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September 1993

Picture of the Month

Author Affiliations

Contributed from the Pediatrics Unit, Turkish Health and Therapy Foundation Medical Center Hospital (Drs Toppare, Senşes, Kaya, Kitapci, and Dilmen), and Hacettepe Medical Faculty Hospital (Dr Gegikoglu), Ankara, Turkey.

Am J Dis Child. 1993;147(9):1013-1014. doi:10.1001/archpedi.1993.02160330103032

The children pictured in the photographs had an acute onset of their rashes. Figures 1 and 2 show the distribution of this eruption in one child, while Fig 3 is a closeup of the rash on the thigh of another child. Both children were neither febrile nor had systemic symptoms.

Denouement and Discussion 

Acute Guttate Psoriasis  Psoriasis is a common skin disorder affecting approximately 2% of the population of Europe and North America. It is relatively common in children as well, since 10% of cases begin before age 10 years and 35% by 20 years. The disease is probably polygenically determined, with other inciting precipitants such as trauma to the skin, stress, and group A β-hemolytic streptococcal infections playing a role in some cases.There seem to be two peaks of onset of psoriasis, one at age 16 years in female and at age 22 years in male patients, and