Overview of Palmoplantar Psoriasis

• A chronic condition affecting palms and soles, leading to discomfort and impacting daily life.

Steroid-Free Topical Treatments

• Options include vitamin D analogs (e.g., calcipotriol), coal tar, and moisturizers. These reduce inflammation and scaling without steroid side effects.

Phototherapy

• Treatments like PUVA or narrowband UVB can be effective. They require careful administration and monitoring.

Systemic Non-Steroidal Medications

• For moderate to severe cases, options include methotrexate, cyclosporine, acitretin, and biologics.

Lifestyle and Supportive Measures

• Maintain a skin care routine, avoid triggers, and manage stress to help control symptoms.

Consultation with Specialists

• See a dermatologist for personalized treatment planning and monitoring.

Summary

• Effective steroid-free treatments are available, and a tailored approach can improve symptoms safely.