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Published on: March 1, 2024
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.
Purpose Of The Study:
Our aim was to perform an extensive search of the literature on the prevalence of nail psoriasis in the pediatric population and to estimate it on our own database.
Procedures:
Searching the most important databases yielded results of 16 papers published in a 40-year period which reported the prevalence of nail psoriasis in children. Furthermore, data gathered between 2004 and 2013 at two centers specialized in nail disorders were analyzed.
Results:
The selected papers encompassed a total of 4,853 psoriatic children, of whom 762 (15.7%) had nail involvement. Concerning our data, a total of 68,839 children were seen in pediatric skin consultation in both clinics over a period of 10 years, 0.11% of which had nail involvement. The rate of psoriatic children presenting nail alterations was 19.4% in the Greek and 15.5% in the Italian patient groups.
Conclusions And Message:
This is the retrospective study including the largest number of cases of nail psoriasis in the pediatric population. Our data are in line with the incidence estimation of the rest of Europe.
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