Palmoplantar Pustulosis Quiz

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Reviewed By:

Sarita Nori, MD

Sarita Nori, MD (Dermatology)

Dr. Sarita Nori was drawn to dermatology because of the intersection of science and medicine that is at the heart of dermatology. She feels this is what really allows her to help her patients. “There is a lot of problem-solving in dermatology and I like that,” she explains. “It’s also a profession where you can help people quickly and really make a difference in their lives.” | Some of the typical skin problems that Dr. Nori treats include skin cancers, psoriasis, acne, eczema, rashes, and contact dermatitis. Dr Nori believes in using all possible avenues of treatment, such as biologics, especially in patients with chronic diseases such as eczema and psoriasis. “These medications can work superbly, and they are really life-changing for many patients.” | Dr. Nori feels it’s important for patients to have a good understanding of the disease or condition that is affecting them. “I like to educate my patients on their problem and have them really understand it so they can take the best course of action. Patients always do better when they understand their skin condition, and how to treat it.”

Yukiko Ueda, MD

Yukiko Ueda, MD (Dermatology)

Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.

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Content updated on Mar 31, 2024

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • The skin is itchy and has scratches

  • Red bumps with white centers

  • Skin itching that worsens at night

  • Bulging patch of skin

  • Itch is mild

  • Itching

  • Pus in the breast

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What is Palmoplantar Pustulosis?

This rare condition involves small pus-filled blisters that repeatedly appear on the palms and soles. The exact cause is unknown, but is theorized to be an auto-immune condition. Rarely it can be a reaction to medication.

Typical Symptoms of Palmoplantar Pustulosis

  • New bumps appearing while some bumps are healing already

  • Skin problem over the back of the hand

  • Skin Itching

  • Bumps containing pus

  • Blisters on the hands and/or feet

  • Mild itch

  • Skin problem on the feet, beyond the ankle

  • Skin problem in area not covered by clothes

Doctor's Diagnostic Questionson Palmoplantar Pustulosis

Your doctor may ask these questions to check for this disease:

  • Are some of your rashes healing while others are appearing?

  • Do your hand problems affect the skin beyond the wrist?

  • Is your skin itchy?

  • Do you have pus-filled bumps on your skin?

  • Are there blisters on your hands and feet?

Treatmentof Palmoplantar Pustulosis

Treatment doesn't cure the condition, but aims to shorten and decrease flare-ups. Doctors may recommend anti-inflammatory topical and oral medications. In some cases, phototherapy (exposing the areas to UV light) may be helpful.

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View the symptoms of Palmoplantar Pustulosis

  • Itchy skin

  • Pustule

  • Hard skin

  • Scaling skin

References

  • Raposo I, Torres T. Palmoplantar Psoriasis and Palmoplantar Pustulosis: Current Treatment and Future Prospects. Am J Clin Dermatol. 2016 Aug;17(4):349-58. doi: 10.1007/s40257-016-0191-7. PMID: 27113059.

    https://link.springer.com/article/10.1007/s40257-016-0191-7

  • Murakami M, Terui T. Palmoplantar pustulosis: Current understanding of disease definition and pathomechanism. J Dermatol Sci. 2020 Apr;98(1):13-19. doi: 10.1016/j.jdermsci.2020.03.003. Epub 2020 Mar 14. PMID: 32201085.

    https://www.jdsjournal.com/article/S0923-1811(20)30107-9/fulltext

  • Misiak-Galazka M, Zozula J, Rudnicka L. Palmoplantar Pustulosis: Recent Advances in Etiopathogenesis and Emerging Treatments. Am J Clin Dermatol. 2020 Jun;21(3):355-370. doi: 10.1007/s40257-020-00503-5. PMID: 32008176; PMCID: PMC7275027.

    https://link.springer.com/article/10.1007/s40257-020-00503-5

  • Yamamoto T. Similarity and difference between palmoplantar pustulosis and pustular psoriasis. J Dermatol. 2021 Jun;48(6):750-760. doi: 10.1111/1346-8138.15826. Epub 2021 Mar 2. PMID: 33650702.

    https://onlinelibrary.wiley.com/doi/10.1111/1346-8138.15826

  • Murakami M. Guselkumab for the treatment of palmoplantar pustulosis. Expert Opin Biol Ther. 2020 Aug;20(8):841-852. doi: 10.1080/14712598.2020.1760244. Epub 2020 May 12. PMID: 32321322.

    https://www.tandfonline.com/doi/full/10.1080/14712598.2020.1760244

User Testimonials

Reviewed By:

Sarita Nori, MD

Sarita Nori, MD (Dermatology)

Dr. Sarita Nori was drawn to dermatology because of the intersection of science and medicine that is at the heart of dermatology. She feels this is what really allows her to help her patients. “There is a lot of problem-solving in dermatology and I like that,” she explains. “It’s also a profession where you can help people quickly and really make a difference in their lives.” | Some of the typical skin problems that Dr. Nori treats include skin cancers, psoriasis, acne, eczema, rashes, and contact dermatitis. Dr Nori believes in using all possible avenues of treatment, such as biologics, especially in patients with chronic diseases such as eczema and psoriasis. “These medications can work superbly, and they are really life-changing for many patients.” | Dr. Nori feels it’s important for patients to have a good understanding of the disease or condition that is affecting them. “I like to educate my patients on their problem and have them really understand it so they can take the best course of action. Patients always do better when they understand their skin condition, and how to treat it.”

Yukiko Ueda, MD

Yukiko Ueda, MD (Dermatology)

Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.

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