Palmoplantar pustulosis (PPP) is a chronic, relapsing, pustular eruption af
fecting the palms and soles for which treatment is often difficult and frus
trating. Short-term colchicine has been used to treat PPP with variable res
ponse. We report on the successful treatment of 3 patients with severe, the
rapy-resistant, chronic PPP. We observed significant reduction in the frequ
ency of pustular eruptions and the number of pustules with maximum tolerabl
e doses of colchicine treatment for up to 12 months.