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</div><div><span>Guttate psoriasis</span></div></div>
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</a><h1 class="with-also" itemprop="name">Guttate psoriasis</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Guttate psoriasis is a skin condition in which small, red, scaly, teardrop-shaped spots with silvery scale appear on the arms, legs, and middle of the body. Gutta means "drop" in Latin.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Guttate psoriasis is a type of <a test="test" href="./000434.htm">psoriasis</a>. Guttate psoriasis is usually seen in people younger than 30, especially in children. The condition often develops suddenly. It usually appears after an infection, most notably <a test="test" href="./000639.htm">strep throat</a> caused by group A streptococcus. Guttate psoriasis is not contagious. This means it can't spread to other people.</p><p>Psoriasis is a common disorder. The exact cause isn't known. But doctors think genes and the immune system are involved. Certain things can trigger an attack of symptoms.</p><p>With guttate psoriasis, in addition to strep throat, the following may trigger an attack:</p><ul><li>Bacteria or viral infections, including upper respiratory infections</li><li>Injury to the skin, including cuts, <a test="test" href="./000030.htm">burns,</a> and <a test="test" href="./000033.htm">insect bites</a></li><li>Some medicines, including those used to treat malaria and certain heart conditions</li><li>Stress</li><li><a test="test" href="./003227.htm">Sunburn</a></li><li>Too much alcohol </li></ul><p>Psoriasis may be severe in people who have a weakened immune system. This may include people who have:</p><ul><li><a test="test" href="./000594.htm">HIV/AIDS</a></li><li><a test="test" href="./000816.htm">Autoimmune disorders</a>, including <a test="test" href="./000431.htm">rheumatoid arthritis</a></li><li><a test="test" href="./002324.htm">Chemotherapy</a> for cancer </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms may include:</p><ul><li><a test="test" href="./003217.htm">Itching</a></li><li>Spots on the skin that are pinkish-red and look like teardrops</li><li>Spots may be covered with silver, flaky skin called scales</li><li>Spots usually occur on the arms, legs, and middle of the body (the trunk), but may appear in other body areas </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Your health care provider will look at your skin. Diagnosis is usually based on what the spots look like.</p><p>Often, a person with guttate psoriasis has recently had a sore throat or upper respiratory infection.</p><p>Tests to confirm the diagnosis may include:</p><ul><li><a test="test" href="./003840.htm">Skin biopsy</a></li><li><a test="test" href="./003746.htm">Throat culture</a></li><li>Blood tests for recent exposure to strep bacteria </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>If you are recently infected, your provider may give you antibiotics.</p><p>Mild cases of guttate psoriasis are usually treated at home. Your provider may recommend any of the following:</p><ul><li>Cortisone or other anti-itch and anti-inflammatory creams</li><li>Dandruff shampoos (over-the-counter or prescription)</li><li>Lotions that contain coal tar</li><li>Moisturizers</li><li>Prescription medicines that have vitamin D to apply to the skin (topically) or that have vitamin A (retinoids) to take by mouth (orally) </li></ul><p>People with severe guttate psoriasis may receive medicines to suppress the body's immune response. These include cyclosporine and methotrexate. A newer group of medicines called biologics that alter parts of the immune system may also be used.</p><p>Your provider may suggest phototherapy. This is a medical procedure in which your skin is carefully exposed to ultraviolet light. Phototherapy may be given alone or after you take a medicine that makes the skin sensitive to light.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Guttate psoriasis may clear completely following treatment, especially phototherapy treatment. Sometimes, it may become a chronic (lifelong) condition, or worsen to the more common plaque-type psoriasis.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Call your provider if you have symptoms of guttate psoriasis.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Psoriasis - guttate; Group A streptococcus - guttate psoriasis; Strep throat - guttate psoriasis</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2505t.jpg" alt="Psoriasis - guttate on the arms and chest" title="Psoriasis - guttate on the arms and chest" class="side-img"/><a href="../imagepages/2505.htm">Psoriasis - guttate on the arms and chest</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2506t.jpg" alt="Psoriasis - guttate on the cheek" title="Psoriasis - guttate on the cheek" class="side-img"/><a href="../imagepages/2506.htm">Psoriasis - guttate on the cheek</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Dinulos JGH. Psoriasis and other papulosquamous diseases. In: Dinulos JGH, ed. <em>Habif's Clinical Dermatology</em>. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 8.</p><p>James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Seborrheic dermatitis, psoriasis, recalcitrant palmoplantar eruptions, pustular dermatitis, and erythroderma. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. <em>Andrews' Diseases of the Skin</em>. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 10.</p><p>Lebwohl MG, van de Kerkhof P. Psoriasis. In: Lebwohl MG, Heymann WR, Coulson IH, Murrell DF, eds. <em>Treatment of Skin Disease: Comprehensive Therapeutic Strategies</em>. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 210.</p></div></div></section>
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