Management of palmoplantar pustulosis: do we need to change?

  title={Management of palmoplantar pustulosis: do we need to change?},
  author={Ulrich Mrowietz and Peter Cornelius Maria van de Kerkhof},
  journal={The British journal of dermatology},
  volume={164 5},
Palmoplantar pustulosis (PPP) is difficult to treat. There is little hard evidence for the efficacy of any treatment and no published guidelines for its management. A number of exacerbating factors are well documented and there is some evidence for the importance of others. Smoking is the most recognized environmental trigger and recent research has concentrated on the role of eccrine sweat glands in this regard. Other factors, including tonsillar streptococcal infection and gluten sensitivity… CONTINUE READING

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