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Updated: May 31, 2026

Measuring Psoriasis Severity at Home
Published on: March 1, 2024
Quality of life and clinical features in Swedish children with psoriasis
Agneta Gånemo1, Carl-Fredrik Wahlgren, Åke Svensson
1Department of Dermatology, Institute of Clinical Research in Malmö, Skåne University Hospital, Lund University, Malmö, Sweden. agneta.ganemo@skane.se
Insights
Childhood psoriasis significantly impacts quality of life for children and their parents. Joint pain and itching are key factors worsening the quality of life for pediatric psoriasis patients.
Area of Science:
- Pediatric Dermatology
- Quality of Life Research
- Chronic Disease Management
Background:
- Psoriasis is a common chronic skin condition affecting children, often starting in early life.
- The disease burden extends beyond physical symptoms, impacting psychosocial well-being.
- Quality of life assessments are crucial for understanding the comprehensive effects of pediatric psoriasis.
Purpose of the Study:
- To evaluate the impact of childhood psoriasis on the quality of life of affected children and their parents.
- To explore correlations between clinical psoriasis indicators and quality of life outcomes.
- To identify specific clinical factors that exacerbate the quality of life burden in pediatric psoriasis.
Main Methods:
- A study involving 45 Swedish children (4-16 years) with psoriasis and their parents.
- Utilized validated quality of life questionnaires: Children's Dermatology Life Quality Index, Infant's Dermatitis Quality of Life Index, and Dermatitis Family Impact.
- Clinical assessments included Psoriasis Area and Severity Index (PASI) scoring and documentation of joint complaints and pruritus.
Main Results:
- Chronic plaque psoriasis was the predominant type (87%).
- Significant quality of life impairments were reported by children and parents, with median scores of 4.0 across relevant indices.
- Younger children (5-8 years) and those with joint complaints reported higher quality of life impacts.
- Parental impact scores correlated with child quality of life and disease severity (PASI).
Conclusions:
- Childhood psoriasis substantially diminishes the quality of life for both children and their families.
- Joint complaints and pruritus are significant clinical factors contributing to reduced quality of life.
- Disease severity (PASI) did not directly correlate with child-reported quality of life, but parental impact did.
Abstract:
Psoriasis is a common, chronic disease and in one-third of the patients it begins during the first 2 decades of life. The burdens of psoriasis are many, and some can be assessed with quality of life questionnaires. The aim was to investigate the impact of childhood psoriasis on quality of life in children and their parents and to correlate certain clinical findings with quality of life. Forty-five Swedish children (4-16 years, 28 girls) with psoriasis, and their parents, were investigated with the validated questionnaires Children's Dermatology Life Quality Index (5-16 years, n = 42), The Infant's Dermatitis Quality of Life Index (4 years, n = 3), and Dermatitis Family Impact (n = 45), the two latter with the word eczema replaced by psoriasis. Clinical examination was performed, and psoriasis severity was scored with Psoriasis Area and Severity Index. Chronic plaque psoriasis was the most common clinical type (87%). Four of the children had joint complaints. Ninety-three percent had pruritus the preceding 3 days. Ninety-three percent were receiving treatment. Median Psoriasis Area and Severity Index score was 3.3 (range 0.5-12.3). Median score for the Infant's Dermatitis Quality of Life Index was 4.0 (range 2-12), for Children's Dermatology Life Quality Index 4.0 (0-24), and for Dermatitis Family Impact questionnaire 4.0 (0-25). No significant gender difference existed. The Children's Dermatology Life Quality Index scores were higher for younger (5-8 yrs) than older (9-16 yrs) children and higher for those with joint complaints. The Dermatitis family impact scores correlated significantly with Children's Dermatology Life Quality Index and Psoriasis Area and Severity Index scores, but the Children's Dermatology Life Quality Index did not correlate with Psoriasis Area and Severity Index. The Visual Analog Scale and quality of life scores were significantly correlated. Psoriasis in children affects quality of life in the subjects and their parents. Joint complaints and pruritus significantly impair quality of life.
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