CASE HISTORY – September 2026

Guttate Psoriasis: Literature review and case report

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Abstract

Guttate psoriasis is an acute clinical subtype of psoriasis that occurs predominantly in children and adolescents and is frequently triggered by a preceding streptococcal upper respiratory tract infection. It is characterized by the sudden appearance of numerous small, drop-like erythematous papules with fine scaling, typically distributed on the trunk and proximal extremities. Diagnosis is primarily clinical and supported by the patient’s history and characteristic skin findings. Treatment options include skin care measures, topical therapies, and narrowband UVB phototherapy, while systemic treatment is reserved for more severe or persistent cases. Although guttate psoriasis often has a favourable prognosis and may resolve spontaneously, a proportion of patients may later develop chronic plaque psoriasis, making appropriate management and follow-up important.