Guttate psoriasis Puns

7 years ago my body was 80% covered in guttate psoriasis. I did everything I could to try and get rid of it— from steroids, UV treatment, diet changes. While all of that did help, I did tons of research and found that guttate psoriasis can be triggered by strep. I then found case studies that showed having tonsils removed made psoriasis go alway. I went to an ENT and he tested me for strep and it came back positive with no symptoms. With that said, I got my tonsils taken out and haven’t had a flare up since!

Hi guys just wanted to share what I did to get my severe psoriasis into remission and keep it there for 5 years (if I stop this routine it does come back within a couple months so I’m fairly confident this is what causes the remission). After trying many medications and therapies that just weren’t working I decided to trial and error supplements and lifestyle changes and here’s what I came to as a final routine:

1. I take 2 cod liver oil capsules a day
2. 1 polyphenol capsule a day (particularly ones that contain extracts such as blueberries and cloves)
3. High strength vitamin D oral spray once a day
4. Any multipurpose multivitamin (I use centrum)
5. I drink green tea about 3-4 times a week.
6. All my showers are lukewarm (still comfortable but doesn’t have the harshness in the skin)
7. I rarely use moisturisers but if I do it’s just a basic nivea one to the face.
8. Cardio excercise around 3 times a week just for 30mins a time.
9. I avoid adding sugar to things, I’ll use sweeteners instead.
10. I still eat nice and fatty “junk foods” from time to time (max 2-3days) but it is in moderation and not as my main food source, the rest I homecook nutritious meals, never too healthy just a good balance.
11. I still drink but no more than twice a week but I do binge on a night out but seems to not cause bug flare ups.
12. Finally before work I’ll meditate for 15mins this helps keep stress levels low to reduce flare up.

Hope this may be of help to someone currently struggling and looking for new possible ways to cause remission :)

Note: results can be slow it did take around 3 months until I started to see improvement but once it does it’s plain sailing from there just need to stick with it.

so i got guttate psoriasis after a bad tonsillitis infection. i unfortunately have a constant infection in my tonsils now (its controlled but i have flare ups) and i am on the waiting list for surgery to remove them. will removing my tonsils do anything for my psoriasis ? is there a chance itll calm down slightly ?

Have broken out real bad with this type of psoriasis, I'm only 27 my arms an feet are covered I'm scared it's going to spread everywhere, what can I do to stop this I've just today been give bentnovate steroid cream by my GP!

Any help or creams recommend in the UK

Thanks in advance

Hey guys, just wondering if anyone here has this pattern of some, not all, plaques starting around hair follicles?

Mine start and then develop into larger ones with time.

Cheers and merry Christmas!

I already have scalp psoriasis (and back of neck) for over 10 years. I have inverse and genital psoriasis. Minor psoriasis on knuckles. I have dyshidrosis eczema on my hands and feet when I get very stressed. Not currently on any treatment for any of it.

For the last 8 months or so, I've had these very tiny, itchy bumps on my lower sternum. A group of 3-5 that itch usually when I'm stressed, but itch when I'm okay too.

The last week these itchy bumps have spread. There are a few clustered together on my lower back. Some on my arms. My sides. A couple on my legs.

My environment is clean. I moved into a new household 3 weeks ago. The last week has been incredibly stressful.

Because I already have so many skin disorders, I'm wondering if I'm starting to develop guttate? Maybe not. What could these be? Once a bump appears, it doesn't go away. Sometimes they become non-itchy, but they're still there. Not red but still raised. As each day passes there seems to be a new itchy bump(s). I can't afford a doctor. I live in the usa.

Thanks for any help.

