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DermAtlas: Histology - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_1_080801   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE   Category: papulosquamous eruptions /
infections and infestations
Body Site: trunk / arm
leg
  Age: 40 years
Contributor: Greg Hosler, MD, PhD    
Description: The epidermis is acanthotic with distinctive parakeratotic mounds, resembling those of pityriasis rosea. A mild inflammatory infiltrate is present around superficial vessels.
Comments: This 40 year old female developed a papulosquamous eruption beginning on her trunk and spreading to all four extremities. She recently had a streptococcal infection, treated with antibiotics. This is a classic history and histology for guttate psoriasis. The histologic (and clinical) differential diagnosis often includes pityriasis rosea. Helpful features of psoriasis are the presence of neutrophilic aggregates in the superficial epidermis and foci typical for psoriasis vulgaris.
Related Images: guttate_psoriasis_2_080801 

DermAtlas: Histology - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_2_080801   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE   Category: papulosquamous eruptions /
infections and infestations
Body Site: trunk / arm
leg
  Age: 40 years
Contributor: Greg Hosler, MD, PhD    
Description: Small aggregates of neutrophils collect in the superficial epidermis, in the vicinity of the diminished granular layer.
Comments: This 40 year old female developed a papulosquamous eruption beginning on her trunk and spreading to all four extremities. She recently had a streptococcal infection, treated with antibiotics. This is a classic history and histology for guttate psoriasis. The histologic (and clinical) differential diagnosis often includes pityriasis rosea. Helpful features of psoriasis are the presence of neutrophilic aggregates in the superficial epidermis and foci typical for psoriasis vulgaris.
Related Images: guttate_psoriasis_1_080801 

DermAtlas: BACK - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_2_071118   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE /
PSORIASIS
  Category: papulosquamous eruptions
Body Site: back / cheek
total body
  Age: 26 years
Contributor: Bernard Cohen, MD    
Description: generalized 3-8 mm red papules with central fine scale
Comments: This healthy 26-year-old woman developed a generalized papulosquamous eruption following a strep throat.
Related Images: All related Images  guttate_psoriasis_1_071118  guttate_psoriasis_3_071118 

DermAtlas: BACK - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_3_071118   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE /
PSORIASIS
  Category: papulosquamous eruptions
Body Site: back / total body   Age: 26 years
Contributor: Bernard Cohen, MD    
Description: generalized 3-8 mm red papules with central fine scale
Comments: This healthy 26-year-old woman developed a generalized papulosquamous eruption following a strep throat.
Related Images: All related Images  guttate_psoriasis_1_071118  guttate_psoriasis_2_071118 

DermAtlas: CHEST - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_1_071118   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE /
PSORIASIS
  Category: papulosquamous eruptions
Body Site: chest / neck
total body
  Age: 26 years
Contributor: Bernard Cohen, MD    
Description: generalized 3-8 mm red papules with central fine scale
Comments: This healthy 26-year-old woman developed a generalized papulosquamous eruption following a strep throat.
Related Images: All related Images  guttate_psoriasis_3_071118  guttate_psoriasis_2_071118 

DermAtlas: CHEST - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_3_050903   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE /
PSORIASIS
  Category: papulosquamous eruptions
Body Site: chest / abdomen
trunk
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: generalized round red 3-5 mm scaly papules
Comments: This healthy 4-year-old boy developed a generalized minimally itchy eruption over 5-7 days. His grandfather had plaque psosiasis.
Related Images: All related Images  guttate_psoriasis_2_050903  guttate_psoriasis_1_050903 

DermAtlas: CHEST - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_1_050903   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE /
PSORIASIS
  Category: papulosquamous eruptions
Body Site: chest / abdomen
arm / trunk
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: generalized round red 3-5 mm scaly papules
Comments: This healthy 4-year-old boy developed a generalized minimally itchy eruption over 5-7 days. His grandfather had plaque psosiasis.
Related Images: All related Images  guttate_psoriasis_2_050903  guttate_psoriasis_3_050903 

DermAtlas: CHEST - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: guttate_psoriasis_2_050903   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE /
PSORIASIS /
KOEBNER PHENOMENON /
ISOMORPHIC PHENOMENON
  Category: papulosquamous eruptions
Body Site: chest / abdomen
arm / trunk
  Age: 4 years
Contributor: Bernard Cohen, MD    
Description: generalized round red 3-5 mm scaly papules, some organized in a linear pattern
Comments: This healthy 4-year-old boy developed a generalized minimally itchy eruption over 5-7 days. His grandfather had plaque psosiasis. Note the linear pattern on the forearms demonstrating the koebner or isomorphic pattern.
Related Images: All related Images  guttate_psoriasis_1_050903  guttate_psoriasis_3_050903 

DermAtlas: LEG - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: Psoriasis_Guttate_3_030325   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE   Category: papulosquamous eruptions
Body Site: leg / knee   Age: 8 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, red papules with overlying scale.
Comments: This 8-year-old girl developed a widespread pruritic papulosquamous eruption comprised of 2-10 mm red papules covered with silvery scales following a streptococcal throat infection. She improved with topical steroids and oral erythromycin.
Related Images: All related Images  Psoriasis_Guttate_1_030325  Psoriasis_Guttate_2_030325 

DermAtlas: FACE - psoriasis, guttate
© 2001-2009, DermAtlas
Image Name: Psoriasis_Guttate_2_030325   File Type: jpg
Diagnosis: PSORIASIS, GUTTATE   Category: papulosquamous eruptions
Body Site: face / cheek   Age: 8 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple, symmetric, red papules with overlying scale.
Comments: This 8-year-old girl developed a widespread pruritic papulosquamous eruption comprised of 2-10 mm red papules covered with silvery scales following a streptococcal throat infection. She improved with topical steroids and oral erythromycin.
Related Images: All related Images  Psoriasis_Guttate_1_030325  Psoriasis_Guttate_3_030325 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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