International Psoriasis Council

Advancing Knowledge. Improving Care.

PPPGA: Palmoplantar Psoriasis Global Assessment

The Palmoplantar Psoriasis Global Assessment (PPPGA) is a physician-administered tool used to assess the severity of palmoplantar psoriasis, primarily affecting the hands and feet. This evaluation is essential in determining treatment approaches and monitoring the disease’s impact on a patient’s quality of life.

The PPPGA rates psoriasis severity on a scale from 0 to 4 based on erythema (redness), scaling, and the presence of pustules and fissures:

  • 0 = Clear: No signs of plaque psoriasis on hands and/or feet.
  • 1 = Almost Clear: Just perceptible erythema and scaling on the hands and/or feet.
  • 2 = Mild: Light-pink erythema with minimal scaling, with or without pustules.
  • 3 = Moderate: Dull-red erythema with diffuse scaling and skin thickening, with or without fissures and pustules.
  • 4 = Severe: Deep or dark-red erythema with pronounced scaling, thickening, and numerous fissures, with or without pustules.

What's New

First-Line Biologics in Psoriasis: Evidence from the BADBIR Cohort Study

In this IPC commentary, Matias Maskin examines evidence from the BADBIR registry demonstrating that first-line biologic therapy in moderate to severe psoriasis leads to faster skin clearance, improved quality of life, and a lower risk of comorbidities. The analysis challenges traditional step-up approaches and supports earlier, patient-centered treatment strategies.

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Recent Advances in Psoriasis: A Year in Review

In this Take Ten with IPC video, Dr. Leandro Leite discusses the most recent advances in psoriasis over the last year (March 2025 – March 2026). Topics include new guidelines, research, and recent studies.

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Monday, April 6, 2026