Guttate psoriasis - 点滴状银屑病https://en.wikipedia.org/wiki/Guttate_psoriasis
点滴状银屑病 (Guttate psoriasis) 是一种银屑病,表现为上躯干和近端四肢出现直径 0.5‑1.5 厘米的小斑块;多见于年轻人。术语“滴状”用于描述皮损呈水滴状的外观。点滴状银屑病 (Guttate psoriasis) 通常由细菌感染引起,常见于上呼吸道感染后。

病变数量可从 5 处到 100 多处不等。最常受累的部位是手臂、腿部、背部和躯干。

用于牛皮癣的治疗方法同样适用于点滴状银屑病 (Guttate psoriasis)。该病一般在数周至数月内自行消退,约有三分之一的患者会进展为慢性牛皮癣。

治疗 - 非处方药
病情通常会随时间自然好转,可能需要约 1 个月的时间。
#OTC steroid ointment

治疗
#Phototherapy
☆ 德国 Stiftung Warentest 2022 年的结果显示,消费者对 ModelDerm 的满意度仅略低于付费远程医疗咨询。
  • 躯干背部有损伤。普通感冒症状后,躯干上会出现大量小鳞片状斑块或斑块。因为暴露在阳光下会好转,所以主要发生在树干上
    References Guttate Psoriasis 29494104 
    NIH
    Guttate psoriasis 是一种独特的牛皮癣形式,通常由链球菌感染(如咽喉或肛周感染)引起。该病在儿童和青少年中更常见,而在成人中较少见。患者常出现多个小的泪滴状病变,通常可通过外用乳膏和光疗得到改善。
    Guttate psoriasis is a distinct variant of psoriasis that is classically triggered by streptococcal infection (pharyngitis or perianal) and is more common in children and adolescents than adults. Patients present with several, small “drop-like” lesions that respond well to topical and phototherapies.
     Childhood guttate psoriasis: an updated review 37908643 
    NIH
    Guttate psoriasis 是一种常见病症,影响 0.5–2% 的儿童。它通常突然出现,表现为许多小的、分散的、泪状的、鳞屑的、红色的、伴瘙痒的丘疹和斑块,主要分布于躯干和四肢。有时与近期的链球菌感染有关。虽然在 3–4 个月内可自行消退且不留疤痕,但在 40–50% 的病例中可能反复发作或持续存在,并可转变为慢性斑块状银屑病。由于可能自行消失,除非出现明显的外观改变或强烈瘙痒,否则通常不必治疗。
    Guttate psoriasis is common and affects 0.5–2% of individuals in the paediatric age group. Guttate psoriasis typically presents with an abrupt onset of numerous, small, scattered, tear-drop-shaped, scaly, erythematous, pruritic papules and plaques. Sites of predilection include the trunk and proximal extremities. There may be a history of preceding streptococcal infection. Koebner phenomenon is characteristic. Guttate psoriasis may spontaneously remit within 3–4 months with no residual scarring, may intermittently recur and, in 40–50% of cases, may persist and progress to chronic plaque psoriasis. Given the possibility for spontaneous remission within several months, active treatment may not be necessary except for cosmetic purposes or because of pruritus. On the other hand, given the high rates of persistence of guttate psoriasis and progression to chronic plaque psoriasis, some authors suggest active treatment of this condition.