Palmoplantar Psoriasis
Dermatology Dev•Gender: Male•Age: 41 years (Adult)• Chronicity: 2 years
Presenting Complaints & History
- Thick, cracked skin on palms and soles of feet
- Deep, painful fissures that bleed when walking or gripping
- Intense burning sensation and localized scaling
- Inability to perform manual work comfortably
Clinical Assessment
Experienced recurring flares of hand and foot scaling. Standard emollients and steroid ointments provided minimal relief, with cracks repeatedly opening.
Diagnostic Investigations: Clinical visual assessment confirming localized palmoplantar pustular psoriasis.
Homeopathic Therapeutics & Management
Prescribed deep-acting remedies with an affinity for dry, cracked skin and metabolic pathways influencing skin thickness.
Selected Constitutional Remedies: Petroleum and Graphites
Lifestyle & Nutritional Support
Wearing cotton gloves after moisturizing, using mild glycerin-based soaps, and avoiding contact with harsh cleaning detergents.
Clinical Outcome
Follow-up Period: 6 months- Complete healing of deep painful fissures on palms and soles
- Significant reduction in skin thickness and scaling
- Improved functional status, enabling pain-free walking and manual tasks
- Sustained improvement during follow-up period
✓Medically reviewed by Dr. Navaneeth K. Unni
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