Guttate Psoriasis: Symptoms, Causes And Triggers, Detection, Treatment Method And Prognosis
What's guttate psoriasis? Guttate psoriasis is a condition of the skin that is characterized by small, red, teardrop-shaped areas that 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 entire body. The spots typically itch and are covered with silver, peeling scales. The name is derived from the Latin word, guttate, meaning 'spotted as if by drops'.
Causes and Triggers
A less common form of psoriasis, guttate psoriasis is most often seen in patients younger than 30 years old. The ailment usually develops quite abruptly and might appear two to three weeks after infection with strep throat or other lung disease. Guttate psoriasis, like all forms of psoriasis, is not contagious but does appear to run in families as a potentially inherited condition. Many doctors think that the condition is an abnormal inflammatory response; such responses may attack normal cells as being dangerous or invasive.
In addition, the following are known to trigger an outbreak of guttate psoriasis: bacterial or viral infections, including upper respiratory infections, pores and skin injuries, just like cuts, burns and insect bites, drugs including those used to treat heart conditions and malaria, stress, sunburn and too much consumption of alcohol.
In general, guttate psoriasis could be extreme in persons with weak or failing immune systems including those who are undergoing chemotherapy or who have AIDS or another autoimmune disorder like rheumatoid arthritis.
Diagnosis and Tests
A health care provider usually should look at the patient's skin. Diagnosis is mostly based on how the spots look and feel. Often a person with this kind of disorder has just recently experienced a sore throat or other upper respiratory problem. Confirming diagnostic tests might include a biopsy of the affected skin area(s) or a throat culture.
Treatment
The goal of treatment is to control symptoms such as pain and itching and to prevent secondary infections. If the patient has an infection, a physician may prescribe antibiotics to ward off secondary or worse infections. Many cases of guttate psoriasis are handled at home or as an out-patient. Doctors recommend one or more of the following:
- cortisone or anti-itch creams (most contain steroids)
- dandruff shampoos (over-the-counter or prescription)
- lotions containing coal tar to stimulate the rebuilding of skin
- moisturizers to manage dry skin and flaking
- dietary supplements containing vitamin D or vitamin A to help you restore normal skin
Severe cases of guttate psoriasis may receive powerful drugs to suppress the body's immune response such as corticosteroids, cyclosporines and methotrexate. Sunlight and phototherapy might also control the symptoms. Phototherapy is actually a medical process that can be given alone or with drug(s) to make the skin more sensitive to ultraviolet light.
Prognosis
The condition may also become persistent or worsen and become plaque-type psoriasis affecting bony areas. Secondary skin infections with extreme itching and pain are possible complications. Note that guttate psoriasis might disappear completely or go into remission after treatment.
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