A rash starting on the palms and soles

Discussion The first line treatment for guttate psoriasis is usually mid to high potency topical corticosteroids. 3 The addition of a topical vitamin D analog such as calcipotriol may also be helpful as a steroid sparing agent, particularly when a large body surface area is affected. Atopic dermatitis, plaque psoriasis, and seborrheic dermatitis are common skin conditions that are often diagnosed and managed exclusively in primary care.