Guttate Psoriasis- Symptoms, Stages, Causes, Diagnosis, and Treatment

Guttate psoriasis is a form of psoriasis, that is characterised by teardrop shapes spot. It is the 2nd most common form of psoriasis to take place after plaque psoriasis. The generalised victim of such psoriasis are children and young adults. Around ten percentile of victims who have psoriasis are diagnosed with guttate psoriasis.

The name ‘gutta’ is derived from the Latin language, signifying a drop.  The name justifies the characteristics of psoriasis.  This psoriasis generally takes places on legs, torso, and arms. At times, it is diagnosed as a preliminary sign to be followed by the development of plaque psoriasis. Around 80 percentile of patients who have guttate psoriasis were having strep throat for weeks before diagnoses. This psoriasis may run in the family as two percentiles of cases are linked with heredity factors.

Symptoms of Guttate Psoriasis

The lesions in guttate psoriasis are not as thick as in plaque psoriasis. They are characterised as red, small, separate spots. They are commonly found in limbs and trunks. The spots of guttate psoriasis can amount in hundreds and more. Occasionally, they also appear in face, scalp, and ears. In worst cases, they co-exist with another form of psoriasis, i.e. plaque psoriasis. The areas which normally stay unaffected by guttate psoriasis are nails, the sole of feet and palms. Their symptoms are much more visible and flare up in winter, due to dry air. Likewise, the symptoms vanish at much fast pace in summers.

Stages of Guttate Psoriasis

There are three stages in guttate psoriasis- mild, moderate and severe. These stages are characterised concerning the number of lesions generated by the disease.  In a mild case of guttate psoriasis- around three percentile of skin is covered with lesions. In moderate case- around 3 to 10 percentile of skin is surrounded with the lesion. In severe and most threatening stage- more then ten percentiles of the body are covered with lesions, leading to high inflammation and itching. Alternatively, the stages can be divided by the amount of interference guttate psoriasis is causing in daily life.

Causes of Guttate Psoriasis

There are a variety of causes linked with guttate psoriasis, but the outbreak generally occurs through bacterial infection. The infection is of strep throat, that has been suffered by 80 percentiles of people before guttate psoriasis diagnosis. Other factors include-

– Stress

-Abuse Of Certain Medication Like Beta Blockers

-Upper Respiratory Infections

– Tonsillitis

-Skin Injury

– Cuts And Burns


Psoriasis is an autoimmune disease, and this malfunctioning of the immune system can be derived from the parent genes. However, National psoriasis foundation is unable to develop a full understanding of having this condition. At present, it is known that around 25 variations in gene pattern can cause this autoimmune disease.

  • Skin Injury

The koebner phenomena say that any scrap, cut or even having a tattoo on the skin, may lead to the condition of psoriasis. The factor does not play a role in isolated form but is a combination of adhesion molecules, cytokines, and stress proteins. The development of psoriasis does not require a major injury, as at times little scrubbing or scratching of skin can lead to this condition.

  • Smoking

It has been identified that along with much harmful implication smoking holds, psoriasis adds on the number. There is a direct relationship between smoking and increase in inflammatory hormones of the body. Even the people under treatment for psoriasis, who continue to smoke, do not attain its full benefits.

  • Medications

There is a certain class of drugs which has been speculated to make a person more vulnerable to psoriasis. Such class of drugs includes- beta blockers, interferon’s, terbinafine, lithium, altace etc. Even the medication prescribed for the treatment of psoriasis can worsen things up. They hold many side-effects and may lead psoriasis to return, in more lethal form.

Diagnosis of Guttate Psoriasis

The diagnosis of guttate psoriasis does not involve many complications due to its distinguishing pattern of rash. The spots are not as thick as plaque psoriasis and can be covered around the body in hundreds, depending on the stage of guttate psoriasis.

  • Self-Diagnosis

A person may not be able, but after cross-checking with the symptoms mentioned above, he shall get a sign for a requirement of booking a medical appointment. The person shall keep an eye on rashes and reddening of the skin. The spots in guttate psoriasis are the size of a teardrop.

