Childhood psoriasis: Disease spectrum, comorbidities, and challenges
Soumajyoti Sarkar1, Sandipan Dhar2, Siba P Raychaudhuri1
1 Department of Medicine, Division of Rheumatology, Allergy and Clinical Immunology, School of Medicine, University of California, Davis; VA Medical Center, Sacramento, California, USA
2 Department of Pediatric Dermatology, Institute of Child Health, Kolkata, West Bengal, India
Dr. Siba P Raychaudhuri
Department of Medicine and Dermatology, Division of Rheumatology, Allergy and Clinical Immunology, School of Medicine, University of California, Davis, USA. VA Medical Center, 10535 Hospital Way, Bldg#650, Research Service, Mather, Sacramento 95655, California
Source of Support: None, Conflict of Interest: None
Psoriasis is a chronic, inflammatory, papulosquamous disorder with a variable clinical spectrum. Although it affects population of all age groups, the significance and negative impact of childhood psoriasis is often neglected worldwide. In nearly one-third of the psoriatic population, psoriasis appears during the childhood. In this article, we have focused on different issues and challenges faced during the management of childhood psoriasis. In addition to the varied clinical spectrum and associated comorbidities, in this article, we have given emphasis on the following real needs for childhood psoriasis: (i) psychological and social effects on the affected children, (ii) impact on their family members, and (iii) early diagnosis and management of psoriasis on children with psoriasis. We have concluded the article with the “concept of total care,” which is a third dimension for the management of psoriasis.