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Pediatric Drugs
Published in: Pediatric Drugs 5/2015

Open Access 01-10-2015 | Review Article

Psoriasis in Children and Adolescents: Diagnosis, Management and Comorbidities

Authors: I. M. G. J. Bronckers, A. S. Paller, M. J. van Geel, P. C. M. van de Kerkhof, M. M. B. Seyger

Published in: Pediatric Drugs | Issue 5/2015

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Abstract

Psoriasis is a common chronic immune-mediated inflammatory skin disorder and begins in childhood in almost one-third of the cases. Although children present with the same clinical subtypes of psoriasis seen in adults, lesions may differ in distribution and morphology, and their clinical symptoms at presentation may vary from those reported by adult patients. Nevertheless, diagnosis of psoriasis is primarily based on clinical features. Pediatric psoriasis can have a profound long-term impact on the psychological health of affected children. Additionally, pediatric psoriasis has been associated with certain comorbidities, such as obesity, hypertension, hyperlipidemia, diabetes mellitus and rheumatoid arthritis, making early diagnosis and management essential. As guidelines are lacking and most (systemic) treatments are not approved for use in children, treatment of pediatric psoriasis remains a challenge. A prospective, multicenter, international registry is needed to evaluate these treatments in a standardized manner and ultimately to develop international guidelines on pediatric psoriasis. This article reviews current concepts in pediatric psoriasis including epidemiology, clinical features, diagnosis, the role of topical and systemic agents and the association with other morbidities in childhood.
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Metadata
Title
Psoriasis in Children and Adolescents: Diagnosis, Management and Comorbidities
Authors
I. M. G. J. Bronckers
A. S. Paller
M. J. van Geel
P. C. M. van de Kerkhof
M. M. B. Seyger
Publication date
01-10-2015
Publisher
Springer International Publishing
Published in
Pediatric Drugs / Issue 5/2015
Print ISSN: 1174-5878
Electronic ISSN: 1179-2019
DOI
https://doi.org/10.1007/s40272-015-0137-1

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