Nail Psoriasis in Children: Common or Uncommon? Results from a 10-Year Double-Center Study

Bianca Maria Piraccini1, Ioanna Triantafyllopoulou2, Christos Prevezas2

  • 1Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.

Insights

This study investigated nail psoriasis prevalence in children. Literature review and database analysis revealed that 15.7% of psoriatic children have nail involvement, aligning with European estimates.

Area of Science:

  • Dermatology
  • Pediatrics
  • Epidemiology

Background:

  • Nail psoriasis is a common manifestation of psoriasis, significantly impacting quality of life.
  • Prevalence data in the pediatric population is limited, necessitating further investigation.

Purpose of the Study:

  • To conduct a comprehensive literature review on the prevalence of nail psoriasis in children.
  • To estimate the prevalence of nail psoriasis in a pediatric cohort using clinical data.

Main Methods:

  • Systematic literature search of major databases for studies on pediatric nail psoriasis over 40 years.
  • Retrospective analysis of 10-year data from two specialized nail disorder centers (2004-2013).

Main Results:

  • Literature review of 16 papers included 4,853 psoriatic children; 15.7% (762) had nail involvement.
  • Analysis of 68,839 pediatric skin consultations revealed 0.11% with nail involvement.
  • Nail psoriasis rates in psoriatic children were 19.4% (Greek cohort) and 15.5% (Italian cohort).

Conclusions:

  • This study represents the largest retrospective analysis of pediatric nail psoriasis cases.
  • The findings are consistent with nail psoriasis incidence estimations across Europe.
  • Understanding pediatric nail psoriasis prevalence is crucial for timely diagnosis and management.
Abstract

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