Guttate psoriasis (also known as eruptive psoriasis) is a type of psoriasis that presents as small (0.5–1.5 cm in diameter) lesions over the upper trunk and proximal extremities; it is found frequently in young adults.
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Guttate psoriasis 是一種特殊的牛皮癬類型,通常由鏈球菌感染(例如咽喉或肛門周圍的感染)引發。此型態在兒童與青少年中較成人更常見。患者會出現多個小的淚滴狀病灶,通常可透過外用藥膏或光療得到改善。 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.
Guttate psoriasis 是一種常見病症,影響 0.5–2% 的兒童。它通常突然出現,呈現小而分散、滴狀或鱗屑狀、紅色且伴有瘙癢的腫塊與斑塊,主要分布於軀幹和四肢。有時與近期的鏈球菌感染有關。雖然多數可於 3–4 個月內自行消退且不留疤痕,但 40–50% 的患者可能會復發或持續,並演變為慢性斑塊型乾癬。由於可能自行消失,除非症狀影響外觀或引起明顯瘙癢,通常不必治療。 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.
病灶數量可從 5 個到 100 多個不等。
用於牛皮癬的治療方法亦可用於點滴型乾癬 (guttate psoriasis)。此情況多在數週至數個月內自行消退,約有三分之一的患者會發展為慢性牛皮癬。
○ 治療 - 非處方藥
通常會隨時間自然消失,可能需要約 1 個月。
#OTC steroid ointment
○ 治療
#Phototherapy