Hi there, I am experiencing a break out of guttate psoriasis. About 2 months ago, I had a sore throat, cough and cold - It wasn't severe enough for me to visit my GP and haven't thought much about it since. Until approx. 2 weeks ago, I noticed one little plaque on my calf muscle, and within 7 days I had a spattering of small red spots (rash like) covering my shins, and chest area. Now 2 weeks in, I have quite heavy coverage on both shins, calves and both boobs which have flattened out from the initial small spots, to (small) flat red plaques. Daily, I am getting further break outs in different areas, such as my tummy, and hips, with one or two patches on my arms and back. The dryness in my ears and hairline has not developed further since using the steroid cream. This is my 5th heavy coverage attack in 15 years, 3 of which were triggered by a sore throat, On one occasion, I wasn't showing sign of illness and was advised that once you have had an outbreak, there are a number of instances that can cause it to return (Excessive alcohol/spicy food/lack of sleep). I can't speak to the accuracy of that for everyone, but personally, I get occasional dry patches (one or two in isolation) of the same size as a guttate plaque for no apparent reason, these have mainly been on the tops of my arms/shoulder area,
Previously, on each attack I have had such heavy coverage that I was referred to my local hospital for a course of light (UVB) treatment, and once as it was in quick succession to a previous attack, I was given a course of cyclosporine. At the time I felt as though it would never go, and it felt like the more I stressed the worse it got. The coverage on my face and in my hairline felt like a cruel punishment somehow. As fast as I was moisturising, it was drying out and flaking more! For my scalp I was given a lotion to apply which was a god send, it gave me instant relief! (diprosalic), and for my face, a mild steroid cream.
At the moment for this attack, I'm bathing in dead sea salts prior to applying a steroid cream (Dermovate), and following up with double base gel (emollient) to keep my skin well moisturised.
I have heard it said many times that Guttate Psoriasis is a condition that presents after a bacterial infection such as strep throat, and could manifest a long while after any illness has gone. From personal experience, it can appear very quickly from noticing the first spot to a full on attack,,and I feel extremely self conscious.
I am trying not to stress about it, because I am aware - it can take up to 6 months for my skin to heal and fully regenerate, and although it doesn't scar, you may find, if (like me) you have had a UVB treatment or been in the sun, the new skin will be lighter in colour, which albeit clears the plaques quicker, it prolongs the self-consciousness. I am not yet at the stage where I need a referral & although I am disappointed to be having a breakout, I'm thankful that this is the first major attack I have had in 8 years! I am optimistic that my current treatment of daily mineral salt baths and the two creams will be sufficient.
I would be interested to know what has worked for other people. I haven't previously had the courage to join any forums to ask..
Posted Fri 25 May 2018 23.00 by Caroline
I have had guttate psoriasis for 24 years (possibly longer as my mam said I had flaky ears as a baby), since I was 15.
Strep throat infections always triggered a big outbreak, I used to get tonsillitis often.
I did ask a number of GP’s if I could get my tonsils removed and they always said no, however one gp who specialised in dermatology agreed when I was 28 and said that I should have had them taken out when I was younger. Once I had them taken out my skin improved ten fold. The operation was a bad one but it was well worth it.
I still get outbreaks and usually this is after a throat infection and it never fully clears until I go abroad. However, the outbreaks are much less than they were.
I wil always have flaky ears, scalp and the odd patch even when I am not dealing with an outbreak but the tonsillectomy was definitely a big factor in improving the outbreaks.
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