[4] Initially, when the throat infection has cleared up, the person can feel fine for several weeks before noticing the appearance of red spots.

Guttate psoriasis can occur on any part of the body, particularly the legs, arms, torso, eyelids, back, bottom, bikini line, and neck.

[10][11] Immunosuppressive drugs that inhibit T cell activation have been effective in treating severe cases of chronic guttate psoriasis.

[12] Due to the role streptococcal infection plays in the development of guttate psoriasis, systemic antibiotics have been considered as a potential treatment option.

[15] Younger age of onset and strep induced outbreaks have been associated with the acute pattern, while a family history of psoriasis is more common in patients with a chronic course.

[15] Researchers have found four factors actors associated with chronic guttate psoriasis: male sex, multiple disease flares, transition to the vulgaris phenotype, and palmoplantar involvement.

This study, which followed a cohort of 15 patients, found only one-third of individuals developed chronic plaque psoriasis.