Protocol for a case-control diagnostic accuracy study to develop diagnostic criteria for psoriasis in children

Esther Burden-Teh1, Ruth Murphy2, Sonia Gran2

  • 1Centre of Evidence Based Dermatology, School of Medicine, University of Nottingham, Nottingham, UK esther.burden-teh@nottingham.ac.uk.

BMJ Open
|August 30, 2019
PubMed

Insights

Developing new diagnostic criteria for pediatric psoriasis is crucial for timely treatment. This study aims to create history and examination-based criteria to accurately distinguish childhood psoriasis from other scaly rashes.

Area of Science:

  • Dermatology
  • Pediatric Medicine
  • Clinical Diagnostics

Background:

  • Diagnosing psoriasis in children presents significant challenges.
  • Early and accurate diagnosis is vital for appropriate treatment and monitoring of pediatric psoriasis.
  • Psoriasis in children carries substantial physical, psychological, and quality-of-life burdens.

Purpose of the Study:

  • To develop clinical examination and history-based diagnostic criteria for psoriasis in children.
  • To differentiate pediatric psoriasis from other inflammatory scaly skin conditions.
  • To improve diagnostic accuracy and facilitate timely management of childhood psoriasis.

Main Methods:

  • A consensus study with international psoriasis experts informed the initial criteria development.
  • Children with psoriasis (cases) and other scaly inflammatory skin diseases (controls) were recruited.
  • Diagnostic criteria were assessed by blinded investigators, with dermatologist diagnosis serving as the reference standard.
  • Multivariate logistic regression will be used to identify the best predictive criteria.

Main Results:

  • Sensitivity and specificity of the consensus-derived criteria will be calculated.
  • The study aims to identify the most predictive diagnostic criteria for pediatric psoriasis.
  • Results will be based on a comparison between the developed criteria and dermatologist diagnoses.

Conclusions:

  • The developed diagnostic criteria aim to aid clinicians in accurately identifying psoriasis in children.
  • Improved diagnostic tools can lead to earlier intervention and better management of pediatric psoriasis.
  • This research seeks to reduce the diagnostic delay and associated burdens for children with psoriasis.
Abstract

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