To assess whether adding fractional laser to topical corticosteroid improves treatment outcomes in palmoplanter psoriasis compared to topical corticosteroid alone.
Adults aged ≥18 years
Stable psoriasis
Confirmed cases of palmoplantar psoriasis (with or without psoriasis elsewhere) dermoscopically(Hand _held dermoscopy) and histopathologically if required.
Willingness to comply with treatment and follow-up
Other palmoplantar dermatoses (eczema, tinea, keratoderma)
Generlized Pustular psoriasis
Erythrodermic psoriasis
Systemic antipsoriatic therapy within 3 months