Epidemiology and comorbidity of psoriasis in children

M Augustin1, G Glaeske, M A Radtke

  • 1CVderm - German Center for Health Services Research in Dermatology, Department of Dermatology, University Clinics of Hamburg, Hamburg, Germany. m.augustin@derma.de

Insights

Psoriasis is common in children, affecting 0.71% of those under 18. Juvenile psoriasis significantly increases the risk of other health issues like obesity and diabetes, requiring early detection and treatment.

Area of Science:

  • Dermatology
  • Epidemiology
  • Pediatrics

Background:

  • Psoriasis affects all age groups, but epidemiological studies on childhood psoriasis are limited.
  • Understanding the prevalence and associated conditions in juvenile psoriasis is crucial.

Purpose of the Study:

  • To determine the prevalence of juvenile psoriasis in Germany.
  • To assess comorbidities associated with childhood psoriasis using health insurance data.

Main Methods:

  • Analysis of a German statutory health insurance database covering approximately 1.3 million individuals.
  • Identification of psoriasis cases using ICD-10 codes (L40.*) for all patient contacts in 2005.
  • Evaluation of comorbidities through ICD-10 diagnoses.

Main Results:

  • Psoriasis prevalence was 2.5% in 2005; 0.71% in children under 18.
  • Prevalence increased linearly from 0.12% at age 1 to 1.2% at age 18.
  • Juvenile psoriasis patients (under 20) had double the comorbidity rate, including hyperlipidemia, obesity, hypertension, diabetes, rheumatoid arthritis, and Crohn disease.

Conclusions:

  • Psoriasis is a prevalent condition in children, similar to adults.
  • Juvenile psoriasis is linked to significant comorbidities, necessitating early detection and management.
  • Increased clinical attention to early diagnosis and treatment of pediatric psoriasis is recommended.
Abstract

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