Palmar plantar pustulosis

　　Palmar plantar pustulosis is mainly caused by spleen deficiency leading to dampness, or internal accumulation of damp-heat, or external invasion of damp-heat pathogenic factors, which lead to the pathogenic factors escaping along the meridians and accumulating on the palms and soles, resulting in the onset of the disease. Some individuals with metal allergy may also develop this condition. Palmar plantar pustulosis is an immune system disease, and the cause of the disease is not yet clear. Palmar plantar pustulosis mainly occurs on the palms and soles, with bilateral and symmetrical distribution being its characteristic feature. Some patients may have bone and joint lesions or thyroid diseases. The onset of continuous extremity dermatitis is often preceded by a history of local minor trauma, with initial skin lesions mostly occurring at the ends of the fingers and toes and around the nails, gradually spreading towards the proximal part, often presenting as unilateral or asymmetrical distribution, which over time can lead to nail destruction and osteolysis of the fingers, with many patients also suffering from mucosal damage. Palmar plantar pustulosis is a bullous skin disease and is also a branch of psoriasis.

　　Complications of palmoplantar pustulosis, the first:Poor regulation of body temperature - Patients with palmoplantar pustulosis erythroderma may have abnormal ability to control body temperature.

　　Complications of palmoplantar pustulosis, the second: Generalized palmoplantar pustulosis - A combination of erythroderma and pustular palmoplantar pustulosis. This condition may develop suddenly. Patients with palmoplantar pustulosis may experience fever, chills, muscle weakness, and weight loss. Sometimes, there may be excessive fluid accumulation, electrolyte disorders, protein loss, in which case, the patient may require hospitalization until fluid balance, chemical balance, and normal body temperature are achieved. Zumbusch palmoplantar pustulosis is particularly dangerous in the elderly.

　　Complications of palmoplantar pustulosis, the third:Heart problems, obesity, and diabetes – People with palmoplantar pustulosis have a high proportion of developing heart problems, diabetes, and/or obesity. Experts do not know whether there is a genetic link between these conditions and palmoplantar pustulosis. For moderate to severe palmoplantar pustulosis, it is best for individuals to test these conditions.

　　Complications of palmoplantar pustulosis, the fourth:Cancer - Patients with severe palmoplantar pustulosis who receive systemic medication (those who react all over the body) have a higher risk of developing skin cancer and lymphoma.

　　Warm tips: Patients with palmoplantar pustulosis should pay attention to skin care in daily life, try to avoid excessive contact with cleaning agents containing chemicals, especially laundry detergents with high alkaline content. Patients should take good care of their skin and ensure that it remains dry and clean. Most importantly, patients should seek treatment at a regular hospital in a timely manner, which can help them get rid of the disease as soon as possible.

　　The initial manifestations of palmoplantar pustulosis often limit to one area, with thickening of the skin cornified layer,呈暗红色, covered with dandruff-like scales, without any自觉 symptoms. Subsequently, the skin lesions gradually expand, with marked local congestion, often in batches with an unequal number of pustules ranging from needle-point to needle-head size, deeply embedded in the skin, accompanied by moderate or severe itching. The pustules gradually enlarge, with some central yellow spots appearing. These yellow spots rapidly spread outward to form pustules, at which point the itching subsides, and within 5 to 7 days the pustules and blisters absorb, the epidermis thickens, becomes hard and loses elasticity, presenting as scaling plaques, with free edges around and adhesion at the center, cracks occurring at the edges and center, causing local pain and exacerbation of activity. The epidermis peels off, revealing red, thin epidermis below, and in severe cases, a spotted erosive surface with profuse exudation. Subsequently, there may be recurrent blisters and pustules below the epidermis, with varying durations of remission. Palmoplantar pustulosis, in addition to commonly occurring on the palms and soles, can also cause skin eruptions on the dorsal surface of the feet, lower legs, knees, backs of hands, elbows, and even systemic disseminated eruptions in extremely rare cases. Various external stimuli, increased sweating in summer, premenstrual syndrome, and autonomous nervous system dysfunction can all trigger outbreaks and worsen symptoms. External treatment is ineffective, while internal treatment is effective, and it is unrelated to metals.

　　1, Medication during the acute phase should be mild, and irritant drugs should be avoided.

　　2, Diet should be light, and temperance should be avoided and excessive fatigue.

　　3, Actively eradicate infection foci.

　　4, Clearing allergens.

　　Laboratory examination of pus culture is negative, cell smear of vesicle fluid in the vesicle stage is mainly mononuclear cells, and in the pustule stage is mainly neutrophils. Histopathology: solitary pustules within the epidermis, with a large number of polymorphonuclear neutrophils in the cavity, the surrounding epidermis is spongy, neutrophils can be seen in dense aggregates in the stratum corneum, and mononuclear cells and neutrophils infiltrate around the superficial dermal blood vessels.

　　It is advisable to avoid smoking, drinking, fish and shrimp, seafood, mutton, chili and other spicy and spicy warm foods, and to consume sufficient amounts of food such as chicken, duck, pork, eggs, river fish, milk, vegetables, and fruits to ensure adequate nutrition. The taboo should be determined according to individual differences; one-sided taboos will cause the body to lose a large amount of nutrition, which is not conducive to the recovery of the disease. If the skin lesions worsen after consuming a certain food, it should be controlled, or consult a doctor at the hospital.

　　Use 30g of coptis, 30g of phellodendron, 30g of dandelion, 30g of dictamnus, 30g of through bone grass, 30g of bone grass, 20g of black tea, 15g of black plum, 10g of realgar. Boil the above medicine with an appropriate amount of water for about 30 minutes, pour out the decoction and add water to boil for another 30 minutes, mix the two decoctions, soak and wash for 30 minutes each time in the morning and evening, and warm the decoction before soaking.