kidney damage.
- Immune therapies: Newer immune therapy medications work by blocking the bodys immune system so it cant jumpstart an autoimmune disease such as psoriasis.
Types Of Psoriasis Continued
Examples of other types of psoriasis include:
- Inverse Psoriasis:: This psoriasis may affect skin fold areas such as the genital area, under the breast or arms, or around the groin area. The lesions are flat, red, and often without scales.
- Nail Psoriasis: Nails may become yellow-brown, pitted, flake away or detach from the nail bed.
- Psoriatic Arthritis: May occur in up to 30 percent of patients with psoriasis symptoms include swelling of the knees, ankles, hands and toe joints pain and may be accompanied by nail psoriasis.
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Avoid Cuts Scratches And Bug Bites
Anything that harms the skin on your hands can make your psoriasis flare. If you get a cut, clean and take care of it right away. Try not to pick at scabs. If you get an itchy bug bite, do your best not to scratch it. That could make your psoriasis worse. Instead, use a cold compress to get some relief.
Effective Home Remedies For Psoriasis On Face Hands Legs And Scalp
1. Get Sunshine
It is recommended taking at least 20 minutes of sunshine every day, from 3 to 4 days per week. It can improve psoriasis symptoms naturally through increasing the levels of vitamin D. In accordance with research, vitamin D can change the way that body cells develop and may slow down new skin cell production in those with psoriasis, thereby decreasing plaque. As a result, it relieves symptoms of psoriasis such as scaling and thick skin.
Also, vitamin D can impact positively the way our immune system operates and lower the inflammation or autoimmune reactions . However, if you suffer from sensitive psoriasis patches because of not using medication use or going through a psoriasis flare-up, you should not expose to the sun too much to avoid sunburns. Remember to wear SPF 30 or even higher in case you are prone to getting burns. But do not get sunlight if the sun is at its strongest, from 10 am to 2 pm. Or, you can use an indoor light box to boost vitamin D intake.
2. Tea Tree Oil
If your skin dry or inflamed, your psoriasis symptoms will be at their worst. Thus, moisturizing your skin is very essential in this case. Think of using natural anti-inflammatory oils to relieve the symptoms such as pain, scaling and redness. Basing on the sites where flaking and itchiness happen, moisture could be increased by using lotions, gels, creams, foams, natural shampoos or ointments.
Remember to dilute tea tree oil on your skin. Undiluted type may exacerbate your condition.
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Are Psoriasis Shampoos Available
Coal tar shampoos are very useful in controlling psoriasis of the scalp. Using the shampoo daily can be very beneficial adjunctive therapy. There are a variety of over-the-counter shampoos available without a prescription. There is no evidence that one shampoo is superior to another. Generally, the selection of a tar shampoo is simply a matter of personal preference.
How Does Psoriasis Affect The Palms And Soles
Psoriasis may be localised to the palms and soles or part of generalisedchronic plaque psoriasis. Two common patterns are observed:
- Well-circumscribed, red, scaly, plaques similar to psoriasis elsewhere
- Patchy or generalised thickening and scaling of the entire surface of palms and/or soles without redness
Palmoplantar pustulosis and the rare acrodermatitis continua of Hallopeau , in which yellow-brown pustules occur, are no longer classified as psoriasis. However, the conditions are associated. About 1025% of people with palmoplantar pustulosis also have chronic plaque psoriasis.
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Topical Treatments For Psoriasis
These are drugs you rub directly on your skin. Along with a good moisturizer, theyâre usually the first thing your doctor will suggest, especially for mild to moderate psoriasis. There are over-the-counter and prescription options.
Topical treatments for psoriasis come as ointments, creams, or foam and include:
Steroid creams. These slow down immune cells in your skin. They can ease swelling and redness. Mild steroid creams are available over the counter. Youâll need a prescription from your doctor for something stronger. Steroids come with side effects and shouldnât be used on sensitive areas like your face or genitals. They can burn or thin the skin. Use them exactly the way your doctor tells you.
Salicylic acid. This can soften and thin scaly skin. But it can also irritate your skin if you leave it on too long. It might weaken your hair follicles and cause temporary hair loss, too. The body can absorb salicylic acid if you put it on large patches of skin.
Calcipotriol . This is a strong form of synthetic vitamin D. Itâs known to control overactive skin cells. Your doctor might pair it with a steroid cream.
Tazorac is available gel or cream and applied one and twice daily. it is ot recommended for those who are pregnant or breast-feeding or intending to become pregnant.