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Published on: March 1, 2024
Pediatric Psoriasis: A Peek into the Comorbidity Profile
Sharang Gupta1, Seema Goel1, Dimple Chopra1
1From the Department of Dermatology, Government Medical College, Patiala, Punjab, India.
Pediatric psoriasis is linked to numerous comorbidities, including metabolic issues and autoimmune diseases. Early detection and management are crucial for children with psoriasis to address these associated health risks.
Area of Science:
- Dermatology
- Pediatrics
- Immunology
Background:
- Psoriasis is a global inflammatory disorder affecting children and adults.
- Childhood onset occurs in nearly one-third of cases, necessitating early diagnosis.
- Skin manifestations are only part of the iceberg; extracutaneous issues are common.
Purpose of the Study:
- To investigate the clinical and epidemiological characteristics of pediatric psoriasis.
- To identify the prevalence of comorbidities in children diagnosed with psoriasis.
Main Methods:
- A cross-sectional observational study was conducted over 36 months in North India.
- Included patients aged 9 months to 18 years with a clinical psoriasis diagnosis.
- Data collected via a structured proforma at a tertiary care hospital.
Main Results:
- 86 pediatric patients (54.65% male) were studied; chronic plaque psoriasis was most common (63%).
- Comorbidities included psoriatic arthritis (9.30%), abnormal BMI (56.97%), impaired fasting glucose (11.62%), and metabolic syndrome (9.30%).
- Autoimmune diseases affected 48.83%, most commonly hypothyroidism.
Conclusions:
- Psoriasis in children is associated with significant comorbidities, mirroring adult findings.
- Early-onset psoriasis suggests risks for comorbidities begin in childhood.
- This highlights the need for early intervention and management of pediatric psoriasis and its associated conditions.
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