Abstract
Acne, atopic dermatitis (AD), and psoriasis are all chronic dermatologic conditions that greatly impact the lives of pediatric patients and their caregivers. The visible nature of these diseases negatively affects the self-image of children early in life as well as their relationships with their families and peers. Physicians recognize the importance of addressing both the physical and mental symptoms of their patients but are currently not equipped with clear guidelines to manage long-term psychosocial comorbidities in pediatric dermatologic patients. A PubMed and Google Scholar search of key words was conducted to explore self-image in pediatric patients with acne, AD, and psoriasis. Chronic skin diseases put pediatric patients at risk for strained family relationships, poor self-image, psychiatric comorbidities, stigmatization, and eventual suicidal behavior. A limitation of this study is a lack of a validated measure of quality of life in the pediatric population that fulfills enough criteria to evaluate long term quality of life in children and adults. Possible management options, including connecting patients with the same diagnosis and allocating resources to parents and teachers to better understand these chronic skin conditions, may provide pediatric patients with the support they need to develop resilience in the face of these challenges.
Highlights
Acne is one of the most frequent disorders seen by dermatologists and affects 80% of adolescents between the ages of 12–18 [1]
We will discuss the impact on quality of life, effect of bullying, and chance of suicidal behavior in pediatric patients with acne, atopic dermatitis (AD), and psoriasis patients
Patients face increased risk of poor self-esteem, stigmatization, and psychosocial conditions, which influence their daily activities at home, school, and work [1,2,3,4,5,6,7,17,18,19,20,21,22,23,24,25,35,36,37,38,39,40,41,43]
Summary
Acne is one of the most frequent disorders seen by dermatologists and affects 80% of adolescents between the ages of 12–18 [1]. Among those who are genetically predisposed to acne vulgaris (AV), the pathogenesis involves both androgenic activity and specific ligands in the pilosebaceous unit that cause the proliferation of infrainfundibular sebocytes and keratinocytes and result in lipogenesis and comedogenesis [1]. The incidence of psoriasis in pediatric patients is unknown, but some 37% of adult patients with psoriasis develop symptoms before the age of 20 [3]. Chronic plaque psoriasis is the most common form of the condition, and males and females are affected [3]
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