Is palmoplantar pustulosis simply a variant of psoriasis or a distinct entity?

Abstract

We read with interest the comment of Brunasso and Massone to our review article.¹ We agree that palmoplantar pustulosis (PPP) shares many features with palmoplantar pustular psoriasis (PPPP), and about 1/3 patients with PPP present with psoriasis lesions (skin, nail or joint changes). The close relationship and coexistence of PPP and psoriasis was confirmed in many studies. ^3-5

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