Temple University School of Podiatric Medicine, 148 North 8th Street, Philadelphia, PA 19107, USA.
Temple University School of Podiatric Medicine, 148 North 8th Street, Philadelphia, PA 19107, USA.
Clin Podiatr Med Surg. 2021 Oct;38(4):541-552. doi: 10.1016/j.cpm.2021.06.009.
Plantar psoriasis negatively affects the quality of life for patients due to its weight-bearing location. Most therapeutic studies for psoriasis focus on total body surface changes and rarely report specific effects of the plantar and palmar areas. This review focuses on therapeutic options for plantar psoriasis ranging from topical therapy to phototherapy to biological therapy. Treatment should be approached as a stepwise gradient beginning with topicals and progressing to systemics. As always, review of the patient's severity of condition, health status, and impact on quality of life is needed to individualize therapy for the best patient care.
足底银屑病由于其承重位置而对患者的生活质量产生负面影响。大多数银屑病的治疗研究都集中在全身表面的变化上，很少报告足底和手掌区域的具体影响。本综述重点介绍了从局部治疗到光疗到生物治疗的足底银屑病的治疗选择。治疗应采用逐步递进的方法，从局部治疗开始，逐渐进展为全身治疗。与往常一样，需要评估患者的病情严重程度、健康状况和对生活质量的影响，以针对最佳患者护理进行个体化治疗。
