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Guttate Psoriasis (Droplet Type)

Sudden eruption of small drop-shaped psoriasis lesions, often after streptococcal infection.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dermatoloji department. Book Appointment →

What is Guttate Psoriasis (Droplet Type)?

Guttate psoriasis is a distinct clinical variant of psoriasis characterized by the abrupt appearance of numerous small, droplet-shaped, salmon-pink papules with fine silvery scale, predominantly on the trunk and proximal extremities.

It accounts for fewer than 30% of psoriasis cases and most often affects children and young adults, frequently within 2 to 3 weeks of an upper respiratory or streptococcal pharyngeal infection. HLA-Cw6 carriage is strongly associated with this form.

Many cases resolve spontaneously over months, but a substantial proportion progress to chronic plaque psoriasis. Diagnosis is clinical; antistreptolysin O titer and throat swab can identify a streptococcal trigger.

Symptoms

Sudden eruption of multiple small (1 to 10 mm) papules
Drop-shaped, salmon-pink scaly lesions
Predominantly trunk, proximal arms and thighs
Mild itching
Recent sore throat (1 to 3 weeks before onset)
Sparing of palms, soles and face in most cases
Possible nail pitting

Risk Factors

Streptococcal pharyngitis or tonsillitis
Upper respiratory tract infection
HLA-Cw6 genotype
Family history of psoriasis
Age under 30 years
Stress
Certain medications (lithium, beta-blockers, antimalarials)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden widespread small scaly papules
  • Recent sore throat with new skin rash
  • Persistent lesions beyond 2 months
  • Itching disrupting sleep or daily activities
  • Personal or family history of psoriasis with new lesions
  • Joint pain accompanying skin lesions

Treatment Methods

01
Treatment of underlying streptococcal infection with antibiotics
02
Topical corticosteroids and vitamin D analogues
03
Emollients and gentle skin care
04
Narrowband UVB phototherapy for widespread disease
05
Systemic therapy (methotrexate, biologics) for severe or persistent cases
06
Tonsillectomy in selected recurrent post-streptococcal cases
07
Long-term follow-up to monitor for plaque psoriasis

Which Department to Visit?

You can visit our Dermatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.