Recurring Guttate Psoriasis

Posted Fri 17 May 2024 22.07 by Kayrut2024

Hi everyone, I’m new here - joined specifically to ask this question! :) In 2021 I had my first Guttate Psoriasis reaction to a strep infection following some nasty insect bites. It was pretty classic in presentation - unfortunately turned into plaque which I didn’t have before.. My now ever permanent plaque psoriasis is usually ‘controlled’ by topicals but never goes away. My NHS Derm said I don’t meet the criteria for phototherapy. A few weeks ago I got strep again. A very strange thing has happened to the palm side of my hands - GP thinks it’s a strep rash - I’m not convinced. Horrible burning sensation, rough feeling like sandpaper and incredibly uncomfortable. My hands are now peeling all over. It’s delightful! As if to make matters worse, in the last 48hrs I have all the signs of a guttate reaction again, exactly the same as in 2021. I have two questions - has anyone else had this type of experience and does Guttate now happen every time you get a nasty infection? And has anyone had better luck being accepted for phototherapy if you go private - or do they still have the 20% skin coverage rule? Sorry for my long an waffley message and thanks to anyone who takes the time to read and reply!

Posted Mon 20 May 2024 07.40 by OhNo_NotAgain?

I had plaque psoriasis from 1980, and by around 2005 it was gone except for occasional patches on elbows and one occasional patch in my groin. In 2017 I had a total hip replacement, and a couple of weeks later I started to show itching spots which very soon became guttate psoriasis all over my body except my hands and face, strangely. My GP (I still could choose who to see back then) predicted it would fade at around 6 months, and it took 8 months but did "go away". He did give me 7 days of antibiotics at the start, just in case there was some underlying infection. Since 2017 it has not come back, despite having covid vaccinations and boosters, and also a particularly nasty chest infection late last year that took weeks to clear and required antibiotics in the end.

Posted Mon 20 May 2024 21.37 by Kayrut2024

Thank you for taking the time to reply. I know everyone’s bodies are different but it gives me some hope that I may not need to brace myself for guttate every time I’m ill!

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