Chronic palm involvement in Psoriasis can be particularly stubborn, and what you’re describing (repeated flare–remission cycles) is very common.
There isn’t a “permanent cure” yet, but we do have long-term control options that can significantly improve quality of life. If topical steroids and ointments are no longer effective, the next step is to escalate treatment
Next Steps
The key is individualized treatment escalation—he shouldn’t lose hope, because newer therapies can control even long-standing disease very well.
Kindly book an appointment for the same.