In children with psoriasis

In children with psoriasis, treatment should be started as soon as possible and stick to it. Also necessarily need to follow your doctor's advice for care of the skin.

rash

It is very important to follow the principles of a healthy lifestyle helps the immune system to cope with psoriasis.

Patches on the skin can represent a serious problem for the child, and should be trained to care for affected skin and for the treatment.

In 15% of cases, psoriasis starts in childhood and in 30% of cases— up to 20 years. This is a chronic skin disease with a genetic predisposition. Incentives for the development of the disease that serve as environmental factors (e.g., change of season, the skin friction of the clothing, infections, emotional tension and the use of certain medications).

Clinical manifestations of psoriasis in children about the same as adults. However, in children with psoriasis, often takes atypical shape, which may lead to diagnostic problems. Some baby dermatitis with lesions on the buttocks, eyelids and scalp, can be very similar to psoriasis.

Fortunately, not all affected children with psoriasis have had the experience of this attitude, but this story shows how difficult it can be in everyday life for those who are sick with psoriasis.

How psoriasis in children

In children with psoriasis, most often takes one of the following forms:

  • Defeat, on the knees, elbows, or scalp, usually is persistent (occurs without exacerbations and remissions).
  • Small, red panels, sometimes covering the whole body, are in a few weeks. Many children with psoriasis, is disgusting. Plaque cause the child a lot of discomfort, to cause embarrassment and lead to severe psychological consequences. Ridicule from other children, which further deteriorates the situation.

If Your child has psoriasis, do your best to get rid of the plaque.

How to help children who suffer from psoriasis?

The child should be assessed as soon as possible at the beginning of the treatment. Should strictly implement all the recommendations of the doctor and do not forget to put on the skin prescribed cream. The treatment is carried out until, until the plaque disappears completely.

With the defeat of the stop using the same treatment and follow the same recommendations as for adults. Until the skin is healthy, the treatment is carried out in the region inadvertently. It is better to avoid wearing fashionable shoes that can damage the skin of feet. When, however, reduce exacerbations this requirement can be somewhat mitigated.

What types of activities you can do for the child?

Social well-being and good physical shape child are very important, so if he likes sports, and is let on.

Encourage your child's desire to participate in the sport, so that they can maintain a high level of physical activity; ask yourself, how diverse his interests, but don't forget to ensure that the skin on certain parts of the body that are not exposed to frequent stretching. Excessive