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Updated: Jun 18, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
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.
Background:
Psoriasis is a common disease affecting all age groups. In contrast to adult psoriasis, only few studies on the epidemiology of childhood psoriasis have been published.
Objectives:
Assessment of prevalence and comorbidities of juvenile psoriasis in Germany based on health insurance data.
Methods:
Data were collected from a database of about 1.3 million nonselected individuals from a German statutory health insurance organization which covers all geographical regions. Individuals with psoriasis were identified by ICD-10 codes applied to all outpatient and inpatient visits. The present analysis consists of all patients who were enlisted throughout the year 2005. The diagnosis of psoriasis was registered whenever there was at least one documented patient contact using code L40.* and subcodes. Comorbidities were also evaluated by ICD-10 diagnoses.
Results:
In total, 33 981 patients with the diagnosis of psoriasis were identified. The prevalence in 2005 was 2.5%. The total rate of psoriasis in children younger than 18 years was 0.71%. The prevalence rates increased in an approximately linear manner from 0.12% at the age of 1 year to 1.2% at the age of 18 years. The overall rate of comorbidity in subjects with psoriasis aged under 20 years was twice as high as in subjects without psoriasis. Juvenile psoriasis was associated with increased rates of hyperlipidaemia, obesity, hypertension, diabetes mellitus, rheumatoid arthritis and Crohn disease.
Conclusions:
Psoriasis is a common disease in children. Like in adults, it is associated with significant comorbidity. Increased attention should be paid to the early detection and treatment of patients affected.
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