Psoriasis in children: a retrospective analysis

Stefanaki, Christina; Lagogianni, Eirini; Kontochristopoulos, Georgios; Verra, Prokopia; Barkas, George; Katsambas, Andreas; Κατσαρού, Αλεξάνδρα

doi:10.1111/j.1468-3083.2010.03801.x

Cited by 42 publications

(58 citation statements)

References 26 publications

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“…Genel nüfusun %1-2'sini etkileyen hastalık çocukluk çağı dermatozlarının %4'ünü oluşturmaktadır (11). Hastaların %10'nunda hastalığın başlangıcı 10 yaşından ve %2'sinde ise 2 yaşından öncedir (6,12). Avustralya, Orta Doğu ve Danimarka'da yapılan çalışmalarda ortalama görülme yaşı 5 yaş ve altı iken Hindistan'da 419 olguluk bir çalışmada 6-10 yaş aralığı olarak tespit edilmiştir (2).…”

Section: Discussionunclassified

“…Tırnakta en fazla görülen değişiklik yüksük tırnaktır (6,18), fakat başka birçok tırnak bulgusu da olabilmektedir. Bunlar subungual hiperkeratoz, onikolizis, sarı kahverengi renk değişikliği olarak görülen 'yağ damlası' görünümü (hiponikyum ve tırnak yatağında biriken glikoproteine bağlı) ve longitudinal çizgilenmedir (6,15,18,20). Tırnak tutulumu olgularımızın %14'ünde izlendi.…”

Section: Discussionunclassified

“…Hastaların yaklaşık %25-45'inde çocukluk veya adolesan dönemde ilk belirtiler oluşmaktadır (1)(2)(3). Hastaların %10'unda hastalık 10 yaşından önce, %2'sinde ise 2 yaşından önce başlamaktadır (6). Pediatrik psoriasis başlıca infantil psoriasis, erken başlangıçlı psoriasis ve psoriatik artrite eşlik eden psoriasis olarak ayrılmaktadır (1).…”

Section: Introductionunclassified

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The Retrospective Evaluation of Childhood Psoriasis Clinically and Demographic Features

Karadağ¹,

Bilgili²,

Çalka³

et al. 2013

tdd

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Objective: This study was aimed to define the clinical and demographic findings of psoriasis in childhood. Methods: In this retrospective study, the data from 64 children with psoriasis admitted at the our dermatology clinic between January 2007 and January 2011 were included whose data were fully. Results: Of the patients, 37 (57.8%) were boys and 27 (42.2%) were girls. Mean age of the children was 10.08 ±3.98 years (3-16). In 10 (15%) cases, a positive family history was detected. The most frequent localizations at onset were trunk (46.9%), scalp (28.1%), knee-elbow (10.9%) and extremities (7.9%), respectively. The most commonly seen clinical types were plaque (68.8%), guttate (20.3%), palmoplantar (9.4%), pustular (1.6%), respectively. Nine children had nail involvement. Out of all patients, 21.9% had upper respiratory tract infections and 9.4% had emotional stres. Four cases were diagnosed with depression. Of the cases, two cases were on non-steroid anti-inflammatory medication, and 4 of them were on antibiotics. Systemic treatments were given to 21.9% of the cases besides topical treatments. Conclusion:The epidemiological studies of psoriasis during childhood period for different countries have been reported. In this study, the ratio shows differences when compared to those previous studies. There are few epidemiologic studies for Turkey. We believe that further epidemiological studies including large number of patients' groups will contribute the diagnosis and treatment of the disease. Key words: Psoriasis, retrospective Sonuç: Çocukluk çağında görülen Psoriasisle ilgili farklı ülkeleri kapsayan çeşitli epidemiyolojik çalışmalar mevcuttur ve bu çalışmalarda bildirilen oranlar arasında farklılıklar bulunmaktadır. Ülkemizden bildirilen az sayıda epidemiyolojik çalışma mevcuttur. Daha geniş hasta gruplarını içeren çalışmalarla sağlanacak verilerin hastalığın tanı ve tedavisine katkıda bulunacağını düşünmekteyiz.

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Section: Discussionunclassified

Section: Introductionunclassified

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The Retrospective Evaluation of Childhood Psoriasis Clinically and Demographic Features

Karadağ¹,

Bilgili²,

Çalka³

et al. 2013

tdd

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“…Windelpsoriasis ("napkin psoriasis") bei Neugeborenen und Kleinkindern [5,34,36]. Das Auftreten von scharf begrenzten erythematösen, eher selten schup- …”

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Kinder und Jugendliche mit Psoriasis

Sticherling

2012

Hautarzt

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Juvenile psoriasis shows a cumulative incidence of 1.76% until the 18th year of life and thus is important for both pediatricians and dermatologists. In contrast to psoriasis in adults, the main trigger factors are infections, mechanical trauma and stress factors and to a much lesser extent medical and recreational drugs. Apart from the classical predilection sites, the diaper area, scalp and face are mainly involved. Guttate psoriasis following streptococcal infections is a specific clinical manifestation in childhood and adolescence. Psoriasis arthritis of childhood falls into the group of juvenile idiopathic arthritis and typically presents before or simultaneously with skin symptoms. All recommended childhood vaccinations should be administered, ideally when the disease is under remission. Therapy relies heavily on topical agents like dithranol, corticosteroids, and alternatively topical calcineurin inhibitors in addition to individually adapted skin moisturizing measures. In severe cases which do not adequately respond to topical therapy, systemic treatment with classical immunomodulatory agents like methotrexate, cyclosporin, retinoids and fumarates may be initiated but all usage is off-label. The only agent licensed for the treatment of psoriasis in patients above the age of 8 years is etanercept if classical treatment has failed. Rehabilitative measures in mountain and seaside areas are reasonable for maintaining improvement and helping patient learn to deal with disease.

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“…1 ), whereas erythrodermic and pustular forms seem to be absent [7] . Common sites of involvement are the napkin, scalp, face and nails [8] .…”

Section: Introductionmentioning

confidence: 99%

Nail Psoriasis in Children: Common or Uncommon Results from a 10-Year Double-Center Study

Piraccini

Triantafyllopoulou

Prevezas

et al. 2015

Skin Appendage Disord

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Purpose of the Study: Our aim was to perform an extensive search of the literature on the prevalence of nail psoriasis in the pediatric population and to estimate it on our own database. Procedures: Searching the most important databases yielded results of 16 papers published in a 40-year period which reported the prevalence of nail psoriasis in children. Furthermore, data gathered between 2004 and 2013 at two centers specialized in nail disorders were analyzed. Results: The selected papers encompassed a total of 4,853 psoriatic children, of whom 762 (15.7%) had nail involvement. Concerning our data, a total of 68,839 children were seen in pediatric skin consultation in both clinics over a period of 10 years, 0.11% of which had nail involvement. The rate of psoriatic children presenting nail alterations was 19.4% in the Greek and 15.5% in the Italian patient groups. Conclusions and Message: This is the retrospective study including the largest number of cases of nail psoriasis in the pediatric population. Our data are in line with the incidence estimation of the rest of Europe.

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Psoriasis in children: a retrospective analysis

Abstract: Our study reflects the patterns of presentation of childhood psoriasis in sunny countries like Greece.

Cited by 42 publications

References 26 publications

The Retrospective Evaluation of Childhood Psoriasis Clinically and Demographic Features

The Retrospective Evaluation of Childhood Psoriasis Clinically and Demographic Features

Kinder und Jugendliche mit Psoriasis

Nail Psoriasis in Children: Common or Uncommon Results from a 10-Year Double-Center Study

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