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Review
. 2021 Oct;38(4):541-552.
doi: 10.1016/j.cpm.2021.06.009.

Plantar Psoriasis: A Review of the Literature

Michael Romani  1 , Garrett Biela  1 , Kalen Farr  1 , Ryan Lazar  1 , Marcus Duval  1 , Victoria Trovillion  1 , Tracey C Vlahovic  2
Affiliations
Review

Plantar Psoriasis: A Review of the Literature

Michael Romani et al. Clin Podiatr Med Surg. 2021 Oct.

Abstract

Plantar psoriasis negatively affects the quality of life for patients due to its weight-bearing location. Most therapeutic studies for psoriasis focus on total body surface changes and rarely report specific effects of the plantar and palmar areas. This review focuses on therapeutic options for plantar psoriasis ranging from topical therapy to phototherapy to biological therapy. Treatment should be approached as a stepwise gradient beginning with topicals and progressing to systemics. As always, review of the patient's severity of condition, health status, and impact on quality of life is needed to individualize therapy for the best patient care.

Keywords: Apremilast; Biologic therapy; Combination therapy; Palmoplantar psoriasis; Palmoplantar pustulosis; Phototherapy; Plantar psoriasis.

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