Chronic palmar pustules with erosions, crusting, and erythema in a patient with a smoking history strongly suggest primary palmoplantar pustulosis (PPP). Clinicians should know the lesions are painful and can affect patients’ quality of life by restricting the use of their hands and feet. The evidence behind major PPP therapies continues to be a sore subject, but smoking cessation would be a good step in the right direction.
Comment
Chronic palmar pustules with erosions, crusting, and erythema in a patient with a smoking history strongly suggest primary palmoplantar pustulosis (PPP). Clinicians should know the lesions are painful and can affect patients’ quality of life by restricting the use of their hands and feet. The evidence behind major PPP therapies continues to be a sore subject, but smoking cessation would be a good step in the right direction.