Patients with palmoplantar psoriasis have more physical disability and discomfort than patients with other forms of psoriasis: implications for clinical practice

J Am Acad Dermatol. 2003 Aug;49(2):271-5. doi: 10.1067/s0190-9622(03)01479-8.


Background: Psoriasis is a chronic, unpredictable, and incurable disease that has a negative impact on patients' quality of life. Palm and sole psoriasis can add to this negative impact as it directly affects activities of daily living.

Objective: We sought to estimate the prevalence of palmoplantar psoriasis in a patient population and to explore associations with patient outcomes.

Methods: In all, 317 individuals with psoriasis completed a comprehensive assessment battery. Patients with palmoplantar psoriasis (n = 124, 39%) were compared with patients without palmoplantar involvement with respect to functional disability, psychiatric symptoms, physical and social discomfort, self-reported psoriasis severity, and health-related quality of life.

Results: Patients with palmoplantar involvement reported significantly greater physical disability and physical discomfort than patients without palmoplantar involvement (both P <.01). There were no differences between the 2 groups with respect to psychosocial outcomes.

Conclusion: Patients with palmoplantar psoriasis are affected to a greater degree by the physical aspects of the disease than patients without palmoplantar involvement.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Data Collection
  • Disability Evaluation
  • Female
  • Foot Dermatoses / physiopathology
  • Foot Dermatoses / psychology*
  • Hand Dermatoses / physiopathology
  • Hand Dermatoses / psychology*
  • Humans
  • Male
  • Middle Aged
  • Psoriasis / physiopathology
  • Psoriasis / psychology*
  • Quality of Life*
  • Severity of Illness Index