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

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 bind 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.