case_images: PMC3912797_01
case_images: Chronic plaque psoriasis over left palm and right sole that has evolved from palmoplantar pustulosis (a) note plantar pustulosis lesions (b) similar lesions were present over other palm/sole
case_images: IJPharm-46-123-g001.jpg
case_images: PMC3912797_01_IJPharm-46-123-g001.jpg
case_images: F1
case_images: However, his skin lesions progressed relentlessly eventuating into palmoplantar psoriasis with pustulosis [Figure 1].
case_images: Histopathology of a plantar lesion showing hyperkeratosis, parakeratosis, acanthosis, papillomatosis and neutrophils in dermal papillae (inset) (H and E, x10, Inset, x40)
case_images: IJPharm-46-123-g002.jpg
case_images: PMC3912797_01_IJPharm-46-123-g002.jpg
case_images: F2
case_images: A skin biopsy from a pustular lesion showed hyperkeratosis, parakeratosis, acanthosis, papillomatosis and papillary neutrophilic collection suggestive of psoriasis having pustular differentiation [Figure 2].