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Picture of the Month

Mete F. Toppare, MD; Dursun A. Senşes, MD; I. Safa Kaya, MD; Füsun Kitapci, MD; Gökhan Gedikoglu, MD; Uǧur Dilmen, MD; Walter W. Tunnessen Jr, MD
Am J Dis Child. 1993;147(9):1013-1014. doi:10.1001/archpedi.1993.02160330103032.
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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

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