Pop Quiz #167
The correct answer is D. Acitretin.
The image displays palmoplantar pustulosis (PPP) which represents chronic sterile pustules over the palms and soles. Many patients who develop PPP have no pre-existing psoriasis. TNF-a inhibitors have been implicated in the development of palmoplantar pustulosis. Acitretin, among other treatments, is a first line option.
This image could also represent …