There are many forms of psoriasis, which differ not only by their symptoms, but also by a place of localization of psoriatic skin lesions. It may appear on your face, scalp, body, on legs or arms. Sometimes psoriatic plaques are itchy but usually when you have guttate psoriasis they do not itch. Guttate psoriasis treatment is quite complicated. It involves different actions among which are sticking to a special guttate psoriasis diet and taking various remedies.
Guttate psoriasis is a skin disease of non-infectious nature. It is impossible to predict the location of a new lesion. As a result, it requires complex treatment. Guttate inflammation may appear at any skin area. People of different age groups are under the risk of getting psoriasis guttate. According to statistics, most patients who suffer from this disease are aged between 16 to 27. The size of lesions may differ – from tiny spots of small diameter to large spots up to 10 cm. It is impossible to make any prognosis about how the disease will progress in each particular case. Since psoriasis is a common illness, one should know how to treat guttate psoriasis. But firstly, let’s have a look at its symptoms.
Guttate psoriasis symptoms
Guttate psoriasis is a chronic illness. Its peculiarity is that remission periods are followed by periods of exacerbation, especially during autumn and winter season. Nowadays it is still impossible to cure this disease achieving complete recovery. Even full elimination of its symptoms is a challenge for doctors. Onset of this problem is characterized by the emergence of single plaques, which gradually increase in size and affect more skin areas. Guttate psoriasis symptoms include sudden appearance of lesions. The disease itself is very unstable. The colour of infected spots varies from pink to purple papules. In rare cases rash can appear on your face.
Very often early symptoms of guttate psoriasis appear in adolescence. According to the statistics, the disease occurs in most cases after suffering otitis, sore throat and other infections. The progress of guttate psoriasis is unpredictable. Psoriatic plaques appear in a certain place, and then may suddenly disappear forever or occur in other skin areas. But remember: this disease is not a contagious one, so it is not dangerous for other people.
Guttate psoriasis causes
Among the most common guttate psoriasis causes are considered the following:
- Genetic predisposition;
- Neurological disorders;
- Metabolic disorders;
- Earlier infectious diseases;
- Viral antigens;
- Hormonal disorders;
- Immune system disorders.
But these guttate psoriasis causes are quite theoretical. It should be noted that none of these theories has been proven yet or has received an official confirmation so far. However, it is known today that guttate psoriasis is the only form of psoriasis that progresses as a result of acute viral and bacterial infection. There is direct evidence proving that: if you make bacterial inoculation during the progressive stage of psoriasis, the infectious agent is likely to be detected. Sometimes it can be even strep.
Guttate psoriasis progress
Usually, guttate psoriasis appears 2-3 weeks after you had an infectious disease. Rash appears suddenly. Main areas of its localization are legs, arms and body. Unfortunately, the disease does not vanish, even if the psoriatic plaques have disappeared. Over time, the disease becomes chronic and can aggravate under the influence of provoking factors.
During advanced stage individual papules grow bigger, forming one big lesion. Sometimes they can disappear by themselves, or transform into a more severe form. Psoriatic rash can appear on almost any part of your body. Exclusion is the face area where the papules appear seldom.
There are some typical characteristics of guttate psoriasis:
- There are small guttate (drop-shaped) sores;
- There are also minor plaques on the upper and lower limbs, torso and scalp;
- Skin inflammation often gets worse during other infections (pharyngitis, tonsillitis, otitis, etc.).
Guttate psoriasis pictures
Guttate psoriasis treatment
Guttate psoriasis is quite difficult to treat and it usually requires a comprehensive approach. There is no specific drug treating this disease. Basically among the best treatment for guttate psoriasis are:
- Using external drugs;
The duration of treatment is long enough. The reason for this is a large area of skin lesions (20% or more). Implication of just local treatments (ointments and lotions) is ineffective and brings practically no result. Many dermatologists believe that the cause of this disease may be a metabolic disorder and pathological changes of the immune system. In this regard the patient is prescribed appropriate medications and physical therapy. Besides, he or she should sometimes even stick to a special treatment diet.
Severity of guttate psoriasis
Disease severity is determined by the degree of skin destruction and can vary from small individual papules up to large spots covering almost the entire skin surface. Conventionally, the severity can be classified into:
- Mild guttate psoriasis. Doctors state it when less than 3% of skin are affected. Inflammation is represented by isolated papules. Mild guttate psoriasis is relevantly easy to cure.
- Moderate psoriasis. Skin lesions range from 3 to 10%.
- Severe psoriasis. More than 10% of skin is covered by psoriatic plaques.
Severe psoriasis is the most difficult to treat and it requires individual approach, depending on the general health condition of the patient.
When the first symptoms appear, you should immediately consult a doctor. He or she will examine you and make a diagnosis. Usually psoriasis treatment does not stop until the psoriatic plaques disappear completely.