Papulosquamous Diseases

Abstract

Numerous systemic effects, such as hyperlipidemia, cardiovascular disease, diabetes mellitus, depression, inflammatory bowel disease, nonalcoholic fatty liver disease, and metabolic syndrome may accompany it. Stress, humid and cold weather, trauma, smoking, obesity, HIV infection, beta-blockers, lithium, antimalarials, antidepressants, antivirals, and nonsteroidal anti-inflammatory medications are among the potential triggers. Streptococcal pharyngitis is known to initiate guttate psoriasis, especially in pediatric patients. Palmoplantar psoriasis can be encountered alone or in combination with other forms. Lesions are well-defined, hard, and thick scaly plaques, especially in the plantar region, which are sometimes accompanied by thick fissures. Topical treatments are typically sufficient in mild to moderate cases. Corticosteroids are anti-inflammatory, antiproliferative, and immunosuppressive. Systemic treatments are preferred in moderate to severe cases and those resistant to topical therapy or phototherapy. Clues regarding the underlying primary disease must be reviewed in order to offer better treatment and prevent recurrence with necessary precautions. © 2022 Taylor & Francis Group, LLC.