Palmoplantar Psoriasis

Palmoplantar psoriasis, as its name indicates, is a form of psoriasis that affects the palms and soles, presenting as discrete, erythematous, scaling patches and plaques. These lesions are usually bilateral, and involvement of the palms typically stops at the wrist-palm junction, but the dorsal aspect of the hand can be involved. Patients often find this form of psoriasis very disabling from fissuring that makes walking painful, as well as embarrassing, due to prominent scaling on very publicly visual areas such as the hands.

In addition to the above types of psoriasis, the scalp and nails may also be affected (Fig. 9.1D, J, K). Approximately 79% of patients with psoriasis have involvement of the scalp. Nail changes can occur in up to 50 % of people with psoriasis and up to 80 % of people with psoriatic arthritis. The proximal nail fold, nail matrix, nail bed, and hyponychium can be involved with nail psoriasis. Patients may see discoloration of the nail with yellow-brown changes, pitting, nail thickening, and separation of the nail from the nail bed (onycholysis).

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Arthritis Relief and Prevention

Arthritis Relief and Prevention

This report may be oh so welcome especially if theres no doctor in the house Take Charge of Your Arthritis Now in less than 5-Minutes the time it takes to make an appointment with your healthcare provider Could you use some help understanding arthritis Maybe a little gentle, bedside manner in your battle for joint pain relief would be great Well, even if you are not sure if arthritis is the issue with you or your friend or loved one.

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