20 year old male, completely healthy. I got diagnosed with Guttate Psoarisis in May of 2021, it started off small with two spots on my chest. I was given steroid cream to get the spots away and it took awhile but they went away. In July of 2021, I had strep throat. My body then got covered like no other, all over my arms and my back including my face. It itches it burns and it bleeds A LOT. I have been to the dermatologist non stop for the past few months trying different creams and different antibiotics. I recently got a strep test and a blood culture and I was positive for GROUP C STREP, which to my knowledge is super rare in humans. I have been on Doxycycline, Ceftin and Keflex. None of these have worked or subsided my psoriasis. Some steroid cream will take the spots away but they eventually come back and it’s just so many spots to keep dotting it all over my body. My scalp especially is terrible.

Bottom line is, I need help, I am beginning to dislike how my body looks and I dread the itching. Hopefully you guys can give me some insight, Thanks much

So I had guttate psoriasis for about 6 months, appearing after a throat infection, which has now finally disappeared besides a few light marks. At first it was all over my body in small dots, then I got larger patches on my groin area. If there’s one thing I can recommend, it’s to use steroid cream as sparingly as possible and make sure you only put it over the patches. This is where I went wrong at the start as I wasn’t advised properly by a doctor. Make sure to only use steroid creams for max two weeks (imo doctors may say more) and then use a fragrant free moisturiser to maintain the skin once you’ve finished. Good luck guys, I was started to worry my psoriasis may never go but it’s looking good from here so heads up!

I was diagnosed with guttate psoriasis about 5 years ago after getting tear drop shaped scaled spots on my body. There weren't a lot and were barely noticeable. I thought I was a lucky sufferer. The GP gave me some steroid cream and they disappeared after a couple of weeks. I never had it again after that.

That is until about one month ago when I had tonsillitis. A week or so after I had a HUGE flare up of spots on my chest, arms, shoulders and back. I figured if I stopped drinking and smoking then they would just sort of disappear on their own - the NHS website seemed to agree and gave it a time span of 2-3 weeks. I'm starting to doubt that though.

Is this something that just isn't going to go away without treatment?

Would love to hear from any individuals who have had psoriasis plaques or guttate in mild form for years with only topicals for treatment - looking for some hope/encouragement....

I was diagnosed 4 days ago after having the rash for two weeks. I'm using clobetasol 2-3x a day, plus rx antibiotic ointment for the bad areas, and greasing up with Cetaphil as often as I can manage. I'm taking hydroxine and Allegra as well.

I was hoping to feel relief by now, but I'm still intensely itchy all the time. I get brief relief for about 10-20min after applying all the ointments.

Derm offered a steroid shot, which I turned down because of the side effects, but im wondering now if I should go back to get one. I'm just miserable.

Anyone have anything that helped them?

Anyone else experience this?

I had guttate psoriasis from the ages of 17 to 21 that never went into remission. Covered neck to toe. Went into complete remission just days after getting a tonsillectomy when I was 21 years old. I'm now 27 and have been sick with both viral and bacterial infections since.

But about 6 weeks ago I had a 1-2 day long cold and it came back. It has only been getting worse and worse. I had another viral infection last week which I doubt will make anything better. Just got a topical steroid prescribed but probably won't be able to get into a specialist/phototherapy for another few months.

Really just posting here because I thought I had pretty much "cured" myself by getting rid of my bacteria filled tonsils, but now I'm wondering if it's possible that there is bacterial permanently holed up somewhere else that isn't so easy to remove as tonsils are. In other words, am I completely screwed? Life had been so good.

Hi all, I am new here but figured this would be the best place to ask. I have normal psoriasis and was on Oztela for a couple of years to fight that and the guttate I had at the time after having strep. Now three years later I got strep again and have guttate again. The oztela is not working and I am going to be starting Tremfya as soon as I get my bloodwork and prior authorizations settled. In the meantime, my guttate is bad and itchy as all hell. I have been using the steroid cream prescribed by my doctor but that doesn’t seem to help the itchiness. I have tried cortisone creams with no success. Does anyone have any suggestions for how to deal with the itchiness until I can start Tremfya?

Does guttate psoriasis get better with age? I have read that this is a condition that affects younger people and goes away after 40…. Is this true? Anyone 40 and above still got guttate psoriasis?

