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Updated: Jun 26, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
[Streptococcal perianal dermatitis and guttate psoriasis]
M Ledoux1, V Chazerain, P Saiag
1Service de dermatologie, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92104 Boulogne cedex, France.
Guttate psoriasis can be triggered by streptococcal infections beyond the throat. A case report highlights a child with streptococcal anal infection who developed guttate psoriasis, emphasizing thorough examination.
Area of Science:
- Dermatology
- Pediatrics
- Infectious Diseases
Background:
- Guttate psoriasis is often linked to streptococcal pharyngitis.
- Non-pharyngeal streptococcal infections are less commonly associated with guttate psoriasis.
- This study investigates a rare case of guttate psoriasis following streptococcal anitis.
Observation:
- A 4-year-old boy presented with perianal erythema and guttate psoriasis lesions.
- Group A beta-haemolytic streptococcus was identified in the perianal region.
- The patient received antibiotic treatment and topical corticosteroids.
Findings:
- Complete resolution of guttate psoriasis and anal symptoms occurred within one month.
- No relapse was observed during a 6-month follow-up period.
- This case supports a link between non-pharyngeal streptococcal infections and guttate psoriasis.
Implications:
- Highlights the importance of examining the perianal region in children with guttate psoriasis.
- Reinforces the association between streptococcal infections and guttate psoriasis.
- Suggests considering non-pharyngeal streptococcal sources in pediatric guttate psoriasis cases.
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