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Diseases

Genetic and Rare Diseases Information Center (GARD)

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Guttate psoriasis


Other Names for this Disease
  • Psoriasis guttate
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Your Question

A family member was diagnosed with guttate psoriasis. How is this condition treated?She is using triamcinolone cream and desonide lotion. Have any side effects been reported in patients who use these medications?

Our Answer

We have identified the following information that we hope you find helpful. If you still have questions, please contact us.

How might guttate psoriasis be treated?

The goal of treatment is to control the symptoms and prevent secondary infections.[1]

Mild cases of guttate psoriasis are usually treated at home. The following may be recommended:[1]

  • Cortisone (anti-itch and anti-inflammatory) cream
  • Dandruff shampoos (over-the-counter or prescription)
  • Lotions that contain coal tar
  • Moisturizers
  • Prescription medicines containing vitamin D or vitamin A (retinoids)

People with very severe guttate psoriasis may take medicines to suppress the body's immune system. These medicines include corticosteroids, cyclosporine, and methotrexate.[1]

Sunlight may help some symptoms go away. Care should be taken to avoid sunburn. Some people may choose to have phototherapy. Phototherapy is a medical procedure in which the skin is carefully exposed to ultraviolet light. Phototherapy may be given alone or after taking a drug that makes the skin more sensitive to light.[1]

More detailed information related to the treatment of psoriasis can be accessed through Medscape Reference. The National Psoriasis Foundation can also provide you with information on treatment. 

Last updated: 1/3/2013

She is using triamcinolone cream and desonide lotion. Has anyone experienced any long lasting side effects using these creams and lotions?

Both triamcinolone and desonide are topical steroids. Potential side effects of topical steroids include skin damage, such as skin thinning, changes in pigmentation, easy bruising, stretch marks, redness and dilated surface blood vessels. Steroids are absorbed through the skin and may affect internal organs when applied to widespread areas, used over long periods of time, or applied and then covered.[2]

To learn about the potential side effects associated with triamcinolone, click here.  
To learn about the potential side effects associated with desonide, click here

Last updated: 1/3/2013

References