Medical Q&As

Pregnant - acute psoriasis?

I am 12 weeks pregnant and have suddenly had a massive bout of psoriasis all over my body. I have had psoriasis for a number of years limited mainly to elbows and legs. This attack is different and, having read a little on irishhealth.com I suspect it may be linked to a recent throat infection. Is there a safe treatment I can use as I am quite desperate at this stage and am concerned about treatment effects on the baby?

Your experience is unfortunate because psoriasis tends to get better during pregnancy. The attack you are experiencing sounds like an acute attack of guttate psoriasis. This form of psoriasis is characterised by red dots widely dispersed all over the body. You are correct in stating that a throat infection may have been responsible for this attack. Oral antibiotics can be helpful in treating guttate psoriasis and you could discuss this option with your GP. Guttate psoriasis tends to run a short-lived course so despite the dramatic nature of the eruption it might not last too long. Emollients may be all that is needed to alleviate your condition. Unfortunately the various “anti-psoriasis” oral medications are contraindicated during pregnancy because of the potential risk of harming the foetus. You can read more about psoriasis in our special psoriasis clinic which you can access at: http://www.irishhealth.com/clin/psor/