Palmo-plantar pustulosis normally afflicts adults from the 20s to the 60s. As its name suggests, it appears on the palms of the hands and the soles of the feet. Although the precise cause is unknown, stress and possibly other infections are suspected to set it off. Men tend to suffer from this form less than women.

Treatment for pustular psoriasis will vary depending on the severity, however the Katharine Botanicals Psoriasis Treament products will help soothe damaged skin. In some cases pustular psoriasis can require hospitalisation - so if in doubt consult your GP.

The Katharine Botanicals Psoriasis range has been specially formulated to help with the symptoms of this type of psoriasis.  It is very gentle in action and contains a particularly high proportion of natural active ingredients. 

*Special Offer Triple Pack - Cream* + Pure Indulgence £34.97

*Special Offer Triple Pack - Gel* + Pure Indulgence £34.97

The effectiveness of this product changes from individual to individuals, depending on the nature of the psoriasis.  As yet this condition is not fully understood but we find the following points hold true: 

• In many cases is has a long term and significant improvement to the symptoms.
• In other cases there will be no noticable improvement.
• Some cases improve initially but this loses effectiveness in the long term.
• In these cases a break from this product helps and the effectiveness often returns when you start to use it again after a period of time.

We have found that overall we are able to achieve very good results for pustular psoriasis. In all cases we welcome your feedback, comments and stories so that we can continue to work on the best possible solution for Psoriasis sufferers.

Palmo-plantar pustulosis (PPP)

Palmo-plantar pustulosis presents as large numbers of small pustules (approx 5 – 6mm in diameter) on the hands and feet – around the more fleshy areas. It develops in cycles as described above.

There is some evidence to suggest that some smokers’ reaction to nicotine may trigger this form of psoriasis so it is suggested that if possible smokers should quit, It is always worth using topically applied treatments at first and only proceeding to other treatments if this has no affect.

Von Zumbusch

Von Zumbusch pustular psoriasis can be set off by a number of causes of the type mentioned above under “Pustular Psoriasis” and can appear very rapidly.

The skin becomes very sensitive and painful in the many areas where reddening originally occurs, and this is rapidly followed by the arrival of pustules. Within usually 48 hours or less the pustules become dry, peel and the skin is left very smooth. The process can then repeat itself often lasting days and even weeks.

Sufferers from von Zumbusch pustular psoriasis frequently need to go to hospital as a result of loss of body moisture which must be replenished. A number of treatments are available.

This form of psoriasis (von Zumbusch) is seldom seen in children, and they have a better chance of successful treatment than adults. Nevertheless they should be taken to the doctor as soon as it is discovered or suspected. Children can withstand dehydration of the body’s tissues even less than adults.

Sufferers from normal plaque psoriasis sometimes develop repetitive attacks of von Zumbusch which may cause chills, serious itching, fever, pulse increase, dehydration and other severe effects. It must be treated medically immediately as it can prove fatal. Go to your doctor at once, and if that is not possible attend your local hospital’s Out Patients Department. No risks should be taken since the heart and kidneys maybe affected if left untreated for too long.

Acropustulosis (acrodermatitis continua of Hallopeau)

Acropustulosis is not at all common and appears on the tips of the fingers and/or toes, frequently appearing after an injury to the area – a cut, graze, infection or the like. It can be painful and affect the conformation of the nails, whilst in some serious cases it can deform bone. It is a form which is difficult to treat although covered topically applied treatments can be helpful whilst in other cases ingested treatments work better.