If you have an acute psoriasis flare-up on your hands or feet, see your doctor ASAP. He'll work with you until you find something that helps.
Psoriasis on these areas is most likely to show up on the palms and soles. This is called palmar-plantar psoriasis. But it can also appear on the tops of your feet, backs of your hands, and on knuckles and nails.
For Crystal Barry, excessive sweating wasn't just a nuisance. It shaped her daily activities, even her personality.
Barry, 24, a student from St. Louis, avoided team sports and crowded events. She never wore tank tops or sheer fabrics and often had to bring extra shirts to school after her first shirt was soaked through with sweat. She shied away from social situations, especially ones involving the opposite sex. "I don't like to be around people if I stink," she tells WebMD. "I get real quiet."
Your hands and feet make up only 4% of your body's total surface area. But psoriasis here can still have a big effect on your quality of life. You might have pain, or you may just want to cover up the scales. If it affects your work, that could lead to a financial burden as well.
Hands and feet psoriasis (HFP) can also cause your skin to:
Combinations of these often work better than one treatment alone. Sometimes doctors suggest alternating topical corticosteroids with a type of vitamin D called calcipotriene. Wear cotton gloves when applying it to avoid getting it into sensitive spots, such as on your face.
Your doctor might have you use a corticosteroid under a type of dressing called hydrocolloid occlusion. This filmy layer bonds to the cream, helps keep skin moist, and can be worn for several days.
Medications That Stop Disease Progress
Psoriasis is an immune system condition, so if skin treatments don’t work, your doctor may recommend drugs that affect the disease at a cellular level. These include:
Methotrexate, which slows an enzyme that causes the rapid growth of skin cells in psoriasis