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Related Experiment Video

Updated: Apr 18, 2026

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
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Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients

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Napkin psoriasis--case report.

Anca Creţu1, Elena Crihan, A Oanţă

  • 1University of Medicine and Pharmacy Grigore T. Popa - Iaşi, Department of Medical Specialties (II).

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|January 14, 2015
PubMed
Summary

This case study highlights a 4-month-old infant diagnosed with psoriasis, specifically napkin psoriasis, presenting with characteristic skin lesions. Effective management involved hygiene, topical non-fluorinated corticosteroids, and emollients, alongside addressing underlying health issues.

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Area of Science:

  • Pediatric Dermatology
  • Inflammatory Diseases

Background:

  • Psoriasis affects up to 1% of children, influenced by genetic and environmental factors.
  • Napkin psoriasis is a variant seen in infants under two years, often mistaken for diaper rash.

Observation:

  • A 4-month-old infant presented with erythematosquamous lesions in the anogenital area, buttocks, and thighs following a respiratory infection.
  • Initial treatment with antibiotics and topical corticosteroids was ineffective.
  • Laboratory findings included iron-deficiency anemia, leukocytosis, thrombocytosis, elevated ESR, hepatic cytolysis, hyperphosphatemia, and Staphylococcus aureus nasal carriage.

Findings:

  • Diagnosis of psoriasis was established through clinical presentation and laboratory tests, without a biopsy due to the infant's age.
  • Treatment involved systemic antihistamines, desensitization, rigorous hygiene, topical non-fluorinated corticosteroids, and emollients.

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Last Updated: Apr 18, 2026

Author Spotlight: Self-Assessment Protocol for Predicting Psoriatic Arthritis in Psoriasis Patients
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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

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Implications:

  • This case underscores the importance of clinical diagnosis in pediatric psoriasis when biopsy is not feasible.
  • Appropriate management, including hygiene and targeted topical therapies, can lead to favorable outcomes in infant psoriasis.
  • Recognizing psoriasis variants like napkin psoriasis is crucial for accurate pediatric dermatological care.