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Warning-sign checks

Guttate psoriasis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for difficulty breathing, fainting, confusion, or swelling of the lips, tongue, or throat.

    These can be signs of a severe allergic reaction or another emergency rather than guttate psoriasis itself.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent medical advice if your skin becomes rapidly and extensively red, painful, hot, or tender, especially with fever, chills, weakness, or pus-filled spots.

    These symptoms are not typical of uncomplicated guttate psoriasis.

    And for anyone, someone who:

    • has abdominal pain that is severe, constant, or getting worse
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you develop a new, widespread scaly rash, particularly after a sore throat or fever.

    An assessment can distinguish guttate psoriasis from infections and other skin conditions.

    You should also arrange follow-up if:

    • The rash is not improving or continues to spread
    • Itching interferes with sleep or daily activities
    • You have repeated outbreaks
    • Treatment is irritating your skin or is difficult to use
    • You develop persistent joint pain, swelling, or morning stiffness
    • The condition is affecting your mood or confidence

Every sign above is quoted from the sofidex article on Guttate psoriasis. If you are not sure, err upward — it is always reasonable to be checked.