Before I got my PPP diagnosis I had been to over 9 doctor appointments where one of them was a trip to the ER where I was diagnosed with having scabies. Another doctor persisted it was my shoes causing the blisters, and ignoring me when I said it doesn't explain the blisters on my hand?
My onset of PPP started after I had taken a course of antibiotics due to a gum infection around my wisdom tooth. It took several months before developing in to a full on PPP outbreak. It started of with approx 10-15 red pin sized red dots on the sole of my right foot. In the first couple of months it stayed like that, just a few red dots. Gradually my foot started to become itchy as well but there were no blisters. I had no symptoms on my hand as far as I was aware of. My foot actually didn't bother me too much even though I was a bit concerned.
One morning a few months after first noticing the red pin sized dots I woke up with an outbreak of skin bumps and blisters all over my inner thighs, bum, genital area and my foot and hand. It was so soar and itchy at the same time. I made it to the ER where they first thought it was herpes but quickly changed their mind and decided it was the foot and mouth disease, to go on and change their mind again (after a quick google on the Internet) and confirmed it was scabies.
In hindsight I can understand the difficulty they had to diagnose it was PPP as Palmoplantar Pustulosis is only localised to the hand and foot, but it was definitely wrong of the doctor to confirm it was scabies without even seeing any evidence of scabies under my skin. The weeks following my ER visit was horrendous and depressing. The whole family was wrongly treated for scabies but mine wouldn't go away for obvious reasons.
In palmoplantar pustulosis, the pustules only occur on the hands and feet. The skin under and around the pustules is red. The blisters tend to occur in cycles over a period of days or weeks. The reason why this chronic skin condition is so difficult to diagnose is simply down to the disease is so unusual and a lot of doctors have not heard of PPP nor met a patient with PPP before and therefore gets another diagnosis such an allergy or another skin condition. If you suspect you have PPP please book an appointment with your dermatologist to get it confirmed. They will do a laboratory test to make sure there are no bacterial infection. PPP blisters are sterile and not contagious.
Here's 5 symptoms of Palmoplantar Pustulosis.
1. Before the blisters become actually blisters on the sole of your foot they start of as red pin sized dots. Once the PPP outbreak has been established they turn in to tiny liquid filled blisters. The area normally spread and becomes larger and larger.
2. On the hand the outbreaks normally starts off with an area of dry skin. If you look closely you can see tiny transparent blisters forming under the skin on the palm of your hand.
3. Both the hand and feet becomes very itchy and red.
4. The above symptoms often occur after a course of antibiotics or other medical intervention or a trauma to the skin.
5. The blisters usually fill with a small amount of pus when they mature and turn brown, then scaly. The scaling may be so prominent that only redness, blood and scaling is seen.
Do consider reading my book where I write more on the subject.
Please share with me how you were first diagnosed and how you noticed your first symptoms, I would love to hear from you.
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1 . Why is it so difficult to diagnose Palmoplantar Pustulosis?