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Psoriasis is a chronic skin condition that can affect various parts of the body. If it affects the soles of feet, then it is called plantar psoriasis. Causes: Though the exact cause of the disease is not known, a major role is attributed to the Immune system. The risk factors that can trigger the infection are family history, the presence of human leukocyte antigen-Cw6 (HLA-Cw6), also a variation of a gene, smoking, skin friction, skin trauma such as infections and cuts on your palms or soles and suffering from other skin conditions like dermatitis etc. Common symptoms are silvery scales, dry and cracked skin, bleeding, an itchy, burning sensation, soreness, thickened, ridged nails, depressions, or pits in the nails.  

Prognosis: The prognosis for patients with palmoplantar psoriasis is guarded. The treatments often take a long time to work, have adverse effects and are costly. The quality of life of most patients is poor. Most patients need combination therapy for many months before they see a response. In addition, patients also have other comorbidities that affect prognosis.