Guttate psoriasis is characterized by the acute onset of small, 1-10 mm diameter, droplike, erythematous-to-salmon-pink papules, usually with a fine scale, as demonstrated in the images below. Note characteristic lesions consisting of multiple, discrete, droplike papules with a salmon-pink hue. This variant of psoriasis primarily occurs on the trunk and the proximal extremities, but it may have a generalized distribution. Dry skin; pruritus; erythema; erythematous papules; excoriations; scaling; Multiple small pustules localized to hair follicles on any body surface; key to diagnosis is hair follicle at center of each lesion. Sharply defined, 2- to 10-cm, coin-shaped, erythematous, scaled plaques; lesions on dorsal hands and feet, extensor surfaces of arms and legs, flanks, and hips; key to diagnosis is sharply defined, round, erythematous, scaled lesions. Psoriasis (plaque psoriasis). Sudden onset of high fever without rash or other symptoms in a child younger than 3 years; as fever subsides, pink, discrete, 2- to 3-mm blanching macules and papules suddenly appear on trunk and spread to neck and extremities; key to diagnosis is high fever followed by sudden appearance of rash as fever abruptly resolves23. Guttate psoriasis is a distinctive acute skin eruption characterised by small drop-like, salmon-pink papules which usually have a fine scale. This variant primarily occurs on the trunk and the proximal extremities but it may have a more generalised distribution. The onset of the skin lesions is often acute, with multiple papules erupting on the trunk and the proximal extremities.
The mean age of onset for the first presentation of psoriasis can range from 15 to 20 years of age, with a second peak occurring at 55 60 years. The molecular genetic basis of psoriasis is complex with evidence that multiple genes are involved. In children, an acute episode of guttate psoriasis is usually self limiting; People with pustular psoriasis have clearly defined, raised bumps on the skin that are filled with pus (pustules). For generalized pustular psoriasis, systemic agents such as retinoids may be required from the beginning of treatment. Symptoms may be sudden and severe (acute), long term (chronic), or somewhere in between (subacute). Far more common forms of psoriasis are plaque psoriasis and guttate psoriasis, which account for over 90 of psoriasis. Guttate psoriasis typically presents as an acute bilateral, symmetric eruption consisting of multiple, well-demarcated, salmon-pink to erythematous, round to oval papules ranging in size from 1 mm to 10 mm in diameter. 2,3 Typically, the GAS infection precedes onset of the guttate eruption by 1 to 3 weeks, and the patient might relate a history of recent upper respiratory tract infection, pharyngitis, or tonsillitis.
Plaque psoriasis (psoriasis vulgaris), the most common form of the disease, is characterized by small, red bumps that enlarge, become inflamed, and form scales. Widespread, acutely painful patches of inflamed skin develop suddenly. The lesions are well-defined, dry, nonpruritic papules or plaques overlaid with shiny silver scales, and they heal without scarring. She has noted a small skin lesion in the 4th interdigital web of her left hand. Guttate psoriasis refers to a distinctive, acute clinical presentation of an eruption characterized by small, droplike, 1-10 mm in diameter, salmon-pink papules, usually with a fine scale. This variant primarily occurs on the trunk and the proximal extremities, but it may have a generalized distribution. The sudden appearance of the papular lesions may be either the first manifestation of psoriasis in a previously unaffected individual or an acute exacerbation of long-standing plaque psoriasis. Guttate psoriasis causes small, pink-red spots on your skin.
Psoriasis: Epidemiology, Clinical Features, And Quality Of Life
Guttate psoriasis is a variant of psoriasis presenting as small, erythematous papules and plaques on the skin. We are reporting a case of a 53 years old male, who presented with a generalized rash without any history of a recent infection and was diagnosed with guttate psoriasis on skin biopsy. Psoriasis is a common skin disorder characterized by erythematous papules and plaque formation with silver scaling. It refers to the acute appearance of multiple skin eruptions mostly in a patient with no preexisting psoriasis and less commonly in a patient with psoriasis. Plaque morphoea – a form of scleroderma (lesions usually multiple and asymmetrical with the trunk and hips the most commonly affected sites / firm, waxy, ivory white patches with a lilac-coloured edge). Age of Onset. In individuals with generalized LP or cases resistant to topical therapy. Multiple, well-defined, pearly-white papules, some of which show a central depression. Typical lesions are chronic, recurring, scaly papules, and plaques. Clinical presentation varies among individuals, from those with only a few localized plaques to those with generalized skin involvement. Acute guttate. Sudden onset of psoriasis may be associated with HIV infectiondo HIV serology.