THEMES

Guttate psoriasis, all the info

Guttate psoriasis, all the info

Therepsoriasisit affects 2 to 4% of the western population. Therecausepsoriasis has not yet been highlighted. It is believed that thecausesare to be identified in a mix of environmental and genetic factors. It has been observed that thepsoriasisit is more common among people already suffering frominflammatory bowel diseasessuch as Crohn's disease or ulcerative colitis.

There are several forms ofpsoriasis, the most common is plaque psoriasis (affects 85-90% of cases) whileguttate psoriasisrepresents 8-10% of cases. Often, theguttate psoriasisit is associated with infections such as streptococcal tonsillitis and pharyngitis.

Guttate psoriasis or eruptive psoriasis

Also known as eruptive psoriasis, it is characterized bypapules (small pads of the skin of a solid consistency) red and flaking. These small red spots can be located in different areas of the body, most typically:

  • Back
  • Lower part of the trunk
  • Limbs (legs and arms)
  • Scalp
  • Groin and bikini area
  • The neck
  • The eyelids

The photograph above shows a woman's upper back. The entire trunk, in this case, is affected byguttate psoriasis. It is easy to distinguish guttate psoriasis fromplaque psoriasis. In plaque psoriasis, the red formations are much thicker and covered by a white apical "plaque" of variable extension.

The term "guttata" is linked to the characteristic shape adropthat skin lesions take on when they occur individually and well spaced from each other.

Guttate psoriasis: cause

Even if thecausesare many, very often theeruptive psoriasisit is triggered by a bacterial infection, especially of the upper respiratory tract (pharyngitis, rhinitis, tonsillitis ...).

Genetic and environmental factors influence the predisposition to this autoimmune disease. This skin disorder is linked to a particular mechanism which involves the antigens of human leukocytes, in this case those of the HLA-C group with a mechanism similar to that described in the article onplaque psoriasis.

Streptococcal infection is the main environmental factor that contributes to the genesis of the disease. The route of infection is generally the respiratory system. Only rarely, theguttate psoriasisit is caused by "streptococcal periocid dermatitis" a skin infection that affects the perimeter of the anal extremity.

There is no shortage of theories that see eruptive guttate psoriasis associated with emotional factors, therefore as a psychosomatic disease.

How to cure guttate psoriasis

How long does guttate psoriasis last and how long does it take to heal?
It is not easy to answer these questions because the course of the disease can be subjective. Symptoms can last for several weeks. In chronic forms it can last for months but only about 1/3 of patients develop a chronic form.

Due to the association betweenguttate psoriasisand streptococcal infection, thecarecan focus on the use of systemic antibiotics. The problem with psoriasis is that it is a disease that tends to become chronic and prone to relapses. What does it mean? Which, even if brought to recovery, can "return" later in time when certain environmental / physiological conditions reappear.

The research did not focus specifically on this form of psoriasis, so the treatments and creams to use are the same as those provided forplaque psoriasis. The most prescribed drugs fortreat plaque psoriasisthey are steroid creams, creams enriched with vitamin D3, ultraviolet therapy and, only in extreme cases, drugs that suppress the immune system.

For the application of anycreamor treatment, it is important to consult your trusted dermatologist.

Guttate psoriasis: nutrition

The recommended diet is rich in eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). So what to eat? Caught fish! Attention, the recommendation sees the consumption of fish caught and not farmed. In particular: herring, salmon and mackerel.

For the dressing, green light for extra virgin olive oil. The consumption of legumes, vegetables and fruit is recommended.

Avoid foods such as red meat and dairy products. During this period, it is better to suspend the use of alcohol. The effect on theguttate psoriasisconsumption of caffeine (coffee, black tea…) and tobacco smoke.

Among the people who suffer frompsoarysisa higher rate ofceliac disease. Although this data alone cannot tell us much, the most scrupulous recommend limiting the use of foods rich in gluten. It would appear that a gluten-free diet can alleviate the severity of the disease and lead to remission ofsymptomsin people with celiac disease and in those with anti-gliadin antibodies.

For further information: psoriasis, natural remedies


Video: Psoriasis: Types, Symptoms, Causes, Pathology, and Treatment, Animation (June 2021).