Conditions › Guttate Psoriasis
Guttate Psoriasis – Consultant Diagnosis & Personalised Treatment in London
Guttate psoriasis is a sudden form of psoriasis that appears as small, red, drop-shaped patches on the skin, often after throat infections. It is more common in children and young adults. At Skinhorizon, we provide accurate diagnosis and tailored treatment to control flare-ups and improve skin comfort.
Call Us Book ConsultationWhat is guttate psoriasis?
Guttate psoriasis is a sudden type of psoriasis characterised by small, drop-shaped red patches that are often covered with fine scales. It commonly follows an infection, especially streptococcal throat infections. Unlike plaque psoriasis, the spots are smaller and more widely spread.
Causes and risk factors
The main trigger is a recent infection, particularly Streptococcus pyogenes (strep throat). Other risk factors include:
- Viral infections such as colds or flu
- Stress or sudden emotional events
- Skin injury (Koebner phenomenon)
- Certain medications
- Genetic predisposition if there is a family history of psoriasis
Symptoms of guttate psoriasis
Typical symptoms include:
- Small, round or oval, red patches with fine scaling
- Sudden eruption across large areas of skin
- Itching or mild discomfort in affected areas
- Most commonly on trunk, arms, thighs, and sometimes scalp
Guttate Psoriasis Diagnosis
Diagnosis is usually made clinically by examining the characteristic appearance and history of recent infection. Throat swabs or blood tests may be carried out to identify streptococcal bacteria. In rare cases, a skin biopsy may be done to rule out other skin conditions.
Personalised Guttate Psoriasis Care in Central London
Book a consultation in Maida Vale for red, drop-like skin spots. We offer consultant-led care for guttate psoriasis, including UV therapy and flare prevention.
Call Us Book ConsultationGuttate Psoriasis Treatment options
Topical therapies
Moisturisers and emollients help relieve dryness and scaling. Topical corticosteroids may reduce redness and inflammation.
Phototherapy
Narrowband UVB light treatment is often highly effective in clearing guttate psoriasis. It is especially considered when the condition affects widespread areas.
Treating the trigger
If a throat infection is the underlying cause, antibiotics may be prescribed by your doctor to clear the infection and prevent further flare-ups.
Other options
For resistant or recurrent cases, systemic medications such as methotrexate or biologics may be considered under specialist care, although these are rarely required for guttate psoriasis.
Prognosis
Many cases of guttate psoriasis clear within weeks to months with proper treatment, but some patients may experience recurrence or progression to chronic plaque psoriasis. Early and effective treatment reduces this risk.
Why choose Skinhorizon for guttate psoriasis treatment?
- Consultant dermatologist-led diagnosis and care
- Access to advanced phototherapy (Excimer UVB and Narrowband UVB)
- Tailored treatment plans to reduce recurrence
- Supportive follow-up and patient education
Your first visit — what to expect
- History: Discussion of symptoms, recent infections, family history, and triggers
- Examination: Skin assessment to confirm guttate psoriasis pattern
- Tests: Throat swab or blood test if infection suspected
- Treatment plan: Emollients, topical treatments, and phototherapy if needed
- Follow-up: Monitoring progress and adjusting treatment if required
Reviewed by: Dr Mohammad Ghazavi, Consultant Dermatologist
Skinhorizon Clinic, 4 Clarendon Terrace, Maida Vale, London W9 1BZ
Last reviewed: 21 August 2025
Get expert help to manage guttate psoriasis and reduce flare-ups effectively.
Call Us Book ConsultationGuttate Psoriasis FAQs
What is guttate psoriasis?
Guttate psoriasis is a sudden form of psoriasis that causes small, red, drop-like patches on the skin, often triggered by throat infections.
What causes guttate psoriasis?
The most common trigger is a streptococcal throat infection. Other factors include stress, viral infections, certain medications, and genetic predisposition.
What are the symptoms of guttate psoriasis?
Red, scaly, drop-like patches that appear suddenly, often on the trunk, arms, thighs, and scalp. They may be itchy or uncomfortable.
How is guttate psoriasis diagnosed?
Diagnosis is usually clinical, based on the appearance of the skin and recent infection history. Throat swabs or blood tests may confirm streptococcal infection.
Can guttate psoriasis be treated?
Yes. Treatments include emollients, topical corticosteroids, phototherapy (UVB), and antibiotics for underlying infections. Most cases resolve with treatment.
Is guttate psoriasis permanent?
No, many cases resolve within weeks to months. However, some patients may experience recurrence or progression to chronic plaque psoriasis.
