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Guttate psoriasis causes small, pink-red spots on your skin. On darker skin, the spots may be purplish. They often appear on your: Small-plaque. Rash spots are less than 5 centimeters (about 2 inches) across. It's usually considered harmless.

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Phototherapy . This treatment uses ultraviolet light. You’ll get it at your doctor's office or at home with a phototherapy unit. Oral medications. You can take medications by mouth to treat severe forms of inverse psoriasis. They come in pill or capsule form. Some options include acitretin (Soriatane) capsules, apremilast (Otezla) oral tablets, deucravacitinib (Sotyktu) oral TYK 2 inhibitor, or methotrexate (Otrexup (PF), Trexall Tablets, Xatmep). Most people with small-plaque parapsoriasis don't need treatment. But if you have symptoms or want to get rid of the appearance of the condition, topical corticosteroids can help. If this doesn't work, phototherapy may be a better option. There are a few types of psoriasis. While some are similar, they can also have different symptoms and treatments. Each type affects a different area of your body.Like psoriasis, parapsoriasis shows up as a patchy rash. Spots are usually pink or red but also can appear brown or yellowish. They can be raised and bumpy with a scaly or wrinkly appearance.

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Therapy. Occupational, physical, and massage therapy can help ease pain so that you can move better. This kind of psoriasis is uncommon and mostly appears in adults. It causes pus-filled bumps (pustules) surrounded by red or purplish skin. These may look infectious but are not.This type may show up on one area of your body, such as the hands and feet. Sometimes, it covers most of your body, which is called "generalized" pustular psoriasis. When this happens, it can be very serious, so get medical help right away. Medications with vitamins. You can apply medication that has vitamin D on your skin to help. Or you can take medications with vitamin A by mouth.

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Treatment for this type of psoriasis won't cure it. But it can lessen and prevent symptoms. In severe cases, you'll need medical care, sometimes at a hospital.If you have these symptoms, see your doctor right away. You may need to get treated in a hospital. This type of psoriasis can cause severe illness from protein and fluid loss. You may also get an infection, pneumonia, or congestive heart failure.