Clinico-epidemiological study of childhood psoriasis

A S M Zakaria,A K M Zayedul Haque,Mohammed Saiful Islam Bhuiyan,Abida Sultana,Sabbir Muhammad Shawkat

doi:10.3329/bsmmuj.v10i2.32710

A S M Zakaria, A K M Zayedul Haque + Show 3 more

Open Access

https://doi.org/10.3329/bsmmuj.v10i2.32710

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Abstract

<p>The clinico-epidemiological data of 276 childhood psoriasis were studied. The mean age was 7.64 years (range 1 day to 15 years). There was no complain of any discomfort in 198 cases. Itching was present in 67 cases and burning in 11 cases. Plaque psoriasis was the most common type (68.8%) followed by guttate (18.8%). Erythrodermic and pustular psoriasis were found in 2.2% and 1.5% cases. Scalp was the most frequently affected site (75.36%) followed by extensors of extremities (41.3%), trunk (37.7%), palm and/or sole (13.0%) and diaper area (11.6%). Nail involvement was found only in 8%, joint was affected in 3.6% and only 2.2% children with psoriasis were erythrodermic. In Bangladeshi children with psoriasis, plaque is the most common type and scalp is the mostly affect site. Nail and joint involvement is less common. Pustular and erythrodermic psoriasis is rare.</p>

Highlights

Psoriasis, a chronic inflammatory skin disease causing significant discomfort, disability and disfigurement deserves special attention if it affects children
At least one third of psoriatic patients develop their disease before their sixteen years of age and one third of psoriatic patients who develop their disease at childhood are not diagnosed until their adulthood.[3,4]
Diagnosis of psoriasis is mostly straight cut and clinical but sometimes it is much difficult in children due to its atypical distribution and morphology which changes over time

Summary

Introduction

A chronic inflammatory skin disease causing significant discomfort, disability and disfigurement deserves special attention if it affects children. At least one third of psoriatic patients develop their disease before their sixteen years of age and one third of psoriatic patients who develop their disease at childhood are not diagnosed until their adulthood.[3,4] diagnosis of psoriasis is mostly straight cut and clinical but sometimes it is much difficult in children due to its atypical distribution and morphology which changes over time.

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Conclusion