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Understanding Psoriasis on Palms: Causes and Treatment Options

Psoriasis symptoms on hands

Psoriasis on the palms can be a challenging and uncomfortable condition. It affects not only the skin but also your daily activities, making it difficult to perform tasks that involve the use of your hands. Understanding the causes, symptoms, and treatment options for psoriasis on the palms is crucial in managing this condition effectively.

Psoriasis is a chronic autoimmune disorder that causes the skin cells to multiply rapidly, resulting in the development of red, scaly patches on the skin. When this condition affects the palms, it can cause thickening of the skin, blistering, cracking, and even pain.

The exact cause of psoriasis on the palms is unknown, but it is believed to be triggered by genetic and environmental factors. Stress, infections, injuries, and certain medications can also exacerbate the symptoms.

Fortunately, there are various treatment options available to alleviate the symptoms and manage psoriasis on the palms. Topical creams, phototherapy, and oral medications are commonly prescribed by healthcare professionals to reduce inflammation and control the excessive growth of skin cells.

In this article, we will explore the causes, symptoms, and treatment options for psoriasis on the palms, providing you with a comprehensive understanding of this condition and how to effectively manage it.

What is psoriasis on palms

Psoriasis on the palms, also known as palmar psoriasis, is a specific form of psoriasis that affects the palms of the hands. Psoriasis is a chronic autoimmune condition that causes the immune system to mistakenly attack healthy skin cells, resulting in the rapid growth of skin cells. This excessive growth leads to the formation of red, scaly patches on the skin.

When psoriasis affects the palms, it can be particularly challenging due to the constant use and friction experienced by the hands. The palms are constantly in contact with various surfaces and substances, making it difficult for the skin to heal and causing further irritation and discomfort.

Psoriasis on the palms can vary in severity, with some individuals experiencing mild symptoms such as dryness and slight redness, while others may have more severe symptoms including thickening of the skin, blistering, and painful cracks. The symptoms can also fluctuate, with periods of flare-ups followed by periods of remission.

Causes of psoriasis on palms

The exact cause of psoriasis on the palms remains unknown, but researchers believe that a combination of genetic and environmental factors play a role in its development. 

Genetic predisposition is a significant factor in developing psoriasis on the palms. If you have a family history of psoriasis, you are at a higher risk of developing the condition yourself. However, having the genetic predisposition does not necessarily mean you will develop psoriasis, as environmental triggers also play a role.

Environmental factors that can trigger or exacerbate psoriasis on the palms include stress, infections, injuries, and certain medications. Stress is known to have a negative impact on the immune system, potentially triggering or worsening psoriasis symptoms. Infections, particularly streptococcal infections, have been linked to psoriasis flare-ups. Injuries to the skin, such as cuts or sunburns, can also trigger psoriasis on the palms. 

Symptoms of psoriasis on palms

One of the primary symptoms of psoriasis on the palms is the appearance of red patches on the skin. These patches are typically well-defined and can be accompanied by scaling or flaking. The skin may also become thick and hardened, leading to a rough and uneven texture.

In some cases, psoriasis on the palms can cause blistering. These blisters are filled with clear or yellowish fluid and can be painful. The blisters may burst, leading to the formation of painful cracks or fissures in the skin. These cracks can be deep and may bleed or become infected.

The symptoms of psoriasis on the palms can significantly impact daily activities that involve the use of hands. Simple tasks such as gripping objects or shaking hands with others can be painful and uncomfortable. The skin may also become dry and prone to cracking, making it difficult to perform tasks that require fine motor skills.

Diagnosing psoriasis on palms

If you suspect you have psoriasis on your palms, it is essential to seek medical evaluation for an accurate diagnosis. A dermatologist, a doctor specializing in skin conditions, will be able to assess your symptoms and make an informed diagnosis.

During the examination, the dermatologist will examine your palms and may ask about your medical history and any family history of psoriasis. They may also ask about any recent injuries, infections, or exposure to medications that could have triggered the symptoms.

Treatment options for psoriasis on palms

While there is no cure for psoriasis, several at-home remedies and skincare products can help manage symptoms and improve the overall health of the skin affected by psoriasis on the palms:

At-Home Remedies and Recommended Skin Care Products:
  • Moisturize Regularly: Keeping the skin well-hydrated can help reduce itching and scaling. Opt for fragrance-free moisturizers or emollients to avoid irritation.
  • Avoid Harsh Chemicals: Choose gentle, non-irritating soaps and cleansers to minimize skin irritation.
  • Topical Treatments: Over-the-counter creams or ointments containing ingredients such as salicylic acid, coal tar, or corticosteroids may help reduce inflammation and scaling.
  • Natural Remedies: Some individuals find relief from psoriasis symptoms by using natural remedies such as aloe vera, coconut oil, or oatmeal baths. However, it's essential to consult with a healthcare professional before trying any new treatment.
Physician Consultation and Medical Treatments:

For severe or persistent cases of psoriasis on the palms, seeking medical advice from a dermatologist is recommended. Medical treatments may include:

  • Prescription Topicals: Dermatologists may prescribe stronger corticosteroid creams, calcineurin inhibitors, or vitamin D analogs to help control psoriasis symptoms.
  • Phototherapy: Light therapy, also known as phototherapy, involves exposing the skin to ultraviolet (UV) light under medical supervision. This treatment can help slow the growth of skin cells and reduce inflammation.
  • Oral Medications: In some cases, oral medications such as methotrexate, cyclosporine, or biologics may be prescribed to manage severe psoriasis symptoms.
  • Injectable Treatments: Biologic medications administered via injection or infusion may be recommended for individuals with moderate to severe psoriasis who have not responded to other treatments.


SkinIntegra’s Rapid Crack Repair Cream is a novel repair moisturizer that was specifically formulated to help rapidly soothe and restore very dry, cracked skin conditions from psoriasis and eczema prone skin. It has been shown to be safe and effective in patients suffering from psoriasis symptoms on hands and feet. Its patented composition is the result of research into all the components of a healthy skin barrier. For that reason, it includes the essential moisturizing and lipid ingredients naturally found in a healthy skin barrier such as urea, lactic acid, hyaluronic acid for moisturizers and essential fatty acids, natural oils and ceramides for lipids. 

Rapid Crack Repair Cream  is free of common skin irritants which can cause a reaction and slow the natural healing process in diabetic skin such as fragrances, dyes, parabens and other harsh preservatives, petroleum-based ingredients, and phthalates.

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Psoriasis on the palms can be a challenging and uncomfortable condition, but with the right understanding and treatment, it can be effectively managed. By recognizing the causes, symptoms, and treatment options for psoriasis on the palms, individuals can take proactive steps to alleviate their symptoms and improve their quality of life. It is important to work closely with healthcare professionals to develop a personalized treatment plan that addresses individual needs and preferences. With proper care and management, individuals can regain control of their hands and engage in daily activities with greater comfort and confidence.