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Updated: Aug 3, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
The Role of Diet in Children with Psoriasis: Emerging Evidence and Current Issues
Edoardo De Simoni1, Giulio Rizzetto1, Elisa Molinelli1
1Clinic of Dermatology, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.
Insights
Pediatric psoriasis, a chronic inflammatory disease, may benefit from specific diets like Mediterranean, gluten-free, or low-calorie. These diets can positively impact associated conditions such as psychological stress, celiac disease, and obesity.
Area of Science:
- Dermatology
- Pediatrics
- Nutrition Science
Background:
- Psoriasis is a chronic, immune-mediated inflammatory disease with skin involvement.
- It affects 22-33% of cases during childhood and is linked to increased cardiovascular risk and metabolic comorbidities.
- Diet significantly influences inflammatory diseases, including psoriasis.
Purpose of the Study:
- To explore the potential benefits of Mediterranean, gluten-free, and low-calorie diets in managing pediatric psoriasis.
- To assess the impact of these diets on comorbidities associated with childhood psoriasis, such as psychological stress, celiac disease, and obesity.
- To emphasize the need for a multidisciplinary approach in developing personalized dietary strategies for children with psoriasis.
Main Methods:
- Review of existing literature on dietary interventions in adult and pediatric psoriasis.
- Analysis of the relationship between specific diets and comorbidities in pediatric psoriasis.
- Discussion on the role of healthcare professionals in tailoring dietary plans.
Main Results:
- Mediterranean, gluten-free, and low-calorie diets have shown positive effects on disease control in adult psoriasis patients.
- These dietary regimens may also benefit children with psoriasis by positively influencing associated psychological stress, celiac disease, and obesity.
- Tailored dietary strategies are crucial for ensuring adequate growth and addressing the pro-inflammatory profile and cardiovascular risk in pediatric psoriasis.
Conclusions:
- Specific dietary interventions show promise for managing pediatric psoriasis and its associated comorbidities.
- A collaborative approach involving gastroenterologists, nutritionists, pediatricians, and dermatologists is essential for effective management.
- Personalized nutrition plans are key to improving health outcomes and reducing cardiovascular risk in children with psoriasis.
Abstract:
Psoriasis is an immune-mediated inflammatory systemic disease with skin tropism and chronic relapsing course; it is associated with an increased cardiovascular risk and with many metabolic comorbidities, emerging during childhood in 22-33% of cases. Diet influences the presentation and the clinical course of inflammatory diseases, including psoriasis; in particular, it was shown that a Mediterranean, gluten-free, or low-calorie diet may positively affect disease control in adult patients with psoriasis and adequate pharmacological therapy. These three dietary regimens may play a role also in children with psoriasis. It has been demonstrated that pediatric psoriasis is associated with psychological stress, celiac disease, and obesity, which may be positively influenced by these dietary regimens, respectively. Therefore, the expertise of multiple health figures (gastroenterologists, nutritionists, pediatricians, dermatologists) is required to plan a tailor-made dietary strategy, ensuring good growth, through an adequate intake of essential micro- and macronutrients and, at the same time, impacting the pro-inflammatory biochemical profile and on the associated cardiovascular risk of psoriasis disease.
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