We all might have encountered more or less of some skin related ailments in our life but believe it or not, Psoriasis on feet or hand is one of those complex issues which needs immediate medical supervision and treatment before it gets complicated.

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Psoriasis: an introduction

Psoriasis can be simply defined as an autoimmune disorder where our skin cells grow rapidly compared to the normal ones.

It is one of the most irritating situations where the skin cells tend to grow nearly ten times faster than the normal cells.

when the underlying skin cells reach the surface of the skin, they tend to die and hence the building up of the dead cells on the surface of the skin causes scaling on skins surface resulting in white and scaly patches.

This build-up of dead skin cells over the surface of the skin over a prolonged period of time results in psoriasis.

The Psoriasis on feet looks very similar to plaque psoriasis which happens on other locations of the body.

Psoriasis on feet is also termed as Palmoplantar psoriasis.

Life with Psoriasis on Feet

It’s a kind of utterly distressing situation for a person suffering from Palmoplantar psoriasis since It is associated with a great level of discomfort and agony.

It affects the day to day activities of a person immensely. sometimes a person with such conditions can’t walk or run properly on his own.

The patient has to be extremely cautious about the associated other ailments and symptoms due to Psoriasis on feet.

The society believes it as a very catchy disease. It seems that they believe it to be an infectious and contagious disease.

The treatment regimen of Psoriasis on feet

Psoriasis on feet is a serious condition where the blisters are filled with pus. One can go for some home medications and management to get the desired relief which is as follows :

Try to avoid drinking alcohol and smoking cigarettes, both of them are known to aggravate the conditions associated with psoriasis.
1.Best thing is to avoid getting wet or more sweaty, use good nylon gloves and socks as the moisture, wetness, and sweat make our feet more susceptible to cracking.
2.We should avoid any kind of injury by using good soles or shoes.
3.Just Try to limit your exposure to dust and fumes unnecessarily.

Topical treatments available

The topical treatment for psoriasis includes applying the affected part with topical corticosteroids. These drugs are most commonly prescribed by a dermatologist in mild to moderate psoriasis.

It is most advisable to use steroids at night for deeper penetration along with using some nylon socks on feet.

These socks help to keep the medication intact with the skin for getting the desired action with greater penetration.

Other topical medications available are :

1.Salicylic acid(keratolytic agent)
2.Coal tar
3.A good moisturizer
4.Thick and greasy Emollients.

Medication reducing disease progression

The medication for Psoriasis on feet should be taken under the supervision of a Dermatologist with utmost care.

The Doctor might prescribe any of the following drugs individually or in combination according to the severity of the disease :

Methotrexate is generally prescribed where the conditions are highly severe and deteriorating. It works effectively but has got many side effects as it suppresses the cells of the immune system which causes psoriasis. It is generally prescribed for a brief period of nearly 6-8 months.
Cyclosporine is a known immunosuppressant and it is used practically in those cases where other treatment options fail. It works by suppressing your immune system and slow down your skin cell growth. It can cause some serious side effects hence should be taken under the guidance of expert dermatologists. It can affect your kidney functions and can increase blood pressure as well.
Retinoids like Acitretin is the only retinoid to be used for treating Psoriasis on feet by FDA orally. It works by reducing the fast multiplication of cells and their growth.
psoralen UVA phototherapy(PUVA) is often prescribed by doctors where the drug psoralen should be administered orally with UV light therapy.
Other treatment options include the use of biologics where a specific part of the immune system is targeted. for example, Etanercept, infliximab etc.

Living with psoriasis has got some unique challenges. It becomes difficult for the one with psoriasis to survive in today’s competitive world.
The need of the hour is to define its management and treatment regimen properly to the patients and healthcare professionals like doctors, pharmacists and other related professionals to have a big role to play.

Thanks a lot.

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