Guttate psoriasis - 點滴型乾癬https://en.wikipedia.org/wiki/Guttate_psoriasis
點滴型乾癬 (Guttate psoriasis) 是一種乾癬,表現為上軀幹和近端四肢的小病變(直徑 0.5‑1.5 公分),常見於年輕人。術語「滴狀」用於描述皮膚損傷的水滴狀外觀。點滴型乾癬 (guttate psoriasis) 通常由細菌感染引發,常見於上呼吸道感染。

病灶數量可從 5 個到 100 多個不等。

用於牛皮癬的治療方法同樣適用於點滴型乾癬 (guttate psoriasis)。此情況多在幾週至幾個月內自行消退,約有三分之一的患者會發展為慢性牛皮癬。

治療 - 非處方藥
此類乾癬通常會隨時間自然消失,可能需要約 1 個月的時間。
#OTC steroid ointment

治療
#Phototherapy
☆ 德國 Stiftung Warentest 2022 年的結果顯示,消費者對 ModelDerm 的滿意度僅略低於付費遠距醫療諮詢。
  • 軀幹背部有損傷。在普通感冒症狀後,軀幹上會出現大量小鱗片狀斑塊或斑塊。因為暴露在陽光下會好轉,所以主要發生在樹幹上
    References Guttate Psoriasis 29494104 
    NIH
    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感染)引起。此類型在兒童和青少年中較成人更常見。患者會出現多個小的淚滴狀病灶,通常可透過外用乳膏或光療得到改善。
    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.
     Childhood guttate psoriasis: an updated review 37908643 
    NIH
    Guttate psoriasis 是一種常見病症,影響 0.5–2% 的兒童。它通常突然出現,呈現許多小的、分散的、淚狀的、鱗屑的、紅色且發癢的腫塊與斑塊,主要分布於軀幹和四肢。有時與近期的鏈球菌感染相關。雖然可在 3–4 個月內自行消退且不留疤痕,但在 40–50% 的病例中,可能會反覆發作或持續存在,並演變為慢性斑塊狀乾癬。因其可能自行消失,除非外觀或瘙癢影響生活,否則不一定需要治療。
    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.