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Guttate Psoriasis 9 Year Old(7 Posts)
During the recent hot weather my DS (9) developed what I initially thought was a heat rash. After a few days it started spreading and the doctor said she thought it was Guttate Psoriasis, which I had never heard of. He was due to see the doctor again in a week - which would have been next Monday - but I took him back today as the rash is literally covering his whole body. We saw a different doctor who agreed he has GP - he certainly fits the profile and had a nasty sore throat within the past couple of weeks. This doctor prescribed antibiotics - although he is completely well in himself - and sent him for blood tests including: ANA, ANCA, CRP, ESR-EDTA. She said we must go back tomorrow if the rash spreads any more, although I don't see how it can as it's top to toe.... A year ago my son had an ultrasound scan on the lymph nodes on one side of his neck and groin, as they are permanently enlarged with no signs of ill-health. Could this be connected? His father was recently tested for lupus and, after many tests and appointments, they are swaying towards him not having it (his main symptoms are a violent skin reaction to the sun - a different rash to DS's, which leaves scarring and started well into adulthood).
Has anyone experience of this and any advice? The doctor today said , due to the large areas of 'open skin' he cannot go to school until it improves as his risk of infection is too high. He is so upset by this (he said his friends at school have been really supportive) and we have no idea how long it might last. Also, is there anything more I can do to help him?
My daughter has had two episodes of Guttate psoriasis, aged 6 and 9 hers both followed a bout of tonsillitis.
She was prescribed Dermol for bathing and a steroid ointment.
My daughter always has slightly enlarged nodes in the neck, as did I as a child.
My daughter's first attack of it lasted a month, the last one was getting on for 3 months.
100% Cotton clothing is best, antihistamines can be given too.
Thanks for your replies NK. I'm sorry to hear your daughter has experienced this twice. Do you mind if I ask you a few questions? How old is your daughter now - how long since her last attack? How badly was she affected? My little boy is covered head to toe - some areas, particularly his neck, have merged together and significant areas of his skin are red raw and extremely sore. Did they advise you to keep your DD off school? I'm imagining it will take him quite a while to recover - and, if he's similar to your daughter and it takes months - he can't surely miss all that time at school (he would be so miserable without his friends - it's quite a novelty right now, but I'm sure it will soon wear off!) How did your daughter cope - she is/was the same age as my DS at the time of her second episode. My son was really distressed at the beginning of the week due to the attention he received - also, it was spreading rapidly during this time and he had a 'running commentary' from his classmates, which really troubled him. The school have been very supportive, though, and his friends are amazing. He's not really bothered by his appearance - but it is incredibly sore in places and he HATES the feel of the cream! Sorry for waffling!
She is 13 now and hasn't had another attack, although recently she has a couple of tiny patches of psoriasis...fortunately during a sunny spell and she went out in the sunshine for a short time and they have cleared up. The last attack was 4.5 years ago and her torso was covered, spots merged together with no spaces between, she had them on arms and legs but mild in comparison to her trunk.
School applied the cream whilst at school,she wore a cotton vest underneath uniform, they didn't get infected although doctor said there was a risk of that happening, I wasn't told to keep her off school
Dermatologist who we saw during first attack linked it to the tonsillitis and said if she got a lot of attacks she would recommend a tonsillectomy. Our GP also said he would prescribe antibiotics for every episode of severe sore throat as a precaution and to to hopefully avoid another attack.
I was told by dermatologist that she was more at risk of developing plaque psoriasis as an adult especially as we have a family history of it...my dad has psoriatic arthritis and one of her older brothers has plaque psoriasis and the scalp variety, the name escapes me at this late hour!
Do hope your son's psoriasis calms down soon.
She was embarrassed by it, but at that time was in a very small supportive school..think that helped a great deal.
I'm so thrilled to have found this forum. There's so little help out there relating to guttate psoriasis and children. My 9 year old grandaughter is currently smothered from head to toe in gp. The doctors have never seen it before in a child. The front of her neck and up behind her ears has turned into a block of thick, bone dry, very red skin. Tge spots have just all joined together. Everything put on it burns, including E45. We've now found that Sudocrem gives relief without burning. The doctor has prescribed Dovobet and hydrocortisone. She had a reaction to the hydrocortisone and we refused to use the Dovobet after reading the adverse effects it can have on adults, so we consider it an absolute no go for a child with sensitive skin. Basically, at the moment, it's an emolient bath, followed by Sudocrem being applied to the most troublesome, irritated patches. Day 2 and this seems as effective as anyrhing. She's also taking an antihistamine prescribed by the doctor, so that might be kicking in too. We're using Tgel 2 in 1 on her hair. She's still happy, smiling, singing and very sociable. The school are supportive as are her friends. There were a couple of kids at school that tried to make fun of her but this was dealt with speedily and effectively by the head teacher. Does anyone out there have any ideas for soothing creams for a child with sensitive skin? Has anyone tried a product called Aveeno. I've read some adult forums where they get relief using it. We must have the only child that has a reaction to E45!! Thank you for any help you can suggest.
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