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Nonpustular palmoplantar psoriasis.

E M Farber1, L Nall

  • 1Psoriasis Research Institute, Palo Alto, California 94301.

Cutis
|December 1, 1992
PubMed
Summary
This summary is machine-generated.

Nonpustular palmoplantar psoriasis causes painful skin issues. Preventive care and topical treatments like lubricants, anthralin, and corticosteroids are key for managing mild to moderate cases effectively.

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Area of Science:

  • Dermatology
  • Psoriasis Research

Background:

  • Nonpustular palmoplantar psoriasis presents with debilitating painful fissuring and scaling on the palms and soles.
  • This condition can significantly impact a patient's quality of life due to its persistent and painful nature.

Purpose of the Study:

  • To outline management strategies for nonpustular palmoplantar psoriasis.
  • To emphasize preventive measures and therapeutic mainstays for mild to moderate cases.
  • To define the role of advanced therapies for refractory disease.

Main Methods:

  • Review of current therapeutic approaches for palmoplantar psoriasis.
  • Discussion of preventive strategies including avoidance of friction and irritants.
  • Evaluation of topical treatments such as lubricants, anthralin, and corticosteroids.

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  • Consideration of advanced therapies like topical PUVA and cytotoxic agents for severe cases.

    • Main Results:

    • Preventive measures are crucial in reducing the morbidity associated with palmoplantar psoriasis.
    • Lubricants, anthralin, and corticosteroids are effective first-line treatments for mild to moderate nonpustular palmoplantar psoriasis.
    • Topical PUVA therapy and cytotoxic agents are reserved for patients with treatment-resistant disease.

    Conclusions:

    • Effective management of nonpustular palmoplantar psoriasis involves a combination of prevention and targeted therapies.
    • Early intervention with conservative measures can alleviate symptoms and prevent disease progression.
    • Specialized treatments are necessary for recalcitrant cases, requiring careful consideration of risks and benefits.