Psoriasis in children: a retrospective analysis.

Area of Science:

• Pediatric Dermatology
• Epidemiology
• Dermatology

Background:

• Limited epidemiological data exists for childhood psoriasis.
• Childhood psoriasis presents unique challenges in diagnosis and management.
• Understanding the epidemiology of pediatric psoriasis is crucial for public health initiatives.

Purpose of the Study:

• To describe the epidemiological characteristics of childhood psoriasis.
• To identify patterns in disease presentation, severity, and treatment.
• To provide insights into childhood psoriasis in a Mediterranean population.

Main Methods:

• A retrospective study of 125 children diagnosed with psoriasis.
• Data collected between 2005 and 2008 at a Pediatric Dermatology Unit in Athens, Greece.
• Analysis of patient demographics, psoriasis type, site of involvement, severity, family history, and treatment modalities.

Main Results:

• The peak age of onset was 9-10 years, with a male to female ratio of 1.4:1.
• Plaque psoriasis was most common (56.8%), with limbs and scalp frequently affected.
• Male patients showed more severe disease (P=0.008); family history did not influence onset age.
• Topical steroids were the most common treatment, followed by keratolytics and other topical agents.

Conclusions:

• Childhood psoriasis in Greece presents with specific patterns, including a higher prevalence of plaque-type and more severe disease in males.
• The findings reflect the clinical characteristics of pediatric psoriasis in sunny climates.
• Further research is needed to understand long-term outcomes and optimal management strategies for childhood psoriasis.