Localized pustular psoriasis

Localized pustular psoriasis: Introduction

Localized pustular psoriasis: Localized pustular psoriasis presents as two distinct conditions that must be considered separate from generalized psoriasis, and without systemic symptoms, these two distinct varieties being pustulosis palmaris et plantaris and acrodermatitis continua. Localized Pustular Psoriasis either occurs on the tips of the fingers (acropustulosis) or affects only the palms of hands, soles of feet (palmo-plantar pustulosis). It is very painful, and may keep you from any daily activity upon which you need your hands and feet, including walking and eating. Palmo-Plantar Pustulosis occurs in people between 20 and 60 years old, and may be triggered by infection and/or stress. More detailed information about the symptoms, causes, and treatments of Localized pustular psoriasis is available below.

Symptoms of Localized pustular psoriasis

• The "fleshy" areas of the hands and feet (base of thumb and/or sides of heels) develop large, yellowish pustules - about the size of a pencil eraser, or .5 centimeters. These Pustules have a studded pattern over reddened patches of skin, and contain non-infectious pus (white blood cells). Throughout the next 7 to 14 days, the Pustule will become smaller, lose it's yellowish color, and become topped with a brown scale of skin. Usually, the disease becomes much less active for a time after peeling.
• more symptoms...»

Wrongly Diagnosed with Localized pustular psoriasis?

• Failure to diagnose Localized pustular psoriasis
• Hidden causes of Localized pustular psoriasis (possibly wrongly diagnosed)
• Undiagnosed: Localized pustular psoriasis

Causes of Localized pustular psoriasis

• Genetic predisposition
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Read more about causes of Localized pustular psoriasis

More information about causes of Localized pustular psoriasis:

• Underlying causes of Localized pustular psoriasis

Treatments for Localized pustular psoriasis

• Topical treatments, such as corticosteroids, are usually prescribed first. PUVA, acitretin (Soriatane), methotrexate or cyclosporine (Neoral) sometimes must be used to clear this form. Combination treatment with PUVA and Soriatane (called RePUVA) may also be effective
• Acropustulosis occasionally starts after the skin is injured or infected. Tar preparations under occlusion help some patients. Oral retinoid drugs, such as acitretin (Soriatane), may help clear the lesions and restore the nails. PUVA may also be used
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Evidence Based Medicine Research for Localized pustular psoriasis

Medical research articles related to Localized pustular psoriasis include:

• Treatment of Psoriasis: An Algorithm-Based Approach for Primary Care Physicians
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Click here to find more evidence-based articles on the TRIP Database

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