(April, 1999)

Foot P
from Mandy

Hi Ed. You are very popular. I was with a new friend today and I asked how come she walked like she was in pain. She took off her socks, and I have never seen anything like it. She said she has Pustular Psoriasis one her feet. I told her I would go on the Internet and see if I could find more information about the disease. I haven't been able to find anyone that has it on their feet. I was hoping to find some kind of treatment that would at least help with her pain.

She gave up on Doctors. If you know of any web sites that give information on this kind of Psoriasis, please send me the link. Thank you. -Mandy

*****

Ed's Response: Dear Mandy. Foot psoriasis is pretty common. I have it myself. I recommend you log onto the National Psoriasis Foundation home page and follow a "Contact Us" link until you get to an e-mail link, then write for information about foot psoriasis. They'll send you (or your friend) what they have free of charge.

Meanwhile, your friend's pain could come from several sources. Pustular psoriasis may not be the primary source of the pain. She may be building lesions beneath callouses. That's what I do. A podiatrist can help. Or, she may be experiencing some psoriatic arthritis. The podiatrist might recommend she see a rheumatologist. Back to the derm's area: Occlusion works well for my feet psoriasis. I use a moderate-to-high potency corticosteroid (Diprolene or Temovate), glomb it on at night, then put SMALL garbage bags on my feet and tape them tightly around my ankles. (When the foot P gets really bad, I've also worn this occlusive wrapping under my socks during the day!) Three or four consecutive days of this occlusion, for at least 8 hours a day, usually quiets my feet lesions.

I wish your friend the best of luck! -Ed

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