Pediatric Psoriasis Comorbidity Screening Guidelines

JAMA Dermatology
Emily OsierLawrence F Eichenfield

Abstract

Psoriasis is a complex inflammatory skin condition associated with serious medical comorbidities in adults, including obesity, hypertension, dyslipidemia, type 2 diabetes mellitus, psoriatic arthritis, nonalcoholic fatty liver disease, depression, anxiety, and decreased quality of life. Because psoriasis begins in childhood in almost one-third of patients, early identification of risk may be critical to minimizing effects on future health. To develop the first set of guidelines for comorbidity screening for patients with pediatric psoriasis based on current evidence. A literature review was performed using PubMed from January 1999 through December 2015. Limiting the search to human studies published in English and removing reviews and editorials produced 153 relevant manuscripts. An expert panel in psoriasis, pediatric dermatology, pediatric rheumatology, pediatric gastroenterology, pediatric endocrinology, and adult and pediatric cardiology used the patient-centered Strength of Recommendation Taxonomy (SORT) method to evaluate and grade the quality of evidence. Because of the limited number of pediatric studies published on these topics, the strength of the panel's recommendations is classified as SORT level C expert consensus...Continue Reading

Citations

Jan 10, 2018·Pediatric Dermatology·Lawrence F EichenfieldKelly M Cordoro
Jan 10, 2018·The British Journal of Dermatology·M Tollefson, D Siegel
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Aug 23, 2019·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Lisa EisertMichael Sticherling
Aug 23, 2019·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Lisa EisertMichael Sticherling
Sep 11, 2020·The British Journal of Dermatology·A Salman
May 19, 2020·Dermatology and Therapy·Andreas PinterAnke König
Jan 3, 2021·Pediatrics in Review·Joana MatosManuela Selores
Dec 5, 2020·Psoriasis : Targets and Therapy·Emmanuel Mahé
Feb 20, 2021·Journal of Affective Disorders·Franka TeichgräberKarel Kostev
May 22, 2021·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Bianca Y KangIsrael D Andrews
Jun 10, 2021·Expert Opinion on Biological Therapy·Jennifer Clay CatherJ Christian Cather
Jul 9, 2021·Psoriasis : Targets and Therapy·Parichat Mhusakunchai, Leelawadee Techasatian
Jul 6, 2021·International Journal of Women's Dermatology·Yamila Goenaga-VázquezAdelaide A Hebert
Jul 31, 2021·Expert Review of Clinical Immunology·Florence LibonArjen F Nikkels
Aug 22, 2021·Pediatric Dermatology·Chenin RyanJillian F Rork

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