Palmoplantar pustulosis is characterized by pimple-like pustules (small pus-filled blisters) on the palms of the hands and soles of the feet. Some consider it a special form of psoriasis, while others believe it is a separate but related condition. The pustules are sterile, meaning they are not caused by bacteria. The condition can be difficult to treat.
Spray Dermovat solution on the affected area on the soles of the feet or palms of the hands. Dermovat is a potent cortisone solution that requires a prescription.
This should be done in two stages and allowed to dry thoroughly. While it is drying, hold a thin Duoderm dressing (similar to blister plasters available in different sizes at pharmacies) against the skin to warm it up. You can cut the Duoderm dressing to the size you need. Once the Dermovat has completely dried and the skin is completely dry, apply the thin Duoderm dressing on top.
Note: If it is not completely dry, the dressing will not stick. You can exercise and shower with the dressing, which adheres well. Change it approximately once a week.
If the conditionis not too inflamed, another treatment option may be suitable.
Mix equal parts of the prescription cortisone cream Dermovat and Locobase LPL in a cup. Apply the mixture to the affected areas every evening for 2-3 weeks, then 2-3 evenings per week for maintenance treatment. Cover the feet/hands with plastic wrap or a plastic bag after application for better effect. For example, use a bread bag to cover the foot and sleep with it overnight. The treatment can be adjusted up or down as needed based on disease activity.
