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Guttate psoriasis (also known as eruptive psoriasis) is a type of psoriasis that presents as small (0.5–1.5 cm in diameter) lesions over the upper trunk and proximal extremities; it is found frequently in young adults.: 410 : 194 
The term "guttate" is used to describe the drop-like appearance of skin lesions. Guttate psoriasis is classically triggered by a bacterial infection, usually an upper respiratory tract infection.: 726 




Signs and symptoms


Typically, guttate psoriasis erupts after a throat infection, or strep throat. Initially, when the throat infection has cleared up, the person can feel fine for several weeks before noticing the appearance of red spots. They appear small at first, like a dry red spot which is slightly itchy. When scratched or picked, the top layer of dry skin is removed, leaving dry, red skin beneath with white, dry areas marking where flakes of dry skin stop and start. In the weeks that follow, the spots can grow to as much as an inch in diameter. Some of the larger ones may form a pale area in the center which is slightly yellow.
Guttate psoriasis can occur on any part of the body, particularly the legs, arms, torso, eyelids, back, bottom, bikini line, and neck. The number of lesions can range from 5 to over 100. Generally the parts of the body most affected are the arms, legs, back and torso.




Causes


Genetic and environmental factors can influence the predilection for guttate psoriasis. Human leukocyte antigens, especially those in the HLA-C group are associated with the skin disorder. Beta-hemolytic streptococci infection is the major contributing environmental factor. The typical route of infection is the upper respiratory system. Rarely it is also caused by a skin infection surrounding the anus (perianal streptococcal dermatitis).




Diagnosis


Guttate psoriasis can typically be diagnosed by clinical examination alone.




Management


The treatments used for plaque psoriasis can also be used for guttate psoriasis. Few studies have specifically focused on guttate psoriasis management, so there are currently no firm guidelines for managing guttate psoriasis differently from plaque psoriasis. Immunosuppressive drugs that inhibit T cell activation have been effective in treating severe cases of chronic guttate psoriasis. Due to the role streptococcal infection plays in the development of guttate psoriasis, systemic antibiotics have been considered as a potential treatment option. There is uncertain evidence whether systemic antibiotics or tonsillectomy are effective and safe in treating the disease. The condition often clears up on its own within weeks to months.
Guttate psoriasis tends to follow two patterns of progression: a short-term acute flare-up followed by long-term remission, and a chronic course marked by persistent symptoms without remission. Younger age of onset and strep induced outbreaks have been associated with the acute pattern, while a family history of psoriasis is more common in patients with a chronic course. Researchers have found four factors actors associated with chronic guttate psoriasis: male sex, multiple disease flares, transition to the vulgaris phenotype, and palmoplantar involvement.
Studies have shown mixed results on the rates of chronic guttate psoriasis. One study conducted in 1982 examined the progression of guttate psoriasis to chronic plaque psoriasis over a 10-year period. This study, which followed a cohort of 15 patients, found only one-third of individuals developed chronic plaque psoriasis. Another study from 2010, with 26 patients, had similar results with 61.1% exhibiting complete/long remission. A retrospective cohort study, spanning from 2009 to 2020, also looked into the long-term outcomes of guttate psoriasis. In this study nearly half of the 120 patients with new-onset guttate psoriasis experienced persistent disease, with some transitioning to the psoriasis vulgaris over time.




Epidemiology


Guttate psoriasis accounts for approximately 2% of psoriasis cases.




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References






External links

Kata Kunci Pencarian:

• Psoriasis
• Guttate psoriasis
• Psoriasis
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• Rash
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guttate psoriasis

Daftar Isi

• Guttate Psoriasis: Symptoms, Causes & Treatments - Cleveland …
• Guttate psoriasis - DermNet
• Guttate Psoriasis: Causes, Symptoms, and Treatment - WebMD
• Guttate Psoriasis: Pictures, Causes, Treatment, and More
• Guttate psoriasis - Wikipedia
• Guttate Psoriasis - StatPearls - NCBI Bookshelf
• Guttate Psoriasis: Causes, Symptoms, and Treatments
• Guttate Psoriasis: Causes, Symptoms, and Treatment - Patient
• Guttate Psoriasis: Causes, Symptoms, and Treatment Options
• Guttate Psoriasis Pictures, Symptoms, Treatment, Recovery

Guttate Psoriasis: Symptoms, Causes & Treatments - Cleveland …

Guttate psoriasis is a skin disease that often appears without warning and usually follows an infection like strep throat. It’s most common in young adults but can also happen in adults. The hallmark symptom of this condition is breaking out in small, red …

Guttate psoriasis - DermNet

Guttate psoriasis is a form of acute psoriasis described as a shower of small, pink-red, scaly ‘raindrops’ that has fallen over the body. Who gets guttate psoriasis? Guttate psoriasis tends to affect children and young adults; it is the second most common form of psoriasis in children after chronic plaque psoriasis.

Guttate Psoriasis: Causes, Symptoms, and Treatment - WebMD

Oct 7, 2024 · Guttate psoriasis is a type of psoriasis that shows up on your skin as red, purple, or brown, scaly, teardrop-shaped spots. Many people experience it as a...

Guttate Psoriasis: Pictures, Causes, Treatment, and More

Jun 7, 2022 · In guttate psoriasis, small, droplet-shaped patches appear on the arms, legs, scalp, and torso. Get the facts on symptoms, triggers, and much more.

Guttate psoriasis - Wikipedia

Guttate psoriasis (also known as eruptive psoriasis) is a type of psoriasis that presents as small (0.5–1.5 cm in diameter) lesions over the upper trunk and proximal extremities; it is found frequently in young adults.

Guttate Psoriasis - StatPearls - NCBI Bookshelf

Jul 31, 2023 · Guttate psoriasis is a distinct variant of psoriasis that is classically triggered by streptococcal infection (pharyngitis or perianal) and is more common in children and adolescents than adults. Patients present with several small “drop-like” lesions that respond well to …

Guttate Psoriasis: Causes, Symptoms, and Treatments

Dec 21, 2022 · Guttate [GUH-tate] psoriasis appears as small, round spots called papules [PAP-yules] that are raised and sometimes scaly. Papules are caused by inflammation in the skin and often appear on the arms, legs, and torso.

Guttate Psoriasis: Causes, Symptoms, and Treatment - Patient

Jul 7, 2017 · Guttate psoriasis is a skin condition which gives you light red, scaly patches scattered over almost your whole body. It often happens a few weeks after a throat infection with a particular germ (bacterium) called a group A beta-haemolytic streptococcus. What is guttate psoriasis? What causes guttate psoriasis?

Guttate Psoriasis: Causes, Symptoms, and Treatment Options

Jan 27, 2025 · Understand guttate psoriasis, its triggers, symptoms, and effective treatments to manage flare-ups and promote healing.

Guttate Psoriasis Pictures, Symptoms, Treatment, Recovery

Guttate psoriasis is a type of psoriasis that looks like small salmon-pink drops on the skin. See pictures, and read about other symptoms, causes, and treatment. Plus, find out how long guttate psoriasis lasts.