Palmoplantar Psoriasis: a review of topical therapies

Phototherapy comes as a possible alternative with treatments such as narrow band ultraviolet-B (nb-UVB), psoralen ultraviolet A (PUVA), and excimer laser therapy. Despite the many recorded clinical successes, the long treatment period and risk of UV exposure associated with phototherapy has not made it a preferable treatment. It has been used as monotherapy and with adjunctive systemic treatments, such as acitretin, to reduce adverse effects Topical methotrexate gels and coal tar therapy, previously utilized for other subtypes of psoriasis, have had promising results Topical treatments, moreover, have shown synergic effects when used in combination with other therapies. Tazarotene cream and corticosteroids, for example, show better efficacy when combined with the application of emollients