I have Palmoplantar Pustular Psoriasis

I have had Palmoplantar Pustular Psoriasis since I was 28 years old.

"Palmoplantar pustulosis (PPP) is a rare, chronic, recurrent inflammatory disease that affects the palms and/or the soles with sterile, erupting pustules, which are debilitating and usually resistant to treatment. It has genetic, histopathologic and clinical features that are not present in psoriasis; thus, it can be classified as a variant of psoriasis or as a separate entity. Smoking and upper respiratory infections have been suggested as main triggers of PPP. PPP is a challenging disease to manage, and the treatment approach involves both topical and systemic therapies, as well as phototherapy and targeted molecules. No gold standard therapy has yet been identified, and none of the treatments are curative."

Diagnosis, Screening and Treatment of Patients with Palmoplantar Pustulosis (PPP): A Review of Current Practices and Recommendations - PMC

It came on 7 years after the hysterectomy I had at 21 years old, due to horrible childhood abuse and endometriosis. It was also at 28 years old that I was started on estradiol because I had started menopause.

I had it on both feet(I have never had it on my hands) until I managed to juice fast for 3 months. It disappeared from both feet during the fast, and it took 5 years to come back. When it did come back, it was only on one foot. I have not yet found the willpower to complete another 3-month juice fast.

One year ago, I started to develop the arthritis that goes with this in the foot, not affected by psoriasis, and both hands.

https://www.nopsor-usa.com/blogs/types-of-psoriasis/palmoplantar-psoriasis-and-psoriatic-arthritis-when-skin-and-joints-collide

I inherited this from my great-grandmother, but it took years to figure this out. They diagnosed my great-grandmother with rheumatoid arthritis. Her hands and, I suppose, her feet were very were very twisted up.She was in a great deal of pain very often,but she kept this hidden from most of us. It wasn't unilt my mother mentioned that she had blisters and psoriasis on her feet that I knew where I got it from. My great-grandmother never let anyone see her feet, and I should have guessed this was why, but I didn't. My son also has this. It isn't highly genetic. I mean, only a few of us have gotten this in my family line, but it is genetic.

Anyway, although this never goes away now, I do have times when it is worse and when it is better, like all other autoimmune disorders. It is kind of like my window into how my body is really doing. I always get flares after eating processed foods, sugar, or having prolonged emotional stress. So that is my clue to do better with my diet and try to manage my stress. It isn't always easy to do this, but my foot lets me know I should. 🙂