Hi everyone I recently was diagnosed with guttate psoriasis, it covers about 80% of my body so it’s pretty severe. Has anyone found any lotions/creams/body washes (that don’t cost a fortune) that help with irritation/itching? I’m prescribed hydroxyzine to take at night time to help the itching but it’s so bad that I’m starting to become an insomniac. If you’ve found anything that also helps with redness I’d appreciate it because I have a dress that I’m excited to wear for a birthday party soon but I’m very self conscious because of all my spots. I have started taking oatmeal baths about once a day for 15 minutes, so if you know of anything else that may help me I’d be extremely thankful!

Has anyone had a guttate flare up following microblading / powder eyebrow procedures?

I’ve been experiencing thin, small scales limited to my scalp & trunk with a few drops on legs & arms. I do not have any scales on my brows/face. This started in May. The one previous guttate I had was due to strep and it resolved after about 6wks. (When I went to doc for rx, I didn’t even correlate the outbreak to my brows.) I normally use mometasone but it has not worked this time. For this, I was prescribed triamcinolone and it’s not working either.

I had my eyebrows initially done in late April with a touch up done in late June. I’m wondering if I reset my “recovery clock” when I went for touch up?

Hey! I've had Guttate Psoriasis for about 4 months after getting strep. I'm 22 years old and male and nothing I do seems to work. Does anyone have any non-drug and all natural options that work? I tried epsom salt baths/coal tar/various moisturizers/tea tree oil and the doc first threw steroid creams at me and none of it made a dent. I have to workout for my job and Everytime I sweat and I'm wearing a shirt it burns and it's painful. I'm lucky it's only on my torso and upper legs, and not everywhere, but it is so painful. Any advice I would appreciate greatly. Thanks in advance!

How many of you have guttate and dont take any biologics and just use a little steroid cream now and then have gotten any of the Covid vaccines? Did you have any flare ups or any reactions? Thanks jn advance

24 F, had my first Guttate psoriasis outbreak after a strep throat infection. All over my body (genital, stomach, chest, and arms). Just found out it could be long-term, chronic psoriasis and I feel so helpless. I keep blaming myself for not treating the strep infection earlier. I feel like my body will never look the same...

I really want to make sure that Im doing everything I can to make this go away ASAP. I really don’t want this to be a long term issue. I have a dermatologist appointment tomorrow and I want to make sure I choose the best treatment option. All suggestions are appreciated. A few questions I have for those with guttate psoriasis:

1. How long did it take to go away completely? I know it’s different for each person...

2. What changes did you make to your lifestyle?

3. I really don’t want to use steroid creams because I know it’s only a temporary solution. Any oral medications that helped heal it?

4. Should I explore the option of removing my tonsils? I know it’s harder for an adult to get it removed, but I also know my tonsils are large and can potentially house strep without me even knowing. It also blocks my airways and causes sleep apnea.

Hi everyone! I just wanted to share something with the people who suffer from guttate psoriasis. I found a treatment that is actually working!!!

I am a 20F and have had two bad outbreaks of guttate psoriasis in the last year. First one from strep, second one from stress and I am currently dealing with it. Its the worst I’ve had so far, its honestly really bad and makes me so insecure I can’t even describe. I’ve tried evert treatment possible that doesn’t require a prescription (epsom salt, coal tar, salicylic acid, topicals, etc.)

I live in Canada and now its winter so I can’t go out in the sun and I’m also allergic to it (I know, thats fucking weird) so its not really an option for me because I can’t stay long enough in the sun for it to do something.

After spending well over 300$ for any treatments, I think I found a cheap solution.

So I heard that the sun was a good way to get rid of it and heard about phototherapy but its really expensive. I found out that what helps it UV light just like it tanning bed not the actual sun.

I got myself a UV light from Amazon that is actually made for fish tanks. It was like 25$. My skin is very sensitive and I am not a pro and maybe its dumb to do this but oh well im desperate.

