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Updated: Dec 18, 2025

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
Published on: March 1, 2024
[Childhood psoriasis]
E Mahé1, P Gnossike1, M-L Sigal1
1Service de dermatologie, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil, France.
Insights
Psoriasis affects 1% of children, with specific childhood forms like plaque and napkin psoriasis. Early local treatment is key, with systemic options for severe cases impacting quality of life.
Area of Science:
- Pediatric Dermatology
- Chronic Inflammatory Diseases
- Dermatology
Context:
- Psoriasis affects nearly 1% of children, presenting unique forms in childhood.
- Obesity is increasingly recognized as a potential comorbidity.
- Specific pediatric psoriasis subtypes include plaque, napkin, guttate, and palmoplantar keratoderma.
Purpose:
- To summarize the key aspects of psoriasis in children.
- To highlight the importance of early and appropriate treatment strategies.
- To underscore the significant psychosocial impact of pediatric psoriasis.
Summary:
- Psoriasis in children manifests with distinct clinical forms, including plaque, guttate, and napkin psoriasis.
- While often manageable with topical treatments, severe cases impacting quality of life require timely systemic therapy.
- Understanding and addressing the psychosocial burden is crucial for effective pediatric psoriasis management.
Impact:
- Informs pediatricians and dermatologists on recognizing and managing childhood psoriasis.
- Emphasizes the need for a comprehensive approach, considering both clinical and psychosocial factors.
- Aids in optimizing treatment pathways for children with psoriasis, improving outcomes and quality of life.
Abstract:
Psoriasis is a chronic inflammatory skin disease that can affect nearly 1% of children, even during the first months of life. Recently, a link with obesity has been demonstrated by a few studies. The most common clinical form is the plaque psoriasis type, which only affects 50% of children. Napkin psoriasis, guttate psoriasis, and palmoplantar keratoderma appear to have specific aspects in childhood. Although benign, the social impact induced by psoriasis can be major, especially in children, if the disease is poorly understood or inadequately treated. First-line treatment should always include local treatments. In severe cases as assessed by clinical appearance or impact on quality of life, initiation of systemic treatments should not be delayed.
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