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Treatments for Palmoplantar Psoriasis

Treatment List for Palmoplantar Psoriasis

The list of treatments mentioned in various sources for Palmoplantar Psoriasis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Not all of the treatments listed below are suitable or recommended for psoriasis in particular locations of the body. The list below is a general list for treatment for psoriasis as psoriasis can occur on multiple parts of the body at any one time
  • Soaking hands and feet in salty water a few times a day may help alleviate symptoms during a flare. Hands and feet should be kept warm during winter to maintain good circulation. Good quality, comfortable footwear is also helpful
  • Topical skin care
  • Topical corticosteroids (Diprolene®, Temovate®, Ultravate®, or Psorcon®)
  • Vitamin D3
  • Calcipotriene (Dovonex®)
  • Coal tar
  • Vitamin A (retinoids)
  • Tazarotene (Tazorac)
  • Anthralin
  • Salicylic acid
  • Bath solutions
  • Moisturizers
  • Phototherapy
  • Sunlight - in mild doses, but taking care to avoid sunburn.
  • UVB phototherapy
  • Ingram regime - combined coal tar and UVB therapy, and anthralin-salicylic acid paste
  • Goeckerman treatment - combined coal tar and UVB therapy
  • PUVA - Psoralen and UVA light combination
  • Medications
  • Methotrexate
  • Cyclosporine (Neoral®)
  • Hydroxyurea (Hydrea®)
  • Retinoids
  • Acitretin (Soriatane®)
  • Enbrel (Amgen)
  • Antibiotics - for Streptococcus infections associated with guttate psoriasis.
  • Hospitalization - for severe cases
  • Steroid creams and ointments
  • Antifungal agents
  • Tacrolimus, pimecrolimus
  • Castellani's Paint
  • Treatment of psoriasis may include creams, lotions, oral medications, injections and infusions of biologics, and light therapy
  • Photochemotherapy
  • Systemic therapy
  • The main topical treatments are corticosteroids, vitamin D-3 derivatives, coal tar, anthralin, or retinoids
  • Hospitalisation for supportive care including intravenous fluids and temperature regulation
  • Bland emollients and cooling wet dressings
  • Bed rest
  • Low-dose methotrexate, ciclosporin or acitretin
  • Treatment of complications (for example antibiotics, diuretics (water tablets), nutritional support)
  • Oral corticosteroids should be avoided
  • Topical tar preparations and phototherapy should also be avoided in the early treatment of erythrodermic psoriasis as they may worsen the condition

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