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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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Psoriasis and seborrheic dermatitis in infancy and childhood

C Pagliarello1, G Fabrizi, C Cortelazzi

  • 1Section of Dermatology, Department of Surgical Sciences, Parma Medical School, Parma, Italy - calogero.pagliarello@libero.it.

Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Societa Italiana Di Dermatologia E Sifilografia
|October 16, 2014
PubMed

Insights

Pediatric psoriasis, an inflammatory skin condition in children, presents unique diagnostic challenges and treatment dilemmas due to variable presentations and limited pediatric data. This review focuses on recognizing and effectively treating childhood psoriasis.

Area of Science:

  • Dermatology
  • Pediatrics
  • Immunology

Background:

  • Psoriasis is a common inflammatory skin condition affecting infants, children, and adolescents.
  • Pediatric psoriasis exhibits variable clinical presentations and can be misdiagnosed due to differences from adult forms or association with atopic dermatitis.
  • Effective management of severe or recalcitrant pediatric psoriasis is challenging due to limited efficacy and safety data for available therapies in children.

Purpose of the Study:

  • To review diagnostic patterns of pediatric psoriasis.
  • To discuss effective treatment strategies for childhood psoriasis.
  • To address the therapeutic challenges in managing pediatric psoriasis.

Main Methods:

  • Literature review focusing on diagnostic criteria for pediatric psoriasis.
  • Analysis of treatment options for pediatric psoriasis, considering efficacy and safety in children.
  • Review of clinical presentations and differential diagnoses of psoriasis in pediatric populations.

Main Results:

  • Pediatric psoriasis diagnosis can be difficult, with family history being a valuable aid.
  • Clinical patterns in children may differ significantly from adults, increasing the risk of misdiagnosis.
  • A wide range of therapies exist, but data on their use in children is relatively scarce, complicating treatment decisions for severe cases.

Conclusions:

  • Accurate diagnosis of pediatric psoriasis requires careful consideration of its unique features.
  • Effective management necessitates tailored treatment approaches considering the limited pediatric data.
  • Further research is needed to establish clear guidelines for pediatric psoriasis treatment.

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