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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Is hand peeling a form of psoriasis? Are scalely dark patches on my heels and around the bottoms of my toes psoriasis?

A MyPsoriasisTeam Member asked a question 💭
Perry, OK

I was diagnosed with psoriatic arthritis. My hands have a callous like patch in my palms and they randomly peel as well as my fingers. As for my feet, they look like they are dirty but they are not and they itch sometimes. The bottoms of my feet peel as well. Just trying to figure out what to use on them.

June 7
 · 
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A MyPsoriasisTeam Member

I’m really sorry you’re dealing with that. It sounds quite uncomfortable.
Sometimes it’s easier to share details and experiences in real time. If you’re okay with it, we could continue talking on WhatsApp or Telegram—it might be more convenient for you

June 8
MyPsoriasisTeam

What you're describing on your hands and feet does sound like it could be palmoplantar psoriasis — a form of plaque psoriasis that affects the palms and soles. Since you already have psoriatic arthritis, it's very common to also experience skin symptoms like these.

On the hands, this can show up as
- Thick, callous-like Show Full Answer

What you're describing on your hands and feet does sound like it could be palmoplantar psoriasis — a form of plaque psoriasis that affects the palms and soles. Since you already have psoriatic arthritis, it's very common to also experience skin symptoms like these.

On the hands, this can show up as:
- Thick, callous-like patches on the palms
- Peeling or flaking skin on the fingers and palms
- Dry, itchy, or cracked skin

On the feet, symptoms can include:
- Scaly, discolored patches on the heels and soles
- Skin that looks darkened or "dirty" but isn't
- Peeling and itching on the bottoms of the feet That said, it's really important to see a dermatologist to confirm the diagnosis, since some of these symptoms can look similar to a fungal infection. A dermatologist can examine the skin, take a small scraping if needed, and confirm what's going on.

Once confirmed, treatment options your dermatologist might discuss include:
- Topical corticosteroids to reduce inflammation
- Moisturizing creams or ointments to help with dryness and peeling
- Medicated creams specifically for palmoplantar psoriasis
- Avoiding known triggers like stress, certain medications, or skin injuries

One MyPsoriasisTeam member described their hand psoriasis as feeling like they'd "been stung by 1,000 bees" — so know that what you're experiencing is very real and others understand it deeply. Getting the right diagnosis is the first step to finding relief. 💛

June 7

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