Guttate Psoriasis: Signs And Symptoms, Specific Causes, Diagnosis, Care And Analysis
What is 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 symptoms of guttate psoriasis may also be noticeable as salmon pink to red, scaly patches of swollen skin more widely spread over the whole body. The spots often 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 type of psoriasis, guttate psoriasis is usually seen in patients younger than 30 years old. The ailment often develops quite suddenly and could appear two to three weeks after infection with strep throat or other lung disease. Guttate psoriasis, like all types of psoriasis, isn't contagious but does appear to run in families as a potentially inherited ailment. Most doctors think that the disorder is an abnormal inflammatory response; such responses may attack normal cells as being harmful or invasive.
In addition, the following are known to lead to an outbreak of guttate psoriasis: bacterial and viral infections, including upper respiratory infections, skin injuries, just like cuts, burns and insect bites, drugs including those used to treat coronary heart conditions and malaria, stress, sunburn and too much consumption of alcohol.
Generally, guttate psoriasis can be extreme in persons with weak or failing immune systems including those who are undergoing chemotherapy or who have AIDS or another autoimmune problem like rheumatoid arthritis.
Diagnosis and Tests
A physician normally must study the patient's skin. Diagnosis is mostly based on how the spots look and feel. Often an individual with such a disorder has just recently experienced a sore throat or other upper respiratory ailment. Confirming diagnostic tests may include a biopsy of the affected skin area(s) and a throat culture.
Treatment
The goal of treatment is to control symptoms like pain and itching and to stop secondary infections. If the patient has an infection, a physician might prescribe antibiotics to ward off secondary or worse infections. Most cases of guttate psoriasis are dealt with 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)
- creams containing coal tar to stimulate the rebuilding of skin
- moisturizers to manage dry skin and flaking
- dietary supplements containing vitamin D and vitamin A to help restore normal skin
Severe cases of guttate psoriasis may receive powerful medicines to suppress the body's immune response like corticosteroids, cyclosporines and methotrexate. Sunlight and phototherapy can also control the signs and symptoms. Phototherapy is 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 get worse and become plaque-type psoriasis affecting bony areas. Secondary skin infections with extreme itching and pain are possible complications. Notice that guttate psoriasis may disappear completely or go into remission after treatment.
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