What I did: exposed my body to the UV for about 5 mins in the morning and 5 mins at night. I lay under a cover with my head out so my eyes don’t get in contact with the light.

Did this for 3 days and saw major improvements already. Will update with how long it takes to be gone.

I’m so happy and wanted to share what worked for me :)

Has anyone used enstilar on guttate psoriasis with success? I'm on a waiting list to see a dermatologist but in the meantime my doctor has prescribed me enstilar because dovobet gel no longer works for me. However the doctor said that your not supposed to put steroid creams on guttate psoriasis but just to keep it moisturised and wait it out (she said it could take up to 6 months to clear on its own). I'm just wondering should I try the enstilar on my guttate psoriasis im desperate to get it down

Hi everyone! This subreddit has helped me a lot so I thought I'd share my story. I'm an 18 year old female college student who was diagnosed with guttate psoriasis in January, after being triggered by strep. It originally presented as spots all over my face and chest, but that was it. After a misdiagnosis, I was put on a course of oral steroids, which is the worst thing they possibly could have done and proceeded to have a severe flare-up head to toe. The worst areas were my face, scalp, stomach, and back.

The flare-up lasted months. During that time, I completely gave myself over to my skin. It was all I thought about. I wouldn't hang out with friends. I wouldn't pursue romantic opportunities. I actively shut people out of my life out of shame over something that I could not control. My roommate would sometimes help me put steroid cream on my back, and no matter how much I knew she respected me, I felt an awful kind of embarrassment. I'm conventionally attractive and had never dealt with insecurity like that before. I would stare at myself in the mirror and wonder how I was going to get through the rest of the semester like that, how I was going to get through the rest of my life.

I started seeing a dermatologist and doing UVB treatments three times a week. I didn't see results for about two months but it was better than nothing. I was afraid to eat anything, afraid to drink with friends, and honestly just live my life. But I realized slowwwwwly. That A. my body could be retrained into not craving triggers most of the time, and B. I thankfully surround myself with people who do not care what I look like. They care who I am. I remember reading something online about how greek stoicism helped someone. And honestly, it's really depressing, an 18 year old having to embrace stoicism instead of debauchery, but those ideas helped me.

I didn't make real progress until going on Otezla, which was about 2 months ago. Otezla was a gamechanger. I experience minor headaches, occasional upper respiratory infections, and an occasional bout of nausea. It is so worth it. My skin cleared up (although I still had spots) and I began to live my life again, differently. I don't eat dairy. I work out most days of the week. I drink less (no beer). I tan an unhealthy amount. I get strep tested at campus health obsessively. I deal with my colds being worse (shoutout Otezla). I cross my fingers before I go to bed and pray I don't look different in the morning.

I am more cons

Has anyone had success with tanning beds for guttate psoriasis?

Hey folks,

I've had psoriasis on and off for about 11 years. This year, despite all the Covid-related stress, it has been really good - I hardly had any spots on my body for most of 2020.

However, a few weeks ago, I contracted tonsillitis and had a high fever, which I took a few days to recover from. A few weeks after I recovered, small spots started to rapidly reappear all over my body again. At first I didn't know what could be causing it, but eventually discovered that tonsillitis can act as a catalyst for Guttate Psoriasis.

Has anyone dealt with this before, and if so, what treatments did you find worked best? Did you eventually recover from it (I read that it can go away after 3 to 12 weeks).

Hi all, Just found this subreddit and was wondering how your experiences were with Humira for moderate-severe plaque and guttate psoriasis (I have both). Does anyone know if taking a biologic prevents one from developing antibodies from the covid-19 vaccination or booster down the road?

Recovering from a very harsh episode of Guttate. Lasted 2 months. 99% clear now. All that is left are bumps over hair follicles on scalp. I use the Salicylic shampoo. It is these last 10-15 that now are bugging me. ( When I was covered 60%) I did not notice them as much.

