Patterns of psoriasis in pediatric age group

Authors

  • Humaira Talat
  • Saba Majeed
  • Zarnaz Wahid
  • Sana Siddiqui

Keywords:

Childhood psoriasis, patterns of psoriasis

Abstract

Objective To determine the patterns of psoriasis in pediatric age group.Methods In this cross-sectional study, 30 patients meeting inclusion criteria were included by nonprobability consecutive sampling technique in a period of 6 months. Patients aged 1 month to 14 years, visiting dermatology OPD or getting admitted in Department of Dermatology, CHK, were examined by a dermatologist to make a diagnosis of psoriasis and its particular pattern. Biopsies were taken wherever required. Frequency and percentages were computed for age, gender, pattern of psoriasis, severity of diseases and site of involvement.Results The median age of patients was 8 years, majority (56.7%) falling in the range of 6-10 years with equal gender distribution. Most of the patients presented with plaque type of psoriasis (43.3%), followed by guttate (13.3%), palmoplantar (10%) and nail involvement (10%). Psoriatic diaper rash and erythrodermic variety were seen in only 6.7% patients each. Lesions were primarily on the trunk (33.3%). However, only 1-10 % of body surface was involved in 50% of the patients, but at the same time 22.2% patients reported a greater involvement falling in range of 30-90% body surface area.Conclusion We conclude that plaque type is the most common pattern of psoriasis seen in children of our region and trunk is the most commonly affected site.

References

Langley RG, Krueger GG, Griffiths CE. Psoriasis: Epidemiology, clinical features, and quality of life.Ann Rheum Dis. 2005;64:18-23.

Pootrakul L, Kalb RE. The management of psoriasis in children and adolescents. G Ital DermatolVenereol. 2010;145:259-68

Lowes MA, Bowcock AM, Krueger JG. Pathogenesis and therapy of psoriasis. Nature. 2007;445:866-73.

Nestle FO, Kaplan DH, Barker J. Psoriasis. N Engl J Med. 2009;361:496-509.

Richardson SK, GelfandJM. Update on the natural history and systemic treatment of psoriasis. AdvDermatol. 2008;24:171-96.

Nair RP, Stuart PE, Nistor IHiremagalore R, Chia NV, Qin ZSet al. Sequence and haplotype analysis supports HLA-C as the psoriasis susceptibility 1 gene. Am J Hum Genet. 2006;78:827-51.

Seyhan M, Coșkun BK, Sağlam H, Ozcan H, Karincaoğlu Y. Psoriasis in childhood and adolescence: evaluation of demographic and clinical features. Pediatr Int. 2006;48:525-30.

Kumar B, Jain R, Sandhu K, Kaur I, Handa S. Epidemiology of childhood psoriasis: a study of 419 patients from northern India. Int J Dermatol. 2004;43:654-8.

Swanbeck G, Inerot A, Martinsson T, Wahlstrφm J, Enerbδck C, Enlund F et al. Age at onset and different types of psoriasis. Br J Dermatol. 1995;133:768-73.

Karthikeyan K, Thappa DM, Jeevankumar B. Pattern of pediatric dermatoses in a referral center in South India. Indian Pediatr. 2004;41:373-7.

Dhar S, Banerjee R, Agrawal N, Chatterjee S, Malakar R. Psoriasis in children: an insight. Indian J Dermatol. 2011;56:262-5.

Wu Y, Lin Y, Liu HJ, Huang CZ, Feng AP, Li JW. Childhood psoriasis: A study of 137 cases from central China. World J Pediatr. 2010;6:260-4.

Bhutto AM, Majeed A. Childhood psoriasis: Analytic retrospective study in Saudi patients. JPak Assoc Dermatol. 2011;21:159-64.

Tollefson MG, Crowson CS, McEvoy MT, Kremers HM.Incidence of psoriasis in children: a population based study. J Am Acad Dermatol. 2010;62:979-98.

Morris A, Rogers M, Fischer G, Williams K. Childhood psoriasis: a clinical review of 1262 cases. PediatrDermatol. 2001;18:188-98.

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Published

2016-11-17

How to Cite

1.
Talat H, Majeed S, Wahid Z, Siddiqui S. Patterns of psoriasis in pediatric age group. J Pak Assoc Dermatol [Internet]. 2016Nov.17 [cited 2025Feb.6];26(2):129-33. Available from: http://www.jpad.com.pk/index.php/jpad/article/view/54

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