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Refractory palmoplantar pustulosis succesfully treated with apremilast
Raquel Carrascosa de Lome1, Elena Conde Montero1, Pablo de la Cueva Dobao1
1Dermatology Department, Hospital Universitario Infanta Leonor, Madrid, Spain.
Dermatologic Therapy
|January 26, 2020
Summary
Apremilast effectively treated a patient with refractory palmoplantar pustulosis, a chronic inflammatory condition. This case highlights apremilast
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Palmoplantar pustulosis is a chronic inflammatory skin condition causing sterile pustules on hands and feet.
- Apremilast, a phosphodiesterase-4 inhibitor, is approved for plaque psoriasis and psoriatic arthritis.
- Limited data exists on apremilast's efficacy for palmoplantar pustulosis, with no prior clinical trials.
Observation:
- A case of refractory palmoplantar pustulosis is presented.
- The patient's condition did not respond to previous treatments.
Findings:
- Successful treatment of refractory palmoplantar pustulosis with apremilast was observed.
- Apremilast demonstrated significant efficacy in managing the patient's symptoms.
Implications:
- Apremilast may be a viable therapeutic option for palmoplantar pustulosis.
- Further clinical trials are warranted to confirm apremilast's effectiveness in a larger patient cohort.
- This case contributes to the limited evidence base for apremilast in treating palmoplantar pustulosis.