I am a newbie to Guttate Psoriasis. I was diagnosed 1 year ago when I thought I had a terrible rash all over my body. My first flare up was diagnosed by a dermatologist, which was treated with Betamethasone 3x a day with UVB Phototherapy 2x a week. Within 2 months, it all completely went away.

Fast forward to today, and I am currently having my 2nd flare up. I am super new to this disease, and I understand this will be a part of me for the rest of my life.

I talked to the dermatologist today about what the rest of my life will look like. She pretty much told me I have to live with it, and there is nothing I can do to prevent it. She told me I just have to wait for a flare up, we will treat it with light therapy, it'll go away, rinse and repeat every time.

Does anyone here have any advice for a newbie like me?

I asked all of these following questions to my dermatologist, but she didn't have any answers for me :( I felt like she didn't care at all.

Is there any lifestyle changes I can make? Anything at all for prevention?
Any recommendations for products? Is it worth getting a UVB light therapy unit in my home? Anything to help with the itching? Good resources to learn about this disease?

For context I am a 22 year old female living in Washington, USA, the most cloudy place ever. I am almost never in the sun.

Hi all,

I just recovered from 7 months of guttate psoriasis, pigment loss and over pigmentation caused by strep throat in February 2020. I’ve just felt the first feeling of sore tonsils again yesterday and I’m terrified that it’ll send me on a second wave of the psoriasis.

Is there a way to prevent a second outbreak? Any herbal remedies or prescribed medications?

The first time around I was on an alkaline diet, drinking celery juice every morning, taking vitamin D, probiotics, sunbathing and scrubbing with Epsom salt, but this time around I’m trying to prevent my immune system from causing the psoriasis in the first place. Please let me know preventative tips. Thanks ❤️

Hi! I’m 31/F/Canadian and I had my first guttate breakout when I was 9 after a strep throat infection. I then had active psoriasis, sometimes very severe, off and on until I was 30. I had psoriasis basically consistently in some capacity all throughout my 20s. I also had recurring tonsillitis/strep during this time, and a psoriasis flare would reliably follow about 2 weeks after. My tonsils were always off and on swollen and because I was aware of the psoriasis connection I was always looking down my throat with a flashlight. I also got plaque on my elbows, or guttate that would turn into plaque, but guttate was the main situation for me.

This cycle basically controlled my life and caused a lot of mental distress (trying to date and socialize with psoriasis in your teens and 20s is a real test of inner strength, as many of you know). I tried all the diets, quitting drinking (still don’t drink btw for other reasons and I also think that helps keep any plaque psoriasis away for me), and light therapy (this worked to clear a flareup, but couldn’t prevent a flareup).

Basically, last spring I got swollen tonsils with white spots during a stressful time (ended a relationship) and like clockwork got a brutal head to toe guttate flareup that lasted several months. I got referred to a new derm who specialized in psoriasis so I could start light therapy again. I showed him my annihilated skin and he was so calm and said “we will get you clear, no worries”. I was like “ok whatever dude” as no one had been able to get me totally clear for 20 years and it always came back. So I started light therapy but he also referred me to an Ear Nose and Throat doctor as he was concerned about an underlying infection. I’d gotten throat swabs that had come back negative for Strep A (rapid strep test), but POSITIVE for Strep C which isn’t the common strain of Strep that “goes around” in communities and you catch from people, which in itself was odd.

At this time I came across some medical articles about people with guttate psoriasis having their tonsils removed and when the tonsils were dissected they were found to have abnormal tonsil tissue that was chronically infected with strep C deep within the “crypts” that wasn’t easily resolved with antibiotics.

