Childhood Psoriasis!
Psoriasis is an immunologically mediated genetic disease affecting 0.5% - 1.5% of individuals worldwide. Psoriasis in children is more frequently precipitated by infections, physical and psychological trauma.
Clinical features in childhood psoriasis:
• more pruritic
• preponderance in girls
• lesions are relatively thinner, softer and less scaly
• plaque type more common but clinical variants are rare
• frequency of remissions are greater in paediatric onset psoriasis
• psoriasis in infants - starts in napkin area.
• flexural psoriasis- manifests in genital and per umbilical areas.
• pustular psoriasis is rare in childhood.
• psoriatic arthritis is uncommon. Nail involvement is observed in 1/3rd of patients.
• palms and soles involvement is uncommon.