Systemic Therapy of Psoriasis in Children-Proposal of an Algorithm for Interdisciplinary Teamwork

Area of Science:

• Dermatology
• Pediatrics

Background:

• Pediatric psoriasis presents unique challenges compared to adult cases, impacting growth and maturation.
• Associated comorbidities in children and adolescents mirror adult patterns but require specialized consideration.

Purpose of the Study:

• To outline an interdisciplinary approach for managing pediatric psoriasis.
• To summarize challenges, specific features, and treatment recommendations for children and adolescents with psoriasis.

Main Methods:

• Retrospective analysis of therapy management in a university outpatient clinic.
• Development of an algorithm for interdisciplinary management of pediatric psoriasis patients.

Main Results:

• Psoriasis onset in children can be early, with age-specific skin involvement patterns.
• Disease severity and burden are assessed using scores like the pediatric ازيكم (cDLQI) and Psoriasis Area and Severity Index (PASI).
• Medication choices are expanding, emphasizing collaboration with pediatricians and other specialists for systemic therapies and compliance.

Conclusions:

• Effective management of pediatric psoriasis necessitates clear, adapted information for patients, guardians, and pediatricians.
• Increased systemic treatment options require a well-coordinated approach to prevent therapy discontinuation.
• Special considerations for vaccinations and chronic infections, such as Traumatic Brain Injury (TBI) management, are crucial in pediatric psoriasis care.