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[Psoriasis in childhood]
L Fond1, J L Michel, A Gentil-Perret
1Service de dermatologie, hôpital Nord, faculté de médecine Jacques-Lisfranc, Saint-Etienne, France.
Insights
Psoriasis often begins in childhood with unclear causes, affecting up to 30% of patients before age 15. Early diagnosis can be challenging due to subtle skin eruptions, requiring careful treatment considerations.
Area of Science:
- Dermatology
- Pediatrics
Context:
- Psoriasis is a prevalent chronic skin condition with a significant pediatric onset.
- Approximately 30% of psoriasis cases manifest before 15 years of age.
- Congenital onset is rare, but infantile presentations can mimic napkin dermatitis.
Purpose:
- To summarize the key aspects of childhood psoriasis, including its etiology, clinical presentation, and management.
- To highlight the diagnostic challenges in pediatric psoriasis.
- To emphasize the need for cautious therapeutic approaches in children.
Summary:
- Childhood psoriasis, a common chronic disease, has an unclear etiology.
- Onset before 15 years affects 30% of patients; diagnosis can be difficult due to discrete initial eruptions.
- Specific pediatric forms exist, but rare variants include pustular, erythrodermic, and arthropathic.
- Treatment requires balancing therapeutic benefits and risks, aiming for minimal intervention for asymptomatic control.
Impact:
- Provides a concise overview of pediatric psoriasis for clinicians and researchers.
- Underscores the importance of early recognition and appropriate management strategies.
- Contributes to understanding the nuances of psoriasis in a young population.
Abstract:
Psoriasis is a common chronic disease in childhood of yet unclear etiology. Thirty per cent of psoriatic patients experience onset of their disease before 15 years of age. Psoriasis is exceptionally congenital but may present in infancy as a napkin dermatitis. There are specific pediatric clinical forms, but at the beginning the eruption is usually discrete, and the diagnosis can be difficult. Pustular, erythrodermic and arthropathic forms are rare. Treatment must weigh the advantages and disadvantages of the possible therapies and be kept to the minimum compatible with asymptomatic control.