"I went to see a different doctor who diagnosed
guttate psoriasis.
The patient was evaluated by a dermatologist and was subsequently diagnosed with
guttate psoriasis.
ASO titres were positive in 10% of cases and were found to be positive in patients of
guttate psoriasis only.
He found
guttate psoriasis, mucosal involvement and psoriatic erythroderma to be uncommon.
Plaque psoriasis was the most common type of psoriasis, accounting for 85.1% of patients, followed by
guttate psoriasis (2.9%), erythrodermic psoriasis (1.7%), and pustular psoriasis (1.0%).
Patients on systemic anti-psoriatic drugs and/or systemic antibiotics currently and minimum within previous15 days from interviewing were excluded.Study procedure63 recruited psoriasis patients were allocated to one of five groups: 1a acute
guttate psoriasis (no psoriasis present when eruption began) [n=15]; 1b
guttate flare of chronic psoriasis (n=14]; 2a chronic plaque psoriasis (including scalp psoriasis) [n=26]; 2b sudden exacerbation/ deterioration of chronic plaque psoriasis (n=7);3 Other types of psoriasis (small plaque/atypical guttate/ pustular/ inverse psoriasis) [n=1].
Many dermatoses could be considered in the differential diagnosis of DHK including stucco keratosis, verruca plana, lichen nitidus, Darier's disease, and
guttate psoriasis.
Guttate psoriasis is a distinctive acute form of psoriasis, and typically erupts explosively over large areas of the skin surface, usually 1-2 weeks after an episode of acute tonsillitis or pharyngitis.
Patients without All patients PsA Patients with PsA Type of Psoriasis (N = 197) (N=102) (N=95) Chronic plaque 181 (91.9%) 90 (88.2%) 91 (95.8%) Pustular 2 (1%) 1 (1%) 1 (1.1%) Palmoplantar 33 (16.8%) 19 (18.6%) 14 (14.7%) Flexural 13 (6.6%) 8 (7.8%) 5 (5.8%)
Guttate 32 (16.2%) 13 (12.7%) 19 (20%) Erythrodermic 5 (2.5%) 2 (2%) 3 (3.2%) Type of Psoriasis P Value Chronic plaque 0.05 Pustular 0.96 Palmoplantar 0.53 Flexural 0.46
Guttate 0.16 Erythrodermic 0.59 Table 3: Morphologic features of nail changes.
Pigmentation may be
guttate, confetti-like pigmented macules, linear, or in largecircular macules.