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Psoriasis, Pediatric

Leslie Castelo-Soccio, MD, PhD and Laura E. Kaplan, BA Reviewed 10/2018
 


BASICS

DESCRIPTION

  • A chronic relapsing skin disease most often characterized by thick white scales over erythematous plaques often involving elbows, knees, and scalp (i.e., psoriasis vulgaris). In chil...

DIAGNOSIS

HISTORY

  • Age of appearance of first eruption

  • Recent illness, particularly sore throat

  • Recent medications, particularly systemic steroids

  • Family history of psoriasis

  • Rash

    • Areas involved

    • Any appearanc...

TREATMENT

GENERAL MEASURES

Most treatment regimens for children have not been evaluated in controlled studies and are based on expert opinion rather than evidence based. 
  • Moisturizers and keratolytics

    • Us...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Topical therapy is administered chronically, with breaks to minimize side effects.

  • Remissions may occur in summer with sun exposure.

  • The average treatment course wi...

ADDITIONAL READING

  • Garber C, Creighton-Smith M, Sorensen EP, et al. Systemic treatment of recalcitrant pediatric psoriasis: a case series and literature review. J Drugs Dermatol.  2015;14(8):881–...

CODES

ICD9

  • 696.1 Other psoriasis

  • 696.0 Psoriatic arthropathy

ICD10

  • L40.9 Psoriasis, unspecified

  • L40.0 Psoriasis vulgaris

  • L40.4 Guttate psoriasis

  • L40.1 Generalized pustular psoriasis

  • L40.8 Other psoriasis

  • L40.5...

FAQ

  • Q: Will my disease get worse?

  • A: It is impossible to predict the course of any patient’s disease because it is influenced by both heredity and everyday factors in the environment. Although there is...

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