["Aqua-SUP" in chronic palmoplantar dermatoses].

Area of Science:

• Dermatology
• Phototherapy
• Balneotherapy

Context:

• Chronic dermatoses of the palms and soles, including psoriasis inversa, palmoplantar pustulosis, hyperkeratotic eczema, and idiopathic pompholyx, present significant therapeutic challenges.
• Existing treatments like aromatic retinoids and local corticosteroids have limitations in efficacy or side effect profiles.
• Aqua-SUP therapy, a combination of balneotherapy and selective UV phototherapy (SUP), is an underreported treatment modality.

Purpose:

• To evaluate the efficacy and safety of aqua-SUP therapy for chronic palmoplantar dermatoses.
• To compare the outcomes of aqua-SUP therapy with established treatments like PUVA.
• To assess patient convenience and side effect profiles associated with aqua-SUP therapy.

Summary:

• Aqua-SUP therapy demonstrated significant improvement in 11 out of 15 patients with chronic palm and sole dermatoses.
• The treatment was generally well-tolerated, with minor side effects including local pain and mild erythematobullous reactions in a few patients.
• Efficacy was comparable to local PUVA, but aqua-SUP offers greater patient convenience and avoids photosensitization issues.

Impact:

• Aqua-SUP therapy presents a viable, convenient, and effective alternative for managing chronic palmoplantar dermatoses.
• This study highlights the potential of combining balneotherapy with SUP for dermatological conditions.
• Further research into aqua-SUP therapy could lead to improved patient outcomes and treatment adherence for these challenging conditions.