Guttate Psoriasis in a 32-Year-Old Male: Case Study and Treatment with Light Therapy
by: Ashley Baldree
At Village Dermatology in Katy and Houston, Texas, we treat a wide range of skin conditions, including psoriasis. This case highlights a 32-year-old male with guttate psoriasis, a form of psoriasis that often appears suddenly and can be triggered by infections such as strep throat.
Patient Presentation
A 32-year-old male presented for evaluation of red, flaky, itchy skin lesions. The psoriasis had been present for several months and was distributed across multiple areas of the body.
He reported no family history of psoriasis and had not previously tried biologic therapies or other systemic treatments. At presentation, he was using only a prescription topical steroid (triamcinolone cream).
Dermatologic Examination
A comprehensive skin exam was performed, including use of a dermatoscope.
Findings included:
Guttate psoriasis: Multiple small, red, scaly papules scattered across the body.
Body Surface Area (BSA) Involvement: Estimated at 20%.
Skin type: IV (moderate brown skin).
No other significant abnormalities were detected.
Impression and Plan
Diagnosis: Guttate Psoriasis (L40.4)
This type of psoriasis is typically associated with an immune response, often following strep throat infections. It presents with numerous small, red, scaly spots resembling “raindrops” on the skin.
Treatment Plan
Continue topical triamcinolone cream as needed.
Initiate light therapy (phototherapy) to reduce inflammation, slow down excessive skin cell turnover, and promote clearance of lesions.
Patient agreed to proceed with treatment.
Counseling
Guttate psoriasis often resolves with treatment of the triggering infection.
Other options include topical steroids, UV therapy, and systemic therapies (reserved for severe or persistent cases).
Patients with a history of guttate psoriasis have an increased risk of developing chronic plaque psoriasis later in life.
Advised to return if symptoms worsen or fail to improve after several months of treatment.
Key Takeaway
This case illustrates the importance of early recognition and treatment of guttate psoriasis. With proper dermatologic care, patients can achieve significant improvement through therapies such as topical treatments and phototherapy.
At Village Dermatology in Katy and Houston, TX, we provide comprehensive evaluation and treatment for psoriasis and other chronic skin conditions.
