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. A fine scale, which is usually absent in early-stage lesions, may be appreciated on the more established ones. Generally, the disease is self-limiting, but a certain percentage of cases progress to chronic plaque psoriasis. Small, drop-like, salmon-pink, 1 mm to 10 mm papules with a fine scale (see Figure 1). Guttate psoriasis is a distinctive acute skin eruption characterised by small drop-like, salmon-pink papules which usually have a fine scale. Examination of the skin reveals characteristic lesions consisting of multiple, discrete drop-like salmon-pink papules. Other patients go on to develop chronic plaque-type psoriasis.
Plaque psoriasis (psoriasis vulgaris), the most common form of the disease, is characterized by small, red bumps that enlarge, become inflamed, and form scales. A common multifactorial inherited condition characterized by the eruption of circumscribed, discrete and confluent, reddish, silvery-scaled maculopapules; the lesions occur predominantly on the elbows, knees, scalp, and trunk, and microscopically show characteristic parakeratosis and elongation of rete ridges with shortening of epidermal keratinocyte transit time due to decreased cyclic guanosine monophosphate. Chronic plaque psoriasis is most common, and disease burden can range from 1 to 2 (mild disease) to greater than 90 (erythrodermic psoriasis) of the total body surface area (BSA). Guttate psoriasis An acute generalized eruption of small, discrete rain drop-like papules with fine scale that occurs 2-3 weeks after an upper respiratory infection. The guttate psoriasis resolved, and she was released from dermatologic care at a follow-up appointment 2 months later. Episodes of guttate psoriasis can reoccur in the same person.4 The results of one small study showed that patients have an approximate 1 in 3 chance of developing chronic plaque psoriasis within 10 years of a single episode of acute guttate psoriasis. Manifestations of guttate psoriasis may include numerous small, erythematous, inflammatory, finely scaled papules and plaques on the trunk and proximal extremities.
7-1A) with silvery scale found commonly on extensor surfaces and the scalp (Fig. Guttate psoriasis is a variant of psoriasis usually seen in adolescents and young adults. It is characterized by crops of small, droplike, psoriatic papules and plaques (Fig. Nail pitting, the most common nail finding in psoriasis, consists of small, discrete, punched-out depressions on the nail surface (Fig. Common subtypes include stable plaque psoriasis, Guttate psoriasis, flexural psoriasis, palmoplantar psoriasis, pustular psoriasis and erythrodermic psoriasis. 1 The skin lesions show superficial bleeding points when scales are removed (Auspitz sign). The patient presents with discrete discoid shaped eczematous lesions. This plaque has arisen from the coalescence of smaller, papular lesions that can still be seen on lower arm. Plaques, sharply marginated, with thick adherent scales (Fig.
Small, discrete, erythematous, scaling, papules that tend to coalesce, appearing after a group A streptococcal pharyngitis. Oval, slightly raised plaque or patch 2-5 cm, salmon-red, fine collarette scale at periphery; may be multiple. The scales seen are much finer than those seen in plaque psoriasis. 18Guttate psoriasis is a clinical presentation characterized by a distinctive, acute eruption of small, droplike, 1-10 mm in diameter, salmon-pink papules, usually with a fine scale, as demonstrated in the images below. The sudden appearance of the papular lesions in response to streptococcal infection may be either the first manifestation of psoriasis in a previously unaffected individual or an acute exacerbation of long-standing plaque psoriasis. Guttate psoriasis is a clinical presentation characterized by a distinctive, acute eruption of small, droplike, 1-10 mm in diameter, salmon-pink papules, usually with a fine scale, as demonstrated in the images below. The distinctive, acute clinical presentation of an eruption or guttate psoriasis characterized by small, droplike, 1-10 mm in diameter, salmon-pink papules, usually with a fine scale. Note characteristic lesions consisting of multiple, discrete, droplike papules with a salmon-pink hue. A fine scale, which is usually absent in early-stage lesions, may be appreciated on the more established ones. Psoriasis vulgaris (chronic stationary psoriasis, plaque-like psoriasis). Clinical photographs of the abdomen with guttate psoriasiform papules and plaques. It presents with multiple widespread monomorphic, punched-out, discrete erosions with hemorrhagic crusting.