Childhood psoriasis

Indian Journal of Dermatology, Venereology and Leprology
Sunil Dogra, I Kaur

Abstract

Psoriasis is a common dermatosis in children with about one third of all patients having onset of disease in the first or second decade of life. A chronic disfiguring skin disease, such as psoriasis, in childhood is likely to have profound emotional and psychological effects, and hence requires special attention. Psoriasis in children has been reported to differ from that among adults being more frequently pruritic; plaque lesions are relatively thinner, softer, and less scaly; face and flexural involvement is common and guttate type is the characteristic presentation. Whether onset in childhood predicts a more severe form of psoriasis is a matter of controversy, it may cause significant morbidity particularly if it keeps relapsing. Most children have mild form of psoriasis which can be generally treated effectively with topical agents such as emollients, coal tar, corticosteroids, dithranol, calcipotriol etc. according to age and the sites affected. Narrow band UVB is the preferred form of phototherapy in children for moderate to severe disease or in patients not responding to topical therapy alone. Systemic therapies are reserved for more severe and extensive cases that cannot be controlled with topical treatment and/or photo...Continue Reading

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Citations

Nov 7, 2012·Indian Journal of Pediatrics·S SacchidanandK Shilpa
Jul 21, 2011·Indian Journal of Dermatology·Sandipan DharRajib Malakar
Jan 7, 2014·Journal of the American Academy of Dermatology·Claudia J Posso-De Los Rios, Elena Pope
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May 8, 2015·Postgraduate Medical Journal·Dharshini SathishkumarJohn Victor Peter
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Apr 18, 2016·Dermatology and Therapy·Maddalena NapolitanoNicola Balato
Oct 21, 2021·Indian Dermatology Online Journal·Murlidhar RajagopalanSushil Tahiliani

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