Palmoplantar Psoriasis Successfully Treated with Raw Natural Honey: A Case Report

Abstract

Palmoplantar psoriasis is a disabling condition linked to significant reduction in quality-of-life. It is manifested by the development
of hyperkeratosis and/or recurrent batches of sterile pustules with associated erythema, scaling, and fissuring with symmetrical
distribution on the palm and soles. Many modalities of treatment exist including systemic therapies such as psoralen-UVA
(PUVA), retinoids, corticosteroids cyclosporine and methotrexate. Many of these systemic agents have un wanted and severe side
effects besides their high cost. Furthermore, new agents such as TNF-alfa blockers have been reported to cause paradoxical induction
of pustular psoriasis following their use or withdrawal. As a result safe, topical and effective alternatives are highly needed in
treating this chronic condition. We describe the clinical characteristics and evolution of a 68-years-old female with palmoplantar
psoriasis who was treated successfully with topical raw honey. This report provides preliminary evidence to support the use of
topical raw honey under occlusive dressing in the management of palmoplantar psoriasis.