A. Guttate psoriasis is a variant of psoriasis usually seen | Figure 1

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A. Guttate psoriasis is a variant of psoriasis usually seen in adolescents and young adults. It is characterized by crops of small, droplike, psoriatic papules and plaques. The word guttate is derived from the Latin gutta, which means “drop.” This type of psoriasis is often found in association with streptococcal pharyngitis.

B. Inverse psoriasis refers to psoriasis that involves intertriginous areas (axillae, groin, umbilicus). This distribution is opposite to the usual extensor distribution of psoriasis vulgaris. Psoriatic lesions with both distributions sometimes can be found in the same patients. Clinically, psoriatic lesions found in these “inverse” distributions often do not have scale, but consist of sharply demarcated red plaques that may become macerated and eroded. Treatment of inverse psoriasis usually involves low-potency (nonfluorinated) topical corticosteroids or topical calcineurin inhibitors.

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