Hi Newshaz, sorry to read your new thread. I have posted previously, but I developed palmo planter psoriasis in September 2011, just a year after I started taking Humira. The humira was prescribed for psoriatic arthritis and was absolutely wonderful, the small bits of psoriasis I'd had on knees/elbows disappeared, but best of all, so did the exhaustion and aching and generally feeling ill, that goes along with active psoriatic arthritis. I was taken off humira in October, told to take one dose in November, but if my skin flared, to stop. It flared, I stopped. My GP prescribed various topical steroids and emollients, my hands and feet just got worse and worse. Due to cuts in our area, dermatology is down from 3 dermatologist, and 3 puva nurses, to one of each, hence long waiting lists. My GP referred me to the district nurses, who treated my hands/feet/legs for a good few weeks, after which I took over. They used a steroid cream, followed by hydromol cream, followed by hydromol ointment, and bandaged the lots up. It helped reduced the pain/splitting and infection risk.
In some desperation, I saw a dermatologist privately in February 2012, he is a specialist at Royal Salford, our local centre of excellence for rheumatology/dermatology. He confirmed my rheumatologist was right, I had developed this as a "rare but well documented" side effect of humira. He gave me stronger topical steroids (dermovate) and recommended Hydromol emollients. He suggested that entenercept/embrel be prescribed for the arthritis, and it may clear the skin. Alternatively, he said cyclosporin for the skin, but it wouldn't help the arthritis.
I saw our local dermatologist in March (urgent appointment, query skin cancer which meant I was seen in 7 days) She removed the growth on my leg, confirmed it wasn't cancer and best of all, began to treat the skin. Her advice was to buy several cheap pairs of white cotton gloves and socks. I used Dermol hand and bath wash and no soaps or scented stuff on my skin. At night, she said put on a layer of hydromol, leave it 10 minutes to absorb, then add a layer of dermovate, let it absorb, then a layer of hydromol ointment, which is very greasy but I found to be brilliant. Finally, on the hands and feet to cling film them, before putting on the cotton gloves and socks. With regard to dermovate/other steroid creams, she advised me to use the steroid for two weeks, and the third week begin a process of reduction, to avoid a flare if you stop suddenly. So, alternate days for one week, then two or three times a week, and as it clears, begin to use the non steroidal dovonex instead.
I started puva treatment in May and that did get rid of the problem on my hands, and greatly reduced the problem on my feet. I no longer have to cling film, or sleep in gloves, but I do usually wear cotton socks over emollients, with dovonex a couple of times a week otherwise the skin on my feet begins to thicken again.
I have now been on entenercept for 6 weeks, and the spots of psoriasis that had appeared on my legs are disappearing, my hands are clear and my feet looking better. I was told I'd need to keep up the moisturising regime for life, to try and avoid recurrence of the severe problem I had earlier.
Sorry for the length of this - hope the information may be of some use. Incidentally, before going on Humira, I was on the max dose of mtx which I think is 25 mg. It never got rid of the patches of psoriasis I had but it did help with the arthritis. I joined this site in Feb this year, and found other people's advice on steroids/emollients/self care of psoriasis really helpful. It's also great to know you aren't on your own with this life changing condition.