Treatment of Psoriasis in Palmoplantar Psoriasis

Psoriasis localised to the palms and soles — palmoplantar psoriasis — is a distinct clinical presentation that includes palmoplantar pustulosis. Its location on weight-bearing and high-friction surfaces makes it particularly impactful on daily function and requires a targeted approach.

Clinical scenario

Psoriasis affecting the palmoplantar surfaces, including presentations with palmoplantar pustulosis.

First-line approach

Initial management centres on a topical agent applied directly to the affected palmoplantar skin. Full product selection, application details, and the complete treatment algorithm are available in the structured protocol below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jaad.2020.07.087

Topical maxcalcitol (not available in the US) ointment can be considered as an initial treatment for palmoplantar psoriasis, including palmoplantar pustulosis.

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