Palmoplantar psoriasis - this form of the disease does not occur very often. It can take place only with the defeat of palms and soles or may be combined with psoriatic rash on other areas of the skin, as well as joint disease. The disease is easily confused with a fungal infection
Fungal infection: to prevent and defeat
Why start psoriasis of palms and soles
Psoriasis of palms and soles can occur at any age, but most often it occurs in the age range 30-50 years. The basis of this disease is a genetic predisposition. But genetic predisposition, even if it is a family, when psoriasis suffer from close relatives, may not be realized if there are no predisposing (launchers) factors.
When hand-foot form of psoriasis predisposing factors are most often permanent mechanical or chemical irritation of the palms of hands - being in the water, contact with household chemicals and a variety of irritants at work, wearing tight shoes.
Triggering factor can also be a variety of infections such as scarlet fever
Scarlet fever - threatening complications
At which the rejection of the surface layers of the palms and soles, foci of infection (chronic tonsillitis, sinusitis
Sinusitis - when a puncture is required
Pyelonephritis - kidney disease
etc.), intoxications (smoking, alcohol abuse, etc.), endocrine diseases (e.g., hypothyroidism), and other factors.
Palmoplantar psoriasis - the main features
Palmoplantar psoriasis is more common in persons engaged in physical labor. There are patchy, veerooobraznuyu, calloused and circular shapes.
When the fan-patchy form on the palms and soles appear papules, covered with silvery scales, which merge into plaques. Plaques are fan-shaped on the surface of the palms and soles of Education reddish, clearly stand out against the healthy skin surface. Covering plaques scales in the folds of the palms and soles create a kind of cracks. More common psoriasis of palms patchy-fan-shaped.
Calloused form appears giperkeratoticheskie (excessive growth of the stratum corneum) of the skin layers of the palms and soles, feigning corn and callosity. Lots of hyperkeratosis usually placed at random, sometimes merging together. In the propagation process, he may move to the side surfaces of the hands and feet, and even completely cover them. Nevertheless, and with a solid lesion is clearly visible line that separates the healthy from the pathological tissue.
Psoriasis of palms and feet a circular shape shown in the form of large pockets of peeling in the shape of circles or rings located on the palms and soles.
Often in the pathological process involved the nails. Patients worried about the constant itching of the palms and soles, which is so exhausting patients, which leads to insomnia and neuroses.
Pustular psoriasis of the palms and soles
Pustular psoriasis of the palms and soles Barbera - a separate form of the disease, in which are located only pustular eruptions on the palms and soles. But other parts of the body most often appear normal papules and plaques. The process is accompanied by severe itching.
The disease begins with the appearance on the palms or soles of the areas of redness, which immediately appear bubbles (vesicles) and pustules (pustules) with sterile contents. Without opening the superficial pustules gradually dries to form a brownish crusts. Initially, these elements are small, but they gradually merge together to form larger bubbles with purulent contents - "festering lake" located usually symmetrical.
Psoriasis on the hands is usually located in the thumb, on the soles - on the side of the foot below the I toe. Often the process involved nails. Sometimes typical psoriatic lesions do not appear immediately, but after a few years after the start of pustular lesions of the palms and feet.
Treatment of palmoplantar psoriasis
Treatment of palmoplantar psoriasis begins with eliminating or minimize the physical and chemical effects on the palms and soles. If necessary, the patient is recommended even change jobs. There is also a special hydrocolloid coating, which is indicated for plantar psoriasis, it protects the skin from irritation, cracking and accelerates the healing of erosions and eliminates itching.
Treatment of psoriasis on the palms and soles - a very difficult task. Most often used for this purpose an ointment composed of corticosteroids. But the body quickly gets used to it and ointments are ineffective. In recent years, it developed a system for the treatment of palmoplantar psoriasis, in which during the exacerbation of the combined use of ointment, which include corticosteroids and calcipotriol (analogue of vitamin D). Such ointments include, for example, dayvobet. Corticosteroids are actively relieve inflammation and calcipotriol reduces the rate of cell division of the skin, reduces scaling, inflammation, have a positive effect on the immune defenses of the skin.
When inflammation subsides, prescribed ointment, which include only calcipotriol (eg Dayvoneks) - it is administered for a long time, it prevents the appearance of exacerbations.