"I went to see a different doctor who diagnosed guttate
The patient was evaluated by a dermatologist and was subsequently diagnosed with guttate
ASO titres were positive in 10% of cases and were found to be positive in patients of guttate
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 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.
Several clinical variants of disease have been described, namely, guttate
psoriasis, erythrodermic psoriasis, and pustular psoriasis, with chronic plaque psoriasis vulgaris accounting for more than 90% of cases [2-4].
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.
Psoriasis has four major clinical phenotypes, which are distinguished by the morphological characteristics of their lesions: (i) psoriasis vulgaris, (ii) guttate
psoriasis, (iii) pustular psoriasis, and (iv) erythrodermic psoriasis .
Pigmentation may be guttate
, confetti-like pigmented macules, linear, or in largecircular macules.