Andrews-Barber

Palmoplantar pustulosis (PPP), also known as Andrews-Barber, is a chronic skin condition characterized by the presence of pustules (pus-filled blisters) on the palms of the hands and soles of the feet. It is a rare form of psoriasis that primarily affects the palms and soles but can sometimes spread to other parts of the body.

Symptoms of Palmoplantar Psoriasis

Symptoms of Palmoplantar Psoriasis vary from person to person but may include:

  • Painful and itchy rash on the palms and/or soles.
  • Formation of pus-filled blisters that can burst over time and form crusts.
  • Redness and swelling of the affected skin.
  • Thickening of the skin on the palms and soles.
  • Possible cracks and fissures in the skin.

Causes of Palmoplantar Psoriasis

The exact cause of Palmoplantar Psoriasis is not fully understood. It is thought to be an autoimmune disease in which the body’s immune system attacks healthy skin cells. Genetic factors and environmental influences may also play a role in the development of the condition.

Diagnosis and treatment of Palmoplantar Psoriasis

A dermatologist specializes in diagnosing and treating Palmoplantar Psoriasis. The diagnosis is usually based on symptoms and a physical examination of the skin. In some cases, a skin biopsy may be performed to rule out other possible causes.

Treatment of Palmoplantar Psoriasisfocuses on reducing inflammation, managing symptoms, and preventing recurring outbreaks. Treatment may include:

  • Topical corticosteroids: Creams or ointments that reduce inflammation and help control symptoms.
  • Topical retinoids: Medications derived from vitamin A that normalize cell growth and reduce the rash.
  • Phototherapy: Exposure to controlled ultraviolet light to reduce inflammation.
  • Systemic medications: In severe cases, oral medications such as methotrexate, cyclosporine, or acitretin may be prescribed.

It’s important to schedule regular follow-up appointments with your doctor to monitor treatment progress and discuss any side effects of medications.

Self-care measures

In addition to medical treatment, there are some self-care measures you can take to relieve your symptoms and promote your overall well-being:

  • Keep your hands and feet clean and dry.
  • Use mild, fragrance-free soap and moisturize your skin regularly.
  • Avoid excessive pressure on your hands and feet.
  • Protect your skin from extreme temperatures and irritants.
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Consultation types

Walk-in Consultation

A walk-in consultation allows you to have a real-time video consultation with the doctor without a prior appointment. You will enter a virtual waiting room and the doctor will attend to you as soon as they are available.

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An email advice allows you to receive a professional assessment from a certified dermatologist via email within two working days. You will complete a questionnaire describing your skin concern, and the doctor will provide their evaluation and recommendations in writing.

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A physical consultation involves an in-person visit to the doctor's clinic or designated location. You will have the opportunity to discuss your skin concerns face-to-face and receive a thorough examination and treatment plan.

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