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What are the treatments for palmoplantar pustulosis (PPP)?

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While nothing will cure palmoplantar pustulosis (PPP), treatment can help. Yours may include:

  • Topical steroids. These creams, used with a sterile bandage or vinyl dressing, are anti-inflammatory treatments. They can help with inflammation, swelling, tenderness, and pain.
  • Coal tar. This ointment can help heal blisters and make them less itchy. Coal tar also slows the production of your skin cells and helps shed cells so your skin doesn't thicken.
  • Acitretin tablets. Made from Vitamin A, these can help you manage PPP. However, acitretin can have strong side effects, so it's not for everyone. Women who are pregnant or may become pregnant shouldn't use it. Men who want to have children should talk to their doctor before taking it.
  • Photo therapy (PUVA). This treatment uses medication along with ultraviolet light to slow down skin growth and help with symptoms for long periods of time.

SOURCES:

American Osteopathic College of Dermatology: "Palmoplantar Pustulosis."

British Association of Dermatologists: "Palmoplantar Pustulosis."

Canadian Medical Association: "Palmoplantar pustulosis."

Mayo Clinic: "Psoriasis."

Melwani, P. November 2009. JAMA Dermatology,

National Center for Biotechnology Information: "Rapid Improvement of Palmoplantar Psoriasis after Cessation of Smoking."

National Psoriasis Foundation: "Phototherapy."

UpToDate: "Palmoplantar pustulosis: Treatment."

Reviewed by Debra Jaliman on November 13, 2018

SOURCES:

American Osteopathic College of Dermatology: "Palmoplantar Pustulosis."

British Association of Dermatologists: "Palmoplantar Pustulosis."

Canadian Medical Association: "Palmoplantar pustulosis."

Mayo Clinic: "Psoriasis."

Melwani, P. November 2009. JAMA Dermatology,

National Center for Biotechnology Information: "Rapid Improvement of Palmoplantar Psoriasis after Cessation of Smoking."

National Psoriasis Foundation: "Phototherapy."

UpToDate: "Palmoplantar pustulosis: Treatment."

Reviewed by Debra Jaliman on November 13, 2018

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What can you do to manage palmoplantar pustulosis (PPP)?

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