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Background: Psoriasis is a common and chronic T cell mediated skin disorder with varied clinico-morphological types. Most of the published studies have reported chronic plaque type psoriasis to be the commonest type. Aim: To find the incidence of palmoplantar psoriasis in a tertiary health care centre in South India. Materials and Methods: A prospective study done over a period of six months recruiting the patients attending the Dermatology out-patient department in a tertiary health care centre. Results: Incidence of palmoplantar psoriasis was found to be highest among all morphological forms of psoriasis. Conclusion: Incidence of palmoplantar psoriasis is underexpressed. It is actually ahead in the race.