Psoriasis - Guttate
Guttate psoriasis is a skin condition in which small, red and scaly teardrop-shaped spots appear on the arms, legs and middle of the body. Guttate means "drop" in Latin.
Causes of Guttate Psoriasis
Guttate psoriasis is a type of psoriasis. It is usually seen in patients younger than 30. The condition often develops suddenly, usually after an infection, most notably strep throat. Guttate psoriasis is not contagious. This means it cannot spread to other people.
Psoriasis seems to be passed down through families. Doctors think it probably occurs when the body's immune system mistakes healthy cells for harmful substances.
In addition to strep throat, the following may trigger an attack of guttate psoriasis:
- Bacteria or viral infections, including upper respiratory infections
- Injury to the skin, including cuts, burns, and insect bites
- Some medicines, including those used to treat malaria and certain heart conditions
- Stress
- Sunburn
- Too much alcohol
Psoriasis may be severe in persons who have a weakened immune system. This may include persons who have:
- AIDS
- Autoimmune disorders, including rheumatoid arthritis
- Chemotherapy for cancer
Symptoms of Guttate Psoriasis
Symptoms include:
- Itching
- Spots on the skin that are pinkish-red and look like teardrops.
- Spots may be covered with silver, flaky skin called scales.
- Spots usually occur on the arms, legs and middle of the body (also known as the trunk), but may appear in other body areas.
Exams and Tests for Guttate Psoriasis
Your doctor will look at your skin. Diagnosis is usually based on what the spots look like.
Often, a person with this type of psoriasis has recently had a sore throat or upper respiratory infection.
Tests to confirm the diagnosis may include:
- Skin biopsy
- Throat culture
Treatment for Guttate Psoriasis
Goal of treatment is to control your symptoms and prevent secondary infections.
If you have a current or recent infection, your doctor may give you antibiotics.
Mild cases of guttate psoriasis are usually treated at home. Your doctor may recommend any of the following:
- Cortisone is an anti-itch and anti-inflammatory cream
- Dandruff shampoos (over-the-counter or prescription)
- Lotions that contain coal tar
- Moisturizers
- Prescription medicines that have vitamin D to apply to the skin (topically) or that have vitamin A (retinoids) to take by mouth (orally).
Persons with very severe guttate psoriasis may receive medicines to suppress the body's immune response. These medicines include cyclosporine and methotrexate.
Your doctor may suggest phototherapy. This is a medical procedure in which your skin is carefully exposed to ultraviolet light. Phototherapy may be given alone or after you take a medicine that makes the skin sensitive to light.
Outlook / Prognosis for Guttate Psoriasis
Guttate psoriasis may clear completely following treatment. Sometimes, however, it may become a chronic, which means a lifelong condition, or worsen to the more common plaque-type psoriasis.
Possible Complications of Guttate Psoriasis
- Pain
- Secondary skin infections
- Severe itching
When to Contact a Medical Professional
Call your health care provider if you have symptoms of guttate psoriasis.
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