Diapason of concomitant diseases in children with psoriasis

Abstract

Introduction. Psoriasis is a common chronic immune-mediated inflammatory disease that affects the skin, nails, and joints. Despite the presence of many scientific and clinical studies, the problem of the prevalence of concomitant pathology in children with psoriasis, depending on the age category, remains poorly understood.Objective. Study of the type and frequency of detection of concomitant diseases in children and adolescents with psoriasis, depending on the age category.Materials and methods. Were examined 68 children with psoriasis from 5 to 18 years old, of both sexes, receiving treatment in a multidisciplinary clinic at the clinic of the Tashkent Pediatric Medical Institute. Anamnestic data were studied, general clinical studies were carried out, including biochemical and hormonal studies, depending on the type of concomitant pathology.Results. Studies have shown that most often concomitant diseases in psoriasis in children are characteristic of the adolescent group of patients, and the most common diseases were endocrine diseases (61.8%) in combination with metabolic disorders in the form of obesity of varying degrees (22.06%) and hyperlipidemia (16.2%). At the same time, in adolescents, the incidence of thyroid pathology is 1.7 times higher than in children from the younger age group, against the background of a high incidence of chronic diseases of the upper digestive tract (28.9% versus 17.4%). At the same time, malabsorption syndrome was more typical for children of the younger age group (13% versus 4.4%).Conclusion. The most common concomitant diseases are endocrine pathology (61.8%) against the background of metabolic disorders (38.2%), as well as chronic diseases of the gastrointestinal tract (25%), and the incidence of these pathologies increases with the age of children. These facts should be taken into account when carrying out complex medical and recreational work with these patients in an outpatient setting.