Guttate Psoriasis

[Slosh]

Hi,

I have always had plaque psoriais - elbows, knees, scalp etc.

This year I have developed what I think is Guttate Psoriasis. I have little hard outbreaks all over my trunk and buttocks. Some merge together. The are almost like little warts but hard.

Any advice as how to treat this. Apparently one should not use cortisone.

I am currently on 5.5 mg of cortisone (Prednisolone) for another auto-immune disease.

Thanks

[RichardCohen]

Hi, similar situation to you. Years of plaque in similar locations and then the guttate just started appearing. It would sometimes bleed after long runs in the cold....combination of friction and temperature I think. I found it is tricky to treat with Entstilar (what I’m using for my plaque) just because it takes ages to apply in small dots all over the body. But it does work. I am also having phototherapy treatment (fortunately I have medical insurance) but this has been put on hold due to coronavirus. Which I found helped immensely-I would try see a dermatologist to help-appreciate that isn’t too helpful currently.

[Slosh in reply to RichardCohen]

Thank you for your response. I was using Enstilar - but have had such bad reactions to it - I am very chemically sensitive. Its weird - the spots are also mainly where clothing may rub on me. Its like my skin has become thin / super sensitive - probably to the longterm steroid use. I dont even know if it is guttate. I have an appointmet with the dermatology clinic - which has now been moved to the end of Feb.

[RichardCohen in reply to Slosh]

Good luck. Not sure about you, but I have moved to using isomol gel instead of a shower gel to help reduce skin irritation. It hasn’t gotten rid of the psoriasis, but just made it more subdued-seems to be keeping it moisturised more. I do find it’s always where clothing rubs.

[Slosh in reply to RichardCohen]

Thanks will look into that

[Batty1]

Guttate Psoriasis usually start after some type of viral infection and they usually resemble a tear drop and lots of them. Your cortisone is a pretty low dose but even at a low dose I would err on the side of caution because in my opinion steroids are the devil in disguise.

[Slosh in reply to Batty1]

I agree. Mine do not resemble a teardrop though.

[Batty1 in reply to Slosh]

Then most likely not Guttate Psoriasis probably just the run of the mill plaque psoriasis thats running crazy and probably from the steroids (which is the devil)

[Slosh in reply to Batty1]

Just feels entirely different - lots of small and hard outbreaks

[Batty1 in reply to Slosh]

Im not sure what you mean entirely different? You probably are experiencing a flare in your psoriasis which tend to start off resembling a pimple (not a pimple) and eventually it starts to spread to what we are familiar with which is a patch of dry cracking skin, could be very small but many or few big ones clumped together.

[Slosh in reply to Batty1]

Most of the new ‘outbreak’ in new areas have been individual small pimple size and hard - and stayed like that.

[Batty1 in reply to Slosh]

Oh, ok I understand are you currently on any type of medication for your psoriasis?

I firmly believe your experiencing and outbreak the question is why now and yes they normally do start out as small pimple like or wart like as you described before they become larger or disappear. I think your noticing it because your having what sounds like a lot.