title: Guttate Psoriasis Following Streptococcal Vulvovaginitis in a Five-year-old Girl.
abstract: BACKGROUND
  Guttate psoriasis is frequently associated with a preceding pharyngeal or perianal streptococcal infection in children. Despite Group A beta-hemolytic streptococci (GABHS) being the most common cause of specific bacterial vulvovaginitis in prepubertal girls, there are no reports of streptococcal vulvovaginitis triggering guttate psoriasis.
  
  
  METHODS
  A five-year-old girl presented with guttate psoriasis following an episode of Streptococcal pyogenes vulvovaginitis. Following antibiotic treatment and bacterial eradication she developed vulvar psoriasis that resolved with high potency topical steroids.
  
  
  CONCLUSIONS
  Identification of an antecedent streptoccocal infection can help predict the long term prognosis in children with guttate psoriasis. The vulvovaginal area should be considered as a source of GABHS infection in young girls with guttate psoriasis, and cultures should be considered if symptoms are present.
authors.affiliation: Division of Clinical Sciences, University of Central Florida College of Medicine, Orlando, Florida.
authors.forename: Melia
authors.initials: M
authors.lastname: Hernandez
authors.affiliation: Division of Clinical Sciences, University of Central Florida College of Medicine, Orlando, Florida. Electronic address: Judith.Simms-Cendan@ucf.edu.
authors.forename: Judith
authors.initials: J
authors.lastname: Simms-Cendan
authors.affiliation: The Dermatology Group, PA, Longwood, Florida.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Zendell
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D011565:Psoriasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D013297:Streptococcus pyogenes; D014221:Triamcinolone / Q000008:administration & dosage / Q000627:therapeutic use; D014848:Vulvovaginitis / Q000150:complications* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D014221:Triamcinolone; D000658:Amoxicillin
keywords: Guttate psoriasis; Streptococcal vulvovaginitis