Just a quick up date on my 9 year old daughter Carli who had her tonsils removed 2 months ago....Her guttate psoriasis that was pretty much covering her from head to toe has pretty much disappeared. She has a few smooth, very light pink spots on her tummy and her legs, but if you didn't know it was once psoriasis, you wouldn't notice it....We highly recommend removal of tonsils with peolple who suffer from strep/guttate psoriasis. I know it doesn't work for everyone, but in Carli's case, it did...Jami