What's guttate psoriasis? Guttate psoriasis is a disorder of the skin that's characterized by small, red, teardrop-shaped areas which are seen on the arms, legs, back and chest. Some signs of guttate psoriasis may also be noticeable as salmon pink to red, scaly patches of swollen skin more widely spread over the whole body. The spots usually itch and are covered with silver, flaky scales. The name is derived from the Latin term, guttate, meaning 'spotted as if by drops'.

Causes and Triggers

A less common type of psoriasis, guttate psoriasis is most often seen in patients younger than 30 years old. The ailment often develops quite abruptly and may appear 2-3 weeks after infection with strep throat or other lung disease. Guttate psoriasis, like all types of psoriasis, is not contagious but does appear to run in families as a potentially inherited ailment. A lot of physicians believe that the disorder is an abnormal inflammatory response; such responses may attack healthy cells as being dangerous or invasive.

In addition, the following are known to lead to an outbreak of guttate psoriasis: bacterial and viral infections, including upper respiratory infections, pores and skin injuries, including cuts, burns and bug bites, drugs including those used to deal with heart conditions and malaria, stress, sunburn and too much consumption of alcohol.

Generally, guttate psoriasis may be severe in people with weak or failing immune systems including those who are undergoing chemotherapy or who have AIDS or some other autoimmune disorder like rheumatoid arthritis.

Diagnosis and Tests

A health care provider normally should examine the affected person's skin. Diagnosis is mostly based on how the spots look and feel. Often someone with this type of disorder has just recently experienced a sore throat or other upper respiratory ailment. Confirming diagnostic tests could include a biopsy of the affected skin area(s) and/or a throat culture.

Treatment

The purpose of treatment is to control symptoms like pain and itching and to prevent secondary infections. If the patient has an infection, a physician might prescribe antibiotics to ward off secondary or worse infections. A lot of cases of guttate psoriasis are treated at home or as an out-patient. Physicians recommend one or more of the following:

- cortisone or anti-itch creams (most contain steroids)

- dandruff shampoos (over-the-counter and prescription)

- lotions containing coal tar to stimulate the rebuilding of skin

- moisturizers to manage dry skin and flaking

- dietary supplements containing vitamin D and vitamin A to help you restore healthy skin

Extreme cases of guttate psoriasis may receive powerful medicines to suppress the body's immune response such as corticosteroids, cyclosporines and methotrexate. Sunlight and phototherapy might also control the signs and symptoms. Phototherapy is actually a medical procedure that may be given alone or with drug(s) to make the skin more sensitive to ultraviolet light.

Prognosis

The condition may also become chronic or worsen and become plaque-type psoriasis affecting bony areas. Secondary skin infections with extreme itching and pain are possible complications. Notice that guttate psoriasis could disappear completely or go into remission following treatment.

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