Frequently Asked Questions: Palmoplantar Pustulosis

• What causes Palmoplantar Pustulosis?
  PPP is an autoimmune disorder which causes the immune system to attack healthy cells, resulting in visible blisters, cracks and a severe itch in the healthy skin on the hands and feet. Well known PPP triggers are: Stress, antibiotics, sugar, gluten, candida and nutritional deficiency.
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• How is Palmoplantar Pustulosis treated?
  The conventional treatment of PPP is to use topical steroids, phototherapy or PUVA or a biologic therapy. The natural treatment is to remove all the factors that trigger your PPP outbreaks and at the same time strengthen the immune system through diet. There are various diets to follow to achieve the best result.
  
  
• Is Palmoplantar Pustulosis a form of psoriasis?
  The scientists are not sure if they can categorize PPP under the psoriasis family as the diseases don't have the same genetic setup. But 24% of PPP patients do have psoriasis on other body parts. Both are autoimmune diseases attacking the skin.
  
  
• Is Palmoplantar Pustulosis contagious?
  No it's not! The liquid in the blisters are sterile.
  
  
• How do you treat Palmoplantar Pustulosis naturally?
  I have written about how to combat PPP naturally in several of my blog posts as well as in-depth in my book. I encourage you to check them out to find out more.
  
  
• Is Palmoplantar Pustulosis rare?
  Yes it's rare. In a study from 2019 they pulled out data from the healthcare registries and insurance databases in the US, Denmark and Germany and got an estimate during a 1-year prevalence of 0.009%, 0.005% and 0.08% in each country. 
  USA - 0.009% = 900 people per 100 000 population
  Denmark - 0.005% = 500 people per 100 000 population
  Germany -0.08% = 8000 people per  100 000 population
  According to a Japanese study,  Japan had a confirmed prevalence of 0.0012% PPP sufferers in the whole country during 2010-11. They found out that 148 887 people in Japan had PPP during that period out of a population of 128 million. The study is really good as 95% of the whole population is included in it. In Japan they register every disease of a patient using a specific code. 
  ​Japan - 0,0012 = 120 people / 100 000 population
  
  
• Can Palmoplantar psoriasis be cured?
  No PPP can't be cured, but with a few diet and lifestyle changes you will most likely end up in remission. Find out more by reading the success stories on this website.
  
  
• What triggers pustular psoriasis?
  Stress, antibiotics, infections such as tonsillitis and dental infections, sugar, gluten, candida and nutritional deficiency.
  
  
• Is palmoplantar psoriasis a disability
  Yes for many people with severe PPP it is a disability. It makes it difficult to use the hands and walk due to the pain.
  
  
• Can you pop pustular psoriasis?
  You can if you are being very careful. If you burst the blisters in the same way a doctor would do it with "normal" blisters, basically use a clean sharp needle. Many PPP sufferers find relief bursting the blisters as the skin around the outbreak won't be as tight and the itch will be reduced. But be very careful if you plan to do this so you don't get an infection. I personally would advise not to do it.
  
  
• What does pustular psoriasis look like?
  Please visit my photo page to find out how various PPP outbreaks can look like.
  
  
• What foods trigger Palmoplantar Pustulosis flare ups?
  
  
• Alcohol 
• Junk food
• Processed food 
• Dairy products 
• Nightshade plants
• Gluten
• Sugar (such as fizzy drinks, sweets, cakes, biscuits, processed foods)
• Grains

If you want to learn more about what causes PPP, the symptoms, the triggers, the treatments and how to heal naturally,  do consider reading my  book How To Treat Palmoplantar Pustulosis Naturally, you will find it very helpful.

​Åsa Kärrman
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If you want to heal your palmoplantar Pustulosis naturally, Do get a copy of my book where I teach in detail how to succeed and how to end up in remission long term.

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