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Updated: Jun 7, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Update on pediatric psoriasis, part 1: clinical features and demographics
1Pediatric and Adolescent Dermatology, St. Luke's-Roosevelt Hospital Center, New York, New York 10025, USA. nsilverberg@juno.com
Insights
Pediatric psoriasis, affecting nearly one-third of patients before age 18, presents diverse lesion types. This review covers current understanding of childhood psoriasis, excluding therapeutics.
Area of Science:
- Dermatology
- Pediatrics
Background:
- Pediatric psoriasis encompasses infantile psoriasis, childhood-onset psoriasis, and psoriatic arthritis.
- Onset before 18 years of age occurs in approximately 25-33% of all psoriasis cases.
Purpose of the Study:
- To review current concepts and classifications of pediatric psoriasis.
- To describe the various clinical presentations of psoriasis in children.
Main Methods:
- Literature review of pediatric psoriasis.
- Synthesis of current knowledge on disease classification and presentation.
Main Results:
- Pediatric psoriasis includes infantile, childhood-onset, and psoriatic arthritis subtypes.
- Common lesion types in children include plaque, guttate, nail, napkin, and erythrodermic psoriasis.
Conclusions:
- Pediatric psoriasis is a significant subset of the disease with varied presentations.
- Understanding these distinct forms is crucial for diagnosis and management.
Abstract:
Pediatric psoriasis consists of infantile psoriasis, a self-limited disease of infancy; psoriasis with onset in childhood; and psoriasis with psoriatic arthritis. Approximately one-quarter to one-third of cases of psoriasis begin before 18 years of age. A variety of lesion types are seen in childhood, including plaque-type, guttate, nail-based, napkin, and erythrodermic disease. This article reviews current concepts in pediatric psoriasis. Part 2 will review therapeutics for psoriasis.
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