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Psoriasis, Guttate: Multimedia

Author: Charles R Taylor, MD, Assistant Professor of Dermatology, Harvard Medical School; Director of Phototherapy Unit, Department of Dermatology, Massachusetts General Hospital
Contributor Information and Disclosures

Updated: Aug 3, 2009

Multimedia

The distinctive, acute clinical presentation of a...
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Media file 1: 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. Courtesy of Hon Pak, MD.
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The distinctive, acute clinical presentation of a...

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. Courtesy of Hon Pak, MD.

Guttate psoriasis. Courtesy of Hon Pak, MD.
(Enlarge Image)
Media file 2: Guttate psoriasis. Courtesy of Hon Pak, MD.
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Guttate psoriasis. Courtesy of Hon Pak, MD.

Guttate psoriasis. Courtesy of Hon Pak, MD.

Note characteristic lesions consisting of multipl...
(Enlarge Image)
Media file 3: 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. Courtesy of Hon Pak, MD.
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Note characteristic lesions consisting of multipl...

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. Courtesy of Hon Pak, MD.

More on Psoriasis, Guttate

Overview: Psoriasis, Guttate
Differential Diagnoses & Workup: Psoriasis, Guttate
Treatment & Medication: Psoriasis, Guttate
Follow-up: Psoriasis, Guttate
Multimedia: Psoriasis, Guttate
References
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References

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  3. Fry L, Powles AV, Corcoran S, Rogers S, Ward J, Unsworth DJ. HLA Cw*06 is not essential for streptococcal-induced psoriasis. Br J Dermatol. May 2006;154(5):850-3. [Medline].

  4. Holm SJ, Sakuraba K, Mallbris L, Wolk K, Stahle M, Sanchez FO. Distinct HLA-C/KIR genotype profile associates with guttate psoriasis. J Invest Dermatol. Oct 2005;125(4):721-30. [Medline].

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  7. Baker BS, Bokth S, Powles A, et al. Group A streptococcal antigen-specific T lymphocytes in guttate psoriatic lesions. Br J Dermatol. May 1993;128(5):493-9. [Medline].

  8. Villeda-Gabriel G, Santamaria-Cogollos LC, Perez-Lorenzo R, et al. Recognition of Streptococcus pyogenes and skin autoantigens in guttate psoriasis. Arch Med Res. Summer 1998;29(2):143-8. [Medline].

  9. Perez-Lorenzo R, Zambrano-Zaragoza JF, Saul A, Jimenez-Zamudio L, Reyes-Maldonado E, Garcia-Latorre E. Autoantibodies to autologous skin in guttate and plaque forms of psoriasis and cross-reaction of skin antigens with streptococcal antigens. Int J Dermatol. Jul 1998;37(7):524-31. [Medline].

  10. Goiriz R, Dauden E, Perez-Gala S, Guhl G, Garcia-Diez A. Flare and change of psoriasis morphology during the course of treatment with tumour necrosis factor blockers. Clin Exp Dermatol. Mar 2007;32(2):176-9. [Medline].

  11. Balato A, La Bella S, Gaudiello F, Balato N. Efalizumab-induced guttate psoriasis. Successful management and re-treatment. J Dermatolog Treat. 2008;19(3):182-4. [Medline].

  12. Thappa DM, Laxmisha C. Suit PUVA as an effective and safe modality of treatment in guttate psoriasis. J Eur Acad Dermatol Venereol. Oct 2006;20(9):1146-7. [Medline].

  13. [Guideline] Menter A, Gottlieb A, Feldman SR, et al. Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 1. Overview of psoriasis and guidelines of care for the treatment of psoriasis with biologics. J Am Acad Dermatol. May 2008;58(5):826-50. [Medline].

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  19. Chalmers RJ, O'Sullivan T, Owen CM, Griffiths CE. A systematic review of treatments for guttate psoriasis. Br J Dermatol. Dec 2001;145(6):891-4. [Medline].

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  23. Leung DY, Travers JB, Giorno R, et al. Evidence for a streptococcal superantigen-driven process in acute guttate psoriasis. J Clin Invest. Nov 1995;96(5):2106-12. [Medline].

  24. Martin BA, Chalmers RJ, Telfer NR. How great is the risk of further psoriasis following a single episode of acute guttate psoriasis?. Arch Dermatol. Jun 1996;132(6):717-8. [Medline].

  25. Rosenberg EW, Noah PW, Zanolli MD, Skinner RB Jr, Bond MJ, Crutcher N. Use of rifampin with penicillin and erythromycin in the treatment of psoriasis. Preliminary report. J Am Acad Dermatol. May 1986;14(5 Pt 1):761-4. [Medline].

  26. Talanin NY, Shelley WB, Raeder R, Shelley ED, Boyle MD. Detection of streptococcal class I M protein in psoriasis by confocal immunofluorescent microscopy. Acta Derm Venereol. May 1997;77(3):175-80. [Medline].

  27. Toussaint S, Kamino H. Noninfectious, erythematous, papular and squamous diseases. In: Lever's Histopathology of the Skin. 8th ed. Lippincott-Raven Publishers; 1997.

  28. Williams RC, McKenzie AW, Roger JH, Joysey VC. HL-A antigens in patients with guttate psoriasis. Br J Dermatol. Aug 1976;95(2):163-7. [Medline].

  29. Wilson AG, Clark I, Heard SR, Munro DD, Kirby JD. Immunoblotting of streptococcal antigens in guttate psoriasis. Br J Dermatol. Feb 1993;128(2):151-8. [Medline].

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Further Reading

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Keywords

psoriasis, guttate psoriasis, perianal streptococcal infection, Streptococcus pyogenes, S pyogenes, upper respiratory infection

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Contributor Information and Disclosures

Author

Charles R Taylor, MD, Assistant Professor of Dermatology, Harvard Medical School; Director of Phototherapy Unit, Department of Dermatology, Massachusetts General Hospital
Charles R Taylor, MD is a member of the following medical societies: American Academy of Dermatology, American Society for Laser Medicine and Surgery, Massachusetts Medical Society, New England Dermatological Society, and Society for Investigative Dermatology
Disclosure: Nothing to disclose.

Medical Editor

Mark G Lebwohl, MD, Chairman, Department of Dermatology, Mount Sinai School of Medicine
Mark G Lebwohl, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Abbott Laboratories Honoraria Consulting; Actelion Honoraria Consulting; Amgen Honoraria Consulting; Astellas Honoraria Consulting; Centocor Honoraria Consulting; DermiPsor Honoraria Consulting; Galderma  Consulting; Genentech Honoraria Consulting; Helix BioMedix Honoraria Consulting; Medicis Honoraria Investigator

Pharmacy Editor

David F Butler, MD, Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic
David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Managing Editor

Christen M Mowad, MD, Associate Professor, Department of Dermatology, Geisinger Medical Center
Christen M Mowad, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, and Phi Beta Kappa
Disclosure: Nothing to disclose.

CME Editor

Catherine Quirk, MD, Clinical Assistant Professor, Department of Dermatology, Brown University
Catherine Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology
Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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