  • Medical History

A doctor will be able to more clearly identify the situation of a person after having a look at his medical history. The doctor will additionally ask questions that are relevant to diagnoses, such as having any recent tattoo or skin injury. In Guttate psoriasis, the doctor will specifically acquire information regarding strep throat.

  • Medical Test’s

In certain condition, the doctor can have an unsure opinion, by medical history and visual examination. As sometimes, it is difficult to distinguish the disease by their symptoms. In such a scenario, the doctor may ask the person for certain tests like skin biopsy and throat culture to have a definite diagnosis.

Treatment for Guttate Psoriasis

There is no ultimate cure for psoriasis, however by following the undermentioned points, the symptoms can be brought under control. Also, if treatment is not undertaken, guttate psoriasis may grow into another deadly disease like cancer, psoriasis arthritis, depression, diabetes, high blood pressure, and other autoimmune disorders.

  • Medication

There are certain over the counter medicines, readily available, aiding in itching, burning and flaky skin caused by guttate psoriasis-

-Cortisone Cream Can Be Used For The Treatment Of Itching And Burning On The Skin.

-If The Psoriasis Is In The Scalp, Dandruff Shampoo Can Serve As A Soothing Variable.

-Prescribed Drugs Enriched In Vitamin A


  • Topical Treatment

This is the first line of treatment which aims at slowing down the growth of psoriasis and controlling the inflammation of the body.  It is readily available on prescription, over the counter, on both steroid and non-steroid basis.

  • Phototherapy

Under this, the skin of the person diagnosed with psoriasis is exposed to ultraviolet light. This is done under the supervision of trained medicals. Phototherapy is also known as light therapy. At times, just going out for a walk in sunshine may help.

  • Natural Remedies

There are many natural remedies which are proven to be beneficial;

A healthy and balanced diet reduces the degree of unpleasant sensations in the body. It is always recommended by doctors to take a balanced diet, enriched with certain fruits and vegetables like garlic, parsley, lettuce.

-Daily exercise routine helps in regulating the metabolic functions of the body and rejuvenation of skin cells.

-spending time in sunlight can help in overcoming the severity of guttate psoriasis.

-Avoiding processed food can help with skin inflammation.

– Joining a support group is beneficial in keeping the perspective right. Most of the times people suffering from guttate psoriasis, lose psychologically to the disease.

-quitting smoking and excessive intake of alcohol.

Living with Guttate Psoriasis

The ultimate cure of psoriasis is not out there. The doctor can help in dealing with the symptoms and managing the disease, but in long- run, a person is required to learn to live with it. Undermentioned steps may help in same-

  • Dealing with Disgust

The first step is acceptance. Always. In guttate psoriasis, the red, teardrop-shaped spots, surrounding the body have an impact on a person’s physical appearance. Despite, the unbearable itching and burning sensation, a person is required to deal with curious eyes and loud whispers. Ignoring the feeling of disgust attached to the disease is difficult. Hence the first step lies in acceptance. Taking the baggage of whatever is given to you and making it less bad, day by day.

  • Sharing with others

If the person diagnosed with guttate psoriasis does not opt for treatment, he may fall in the pit of many other diseases, one among them being depression. The psoriasis is severe enough to leave a person isolated and self- conscious. After accepting the disgust, the next step is sharing with people, venting it out. It is necessary to spread awareness about the disease so that people can learn about it, and know it’s not contagious.

  • The Right Treatment

Out of the treatment mentioned above, not each has the same effect on every person. Some people get more benefited by phototherapy while others who get more comfort from topical treatment. The task is to identify the treatment working best in favour of you. A person may have to go through it all to compare and trace the best available option in radar, but in the long run, this can work miracles.

  • Reliability of sources

One of the important tip to take into account for is staying reluctant to advises. Even this one. A person who has guttate psoriasis shall always check the reliability of devices and methods provided. As currently, there are many bogus products available in the market, guaranteeing instant and permanent cure of guttate psoriasis. The best thing is always to check the reliability of the source. It’s better to spend the money on a good doctor or psychologist rather than being manipulated in some counterfeit products.

Also recommended

10 Ayurvedic Methods for Psoriasis Treatment

Sagar Papneja

For me, health is about sustainable living and consuming environmentally conscious food; I am a vegan.

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