Guttate psoriasis | Imamother

amother

Tue, Nov 24 2020, 9:25 pm

And here I thought I'd heard it all...

Dd7 has guttate psoriasis, and it's all new to me.

Apparently, it was triggered by a strep.

She has egg-sized , scaly postules across her stomach, back and thighs.

So far, we're treating it with topical hydrocortisone, but it's only getting worse.

Dr is considering starting her on a lengthy antibiotics protocol, although I've read online that this has not been proven conclusively to be an effective treatment.

Do any of you have experience with this?

amother

Khaki

Tue, Nov 24 2020, 10:04 pm

I had this last year. One doctor gave me cortisone cream that was useless. kept getting worse. she even decided to do a biopsy to test it, which left me with permanent scars. I went to another dermatologist. He diagnosed it with one look. gave me a cream that worked well. It was tedious to put tiny dots of cream on each little circle. So I focused on my legs because those were the worst. After a week or 2, it was almost gone from my legs, so then I started putting cream on the rest of my body.
If youre in Brooklyn, go see Dr Harold Weiss.
If you want, I can go look for the tube of cream and let you know what it is.

amother

Khaki

Wed, Nov 25 2020, 12:31 am

I am not so keen to post the prescription in public. Let me know when you are online. I'll switch from amother to my screen name and then you can pm me.

Last edited by amother on Wed, Nov 25 2020, 9:03 am; edited 1 time in total

greenhelm

Wed, Nov 25 2020, 8:47 am

I had this twice, both times triggered by strep. It went away the first time on its own when I got pregnant. It was much worse the second time - the lesions were smaller but there were hundreds of them and they were everywhere.

What worked for me was UV therapy. Be aware though, it took a while. This entailed going to the dermatologist 2-3 times a week for about 10 weeks and spending time in their light therapy chamber. It is time consuming, but I had a nice dermatologist approved tan at the end😄.

greenhelm

Wed, Nov 25 2020, 8:58 am

amother [ Ruby ] wrote:

How did you know it was triggered by strep?
I have strep b on my urine culture but obviously no symptoms of strep or recent strep culture in the last few years.

Not sure if this was for me but I was advised by my doc that it was triggered by strep throat, in my case.

amother

Khaki

Wed, Nov 25 2020, 9:55 am

greenhelm wrote:

I had hundreds of lesions all over my body. I actually looked into UV treatment. But it has it's risks, including skin damage and much higher risk for skin cancer. I just decided to go with the steroid cream. And not exceed the use on the steroid cream. I was supposed to use the cream only for a specific amount of time and then give it a weeks rest and then continue if the lesions weren't all gone. That avoided side affects from overuse of steroids. The only drawback I found to this treatment protocol was the time it took to put little dot of cream on each lesion, not just smearing it over my whole leg or arm or whatever, attempting not to go on healthy skin

greenhelm

Wed, Nov 25 2020, 10:32 am

amother [ Khaki ] wrote:

That would literally have been my full time job - I probably had 30-40 lesion on my left hand alone, forget the rest of my body! I never would have managed!

I wasn’t too worried about the light therapy- and I’m someone who always wears sunscreen and stays in the shade. Each time I went, the derm would do an exam and key in the exact time - for example, I think I only did 7 seconds a side my first time. I’m not saying it’s risk free at all, but on the balance it was the best choice for me.

amother

Wed, Nov 25 2020, 11:05 am

Thanks for your input.

Dd finished a course of antibiotics for a strep just one week earlier.

She has ocular albinism, so I doubt that light therapy is an option. But the lesions are spreading so rapidly, I'm worried...

I'm under the care of her standard pcp, waiting for her to look at the last batch of pics I emailed.

I think it's time to go to a specialist.

amother

Scarlet

Wed, Nov 25 2020, 11:18 am

see a dermatologist, preferably one who specializes in psyriasis.

I had this triggered by a double whammy of strep and staph infection in my skin! The Psoriasis was an inflammatory reaction. We tried 3 different antibiotics, and each one my body reacted to with high fever, flu like symptoms, the dermatologist said it was my immune system (because it was so triggered). We used some topicals, but he said that it would probably get better with time once the infection was healed, and switched to prescription strength antibiotic creams for the infection.

Have a conversation with the doctor before giving any vaccines until the inflammation is less acute. Sadly I didn't know to be careful, and had a flu shot within a few days, and developed a serious reaction to it... My body was on high-alert, and it was very physically and emotionally traumatic.

*By the way, I'm actually pro-vaccine. Experience has taught me that if my immune system is in a highly reactive phase (triggered by the infection - which is actually why the psoriasis set in), to be careful.

One thing that I did that I think helped me heal fast was that I went off sugars, carbs and all processed food for 6 months. After that the psoriasis and infection was completely gone. BH I've been able to get pregnant and have vaccines since without my body rejecting anything...

Mommy1:)

Wed, Nov 25 2020, 11:20 am

amother [ OP ] wrote:

Dd finished a course of antibiotics for a strep just one week earlier.

Can the PCP do another throat swab to confirm the strep is gone? or a lab test to confirm there's no active bacterial infection? If it's not gone, it might be resistant and may need a different type of antibiotic. Refuah Shelaima!

amother

Wed, Nov 25 2020, 12:29 pm

amother [ Gold ] wrote:

Wow this has been absolutely eye opening. I’ve been wondering why I’ve gotten the worst eczema flare up of my life and I did in fact have strep a few weeks ago!!

One sign that this is guttate psoriasis, and not eczema, is that there are darkish red rings around the rashes.

Google "guttate psoriasis " and look up images, see if it matches.

Refuah sheleima