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    Palmoplantar Pustulosis. Power Point Newww

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    Ina Tahir
    Palmoplantar pustulosis is a common skin condition characterized by erythematous and scaly plaques with sterile pustules that persist on the palms or soles. It is a type of localized psoriasis that predominantly affects women between 20-60 years old. Factors like trauma, infections, hormones, sun exposure, smoking, alcohol, stress and certain drugs can exacerbate the condition. Histopathology shows polymorphonuclear leukocytes and spongiform changes in the epidermis. Treatment options include topical steroids, retinoids, radiotherapy, PUVA, and systemic medications. Differential diagnoses include tinea manum, a fungal infection, and disco

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    Palmoplantar Pustulosis. Power Point Newww

    Uploaded by

    Ina Tahir
    126 views17 pages
    Palmoplantar pustulosis is a common skin condition characterized by erythematous and scaly plaques with sterile pustules that persist on the palms or soles. It is a type of localized psoriasis that predominantly affects women between 20-60 years old. Factors like trauma, infections, hormones, sun exposure, smoking, alcohol, stress and certain drugs can exacerbate the condition. Histopathology shows polymorphonuclear leukocytes and spongiform changes in the epidermis. Treatment options include topical steroids, retinoids, radiotherapy, PUVA, and systemic medications. Differential diagnoses include tinea manum, a fungal infection, and disco

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    Palmoplantar pustulosis is a common skin condition characterized by erythematous and scaly plaques with sterile pustules that persist on the palms or soles. It is a type of localized psoriasis that predominantly affects women between 20-60 years old. Factors like trauma, infections, hormones, sun exposure, smoking, alcohol, stress and certain drugs can exacerbate the condition. Histopathology shows polymorphonuclear leukocytes and spongiform changes in the epidermis. Treatment options include topical steroids, retinoids, radiotherapy, PUVA, and systemic medications. Differential diagnoses include tinea manum, a fungal infection, and disco

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    126 views17 pages

    Palmoplantar Pustulosis. Power Point Newww

    Uploaded by

    Ina Tahir
    Palmoplantar pustulosis is a common skin condition characterized by erythematous and scaly plaques with sterile pustules that persist on the palms or soles. It is a type of localized psoriasis that predominantly affects women between 20-60 years old. Factors like trauma, infections, hormones, sun exposure, smoking, alcohol, stress and certain drugs can exacerbate the condition. Histopathology shows polymorphonuclear leukocytes and spongiform changes in the epidermis. Treatment options include topical steroids, retinoids, radiotherapy, PUVA, and systemic medications. Differential diagnoses include tinea manum, a fungal infection, and disco

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 17

    Palmoplantar pustulosis

    Indra Gunawan
    110 206 119
    A.Trisna Nurdjaja 110 208 050
    Sry Wahyuni
    110 208 059
    Advisor:
    dr. Junia Kirana
    Supervisor :
    dr. Alwi Mappiasse, Sp.KK, Ph.D, FINSDV

    Definition
    Palmoplantar pustulosis is a common condition
    in which erythematous and scaly plaques studded
    with sterile pustules persist on the palms or soles.
    PPP is a kind of clinical feature from local
    psoriasis

    Epidemiology
    Epidemiology PPP has worldwide distribution. This
    is a rare condition, but the exact incidence is unknown.
    The prevalence of women is higher than men, with a
    ratio of about 3 : 1. This disease occurs mostly between
    the ages of 20 years to 60 years. This condition rarely
    occurs after the sixth decade, and 10 percent of the
    patients were before age 20 years

    Etiopatogenesis

    Imunologic factor
    Genetic factor : family history of psoriasis
    Precipitating factors : Trauma, Infections,
    Hormonal, Sunray, Smoke and alcohol, Stress, Antimalarial drugs, blockers, IFN- and Lithium can
    aggravate psoriasis

    Clinical features
    The primary lesions are pustules of nearly equal size

    measuring 2 mm to 4 mm in diameter.
    Crops of pustules usually arise within a few hours on the
    typical-appearing palmar and plantar skin.
    Involvement usually symmetric
    Single lesions then become surrounded by an erythematous
    ring.
    Episode of new pustular eruption occur at varying intervals
    and remain strictly confined to the sites of predilection

    Palmoplantar pustulosis on the


    palms

    Palmoplantar pustulosis on the


    soles

    Examination Support
    1. Histopathology

    In the epidermal cavity scattered polymorphonuclear leukocytes with spongiform


    changes around the epidermis. Eusinofil and increased mast cells in the skin
    biopsi palmoplantar pustulosis

    Laboratory Examination
    a. Complete Blood Examination: increased leukocyte
    b. KOH smear
    c. Culture bacteria or viruses
    d. Dermatopathology

    Treatment
    1. Topikal
    a. Topical Steroids
    b. Preparat Ter
    2. Systemic;
    3. Radiotherapy
    4. PUVA

    Differential Diagnosis
    1. Tinea Manum

    Interdigitalis dermatophyte infection in the area, and the


    palmar surface of the dorsum manus
    - Common causes are fungal groups Tricophyton
    - Acute form of the form of vesicles on the lateral side of
    the hand and palmar finger
    - Vesicles desquamation, erythema picture macula covered
    thick white squama

    Image: Tinea Manum

    Cont.
    2. Discoid Eczema
    - Lesions is less well defined, may be exudative, crusting, a
    'drip wax', and very itchy.
    Lesions do not appear on the scalp, elbows and knee
    extensor aspects but rather to the body and the proximal
    extremities.

    Image: Discoid Eczema

    Prognosis
    - Palmoplantar pustulosis usually occurs in the long term.
    - Spontaneous remission occurs occasionally but often
    transient and permanent.
    - Slow or wide spread can be refractory to treatment

    Thank You

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