So I go to this ENT specialist and show him my skin and talk about my chronic tonsils issues, he says he’s never heard of this connection, but he’s intrigued and takes one look down my throat and says “we’re taking these out”

I've had largely well controlled psoriasis for a few years now with the odd large flare up and normally well managed with Hydrocortisone ointment. I was diagnosed with Guttate psoriasis backnin December for the second time after contracting strep throat with a full head to toe breakout. Did the usual course of Amoxacillin and Daivobet which cleared it up by about 90% with large, bright red and non dry patches staying on my upper thigh/ass area. It eventually spread all-over again and after a few trials went back on Amox which did the same 90% healing with the underwear region sores remaining, as well as the odd small patches elsewhere but largely the white healed ones. I've been using Locoid Hydrocortisone ointment and Daivobet everyday and getting plenty of time out in the sun which normally control the plaques within a few days with absolutely no effect. I'm running out of ideas and currently living in NZ from the UK so the doctors here is very expensive (especially for dermatologist) and am desperate for some advice or if anyone has had a similar and provide some help?

First time poster but a massive fan of this wonderfully supportive and helpful group.

Patient 1 is a 29-year-old woman with guttate psoriasis that developed after streptococcal pharyngitis. On examination, the patient had enlarged, erythematous tonsils bilaterally and small erythematous papules coalescing into plaques on his face, trunk, buttocks, and extremities. She did not respond to treatment with topical steroids, oral prednisone, and cyclosporine (5 mg/kg/d for 2 months). She received ustekinumab, 45 mg injections, at weeks 0, 6,18, and 30. She had complete clearance at the time of her fourth injection and remained clear for more than 20 months until she had another guttate flare after an episode of pharyngitis. She received 2 additional 45¬mg injections 4 weeks apart noting significant improvement after a single injection.

https://preview.redd.it/mqahswlpn5u61.jpg?width=750&format=pjpg&auto=webp&s=98fc59856a34546ded55bfde06f8480332d057ec

Patient 2 is a 26-year-old man on certolizumab pegol for Crohn’s disease who had guttate psoriasis after streptococcal pharyngitis. Skin examination found small, erythematous papules and plaques on the trunk, buttocks, and extremities. His BSA involve¬ment was 5% with an overall PGA of 2. He did not respond to treatment with topical steroids, topical pimecrolimus, and cyclosporine (5 mg/kg/d for 4 months). Certolizumab pegol was discontinued, and the patient received ustekinumab, 90-mg in¬jections, at weeks 0 and 6 then every 8 weeks. The patient’s BSA decreased from 5% to 1% after the first injection, and his skin was completely clear at the time of his third injection. He has remained clear for more than 2 years and continues receiving ustekinumab injections every 8 weeks for treatment of his Crohn’s disease.

Read more : Psoriasis Treatment Success Stories

📷

Hi guys just wanted to share what I did to get my severe psoriasis into remission and keep it there for 5 years (if I stop this routine it does come back within a couple months so I’m fairly confident this is what causes the remission). After trying many medications and therapies that just weren’t working I decided to trial and error supplements and lifestyle changes and here’s what I came to as a final routine:

1. I take 2 cod liver oil capsules a day
2. 1 polyphenol capsule a day (particularly ones that contain extracts such as blueberries and cloves)
3. High strength vitamin D oral spray once a day
4. Any multipurpose multivitamin (I use centrum)
5. I drink green tea about 3-4 times a week.
6. All my showers are lukewarm (still comfortable but doesn’t have the harshness in the skin)
7. I rarely use moisturisers but if I do it’s just a basic nivea one to the face.
8. Cardio excercise around 3 times a week just for 30mins a time.
9. I avoid adding sugar to things, I’ll use sweeteners instead.
10. I still eat nice and fatty “junk foods” from time to time (max 2-3days) but it is in moderation and not as my main food source, the rest I homecook nutritious meals, never too healthy just a good balance.
11. I still drink but no more than twice a week but I do binge on a night out but seems to not cause bug flare ups.
12. Finally before work I’ll meditate for 15mins this helps keep stress levels low to reduce flare up.

Hope this may be of help to someone currently struggling and looking for new possible ways to cause remission :)

Note: results can be slow it did take around 3 months until I started to see improvement but once it does it’s plain sailing from there just need to stick with it.