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The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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Psoriasis in Pediatric Age Group.

Sandipan Dhar1, Sahana M Srinivas2

  • 1Departments of Pediatric Dermatology, Institute of Child Health, Kolkata, West Bengal, India.

Indian Journal of Dermatology
|December 29, 2022
PubMed
Summary

Childhood psoriasis, an immune-mediated inflammatory disease, impacts children and families. Proactive therapy offers a new approach to manage pediatric psoriasis and improve quality of life.

Keywords:
Childhoodcurrent aspectsmanagementproactive therapypsoriasis

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Area of Science:

  • Dermatology
  • Immunology
  • Pediatrics

Background:

  • Psoriasis is a chronic, immune-mediated inflammatory disease affecting all ages.
  • Childhood-onset psoriasis impacts quality of life for children and families.
  • Chronic plaque psoriasis is the most common type in children.

Purpose of the Study:

  • To describe the distinct clinical presentations of pediatric psoriasis.
  • To highlight the challenges in managing childhood psoriasis.
  • To introduce proactive therapy as a potential management strategy.

Main Methods:

  • Review of existing literature on pediatric psoriasis.
  • Analysis of clinical presentations and comorbidities.
  • Evaluation of 'proactive therapy' approach.

Main Results:

  • Pediatric psoriasis presents with smaller, less pruritic plaques, often violaceous or hyperpigmented in darker skin.
  • Associated comorbidities include arthritis, metabolic syndrome, depression, and anxiety.
  • Management is challenging due to limited approved therapies.

Conclusions:

  • Routine screening for comorbidities in pediatric psoriasis is essential.
  • 'Proactive therapy' may help prevent flare-up severity and improve quality of life.
  • Further research into pediatric psoriasis management is warranted.