title: Psoriasis in Children and Adolescents: Diagnosis, Management and Comorbidities.
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.
authors.affiliation: Department of Dermatology, Radboud University Medical Center, René Descartesdreef 1, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. inge.bronckers@radboudumc.nl.
authors.forename: I M G J
authors.initials: IM
authors.lastname: Bronckers
authors.affiliation: Department of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
authors.forename: A S
authors.initials: AS
authors.lastname: Paller
authors.affiliation: Department of Dermatology, Radboud University Medical Center, René Descartesdreef 1, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
authors.forename: M J
authors.initials: MJ
authors.lastname: van Geel
authors.affiliation: Department of Dermatology, Radboud University Medical Center, René Descartesdreef 1, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
authors.forename: P C M
authors.initials: PC
authors.lastname: van de Kerkhof
authors.affiliation: Department of Dermatology, Radboud University Medical Center, René Descartesdreef 1, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
authors.forename: M M B
authors.initials: MM
authors.lastname: Seyger
mesh_terms: D000293:Adolescent; D002648:Child; D015897:Comorbidity; D019468:Disease Management; D006801:Humans; D011446:Prospective Studies; D011565:Psoriasis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology