Guttate Psoriasis that Evolves to Chronic Plaque Psoriasis induced by Atypical Bacterial Infection

Authors

  • Jesryn Dhillon Universitas Sumatera Utara
  • Cut Putri Hazlianda Universitas Sumatera Utara

DOI:

https://doi.org/10.37287/ijghr.v7i6.168

Keywords:

chronic plaque psoriasis, guttate psoriasis, kingella kingae, periodontitis, spinghomonas paucimobilis

Abstract

Guttate psoriasis is the second most common variant of psoriasis found in children and young adults. It is known that several factors such as infections, alcohol consumption, drugs, trauma, acute discontinuation of potent topical or systemic corticosteroids, body mass index, and endocrine disorders are known to be associated with the occurrence and development of guttate tu. This study aims to report a case of varicella with bronchopneumonia in an adult patient. Data were collected through anamnesis, physical examination, laboratory and microbiological investigations, and follow-up assessments, then analyzed qualitatively and presented descriptively as a case report. A 27-year-old man came to our polyclinic with multiple erythematous papules and multiple plaques, milliar-lenticular-nummular in size, discrete, accompanied by the white scale on the scalp, thoracic, vertebral, axillary, right, and left brachial and lower extremities. Two throat swab examinations showed different bacterias and were later found to be induced by periodontitis. This patient was then treated for chronic plaque psoriasis with methotrexate and showed good progress.

References

Damayanti, D., Pratiwi, K. D., & Nugroho, W. T. (2021). Profile of psoriasis vulgaris patients treated with methotrexate at Dr. Soetomo Hospital, Surabaya, 2017–2018. Jurnal Berkala Epidemiologi, 9(1), 70. https://e-journal.unair.ac.id/JBE/article/view/15060

Darod, H. H., Melese, A., Kibret, M., & Mulu, W. (2023). Throat swab culture positivity and antibiotic resistance profiles in children 2–5 years of age suspected of bacterial tonsillitis at Hargeisa Group of Hospitals, Somaliland: A cross-sectional study. International Journal of Microbiology, 2023, 1–13. https://www.hindawi.com/journals/ijmicro/2023/6474952/

Earlia, N., Maulida, M., Lestari, W., Ismida, F. D., Tasrif, A. Y., Bulqiah, M., et al. (2023). Psoriasis gutata pada laki-laki dewasa: Sebuah kasus jarang. Jurnal Kedokteran Syiah Kuala, 23(1), 175–180.

Falls, C. L. (2020). Guttate psoriasis: An uncommon cause of a rash. Journal of Urgent Care Medicine, 30–32.

Fogel, A. L., & Strober, B. (2021). Successful treatment of guttate psoriasis with ixekizumab: A case series. Journal of Psoriasis and Psoriatic Arthritis, 6(1), 12–15. http://journals.sagepub.com/doi/10.1177/2475530320970538

Galili, E., Levy, S. R., Tzanani, I., Segal, O., Lyakhovitsky, A., Barzilai, A., & Baum, S. (2023). New-onset guttate psoriasis: A long-term follow-up study. Dermatology (Basel, Switzerland), 239(2), 188–194. https://doi.org/10.1159/000527737

Gelfand, J. M., Armstrong, A. W., Lim, H. W., Feldman, S. R., Johnson, S. M., Claiborne, W. C. C., & Callis Duffin, K. (2024). Home- vs office-based narrowband UV-B phototherapy for patients with psoriasis: The LITE randomized clinical trial. JAMA Dermatology, 160(12). https://doi.org/10.1001/jamadermatol.2024.3897

Gudjonsson, J. E., & Elder, J. T. (2012). Psoriasis. In L. A. Goldsmith, S. I. Katz, B. A. Gilchrest, A. S. Paller, D. J. Leffell, & K. Wolff (Eds.), Fitzpatrick’s dermatology in general medicine (8th ed., pp. 197–232). McGraw Hill.

Ibraheim, M. K., & North, J. P. (2024). Utility of IL-36 immunostaining in distinguishing psoriasis from pityriasis rosea and pityriasis lichenoides. Journal of Cutaneous Pathology, 51(8), 618–623. https://doi.org/10.1111/cup.14633

Murti, N. I. K., Sudarsa, P. S., Pratiwi, N. L. S., & Bharata, P. E. V. N. (2024). Psoriasis gutata pada seorang anak yang diterapi dengan fototerapi narrow-band ultraviolet-B: Sebuah laporan kasus. Intisari Sains Medis, 15(1), 178–183. https://doi.org/10.15562/ism.v15i1.1771

Svedbom, A., Mallbris, L., Larsson, P., Nikamo, P., Wolk, K., Kjellman, P., Sonkoly, E., Eidsmo, L., Lindqvist, U., & Ståhle, M. (2021). Long-term outcomes and prognosis in new-onset psoriasis. JAMA Dermatology, 157(6), 1–8. https://doi.org/10.1001/jamadermatol.2021.0734

Teng, Y., Xie, W., Tao, X., Liu, N., Yu, Y., Huang, Y., et al. (2021). Infection-provoked psoriasis: Induced or aggravated (Review). Experimental and Therapeutic Medicine, 21(6), 567. http://www.spandidos-publications.com/10.3892/etm.2021.9999

Tito, E., Ahmad, A., Gongolli, J., Issack, W., & Johnson, A. (2022). Sphingomonas paucimobilis bacteremia in a patient with retropharyngeal abscess. Cureus. https://www.cureus.com/articles/97011-sphingomonas-paucimobilis-bacteremia-in-a-patient-with-retropharyngeal-abscess

Toh, H. S., Tay, H. T., Kuar, W. K., Weng, T. C., Tang, H. J., & Tan, C. K. (2011). Risk factors associated with Sphingomonas paucimobilis infection. Journal of Microbiology, Immunology and Infection, 44(4), 289–295. https://linkinghub.elsevier.com/retrieve/pii/S1684118211000545

Yagupsky, P. (2015). Kingella kingae: Carriage, transmission, and disease. Clinical Microbiology Reviews, 28(1), 54–79. https://journals.asm.org/doi/10.1128/CMR.00028-14

Zhou, S., & Yao, Z. (2022). Roles of infection in psoriasis. International Journal of Molecular Sciences, 23(13), 6955. https://www.mdpi.com/1422-0067/23/13/6955

Zhou, T. (2024). Management of guttate psoriasis: A systematic review. Journal of Cutaneous Medicine and Surgery. Advance online publication. https://doi.org/10.1177/12034754241266187

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Published

2025-08-24

How to Cite

Dhillon, J., & Hazlianda, C. P. (2025). Guttate Psoriasis that Evolves to Chronic Plaque Psoriasis induced by Atypical Bacterial Infection. Indonesian Journal of Global Health Research, 7(6), 57–64. https://doi.org/10.37287/ijghr.v7i6.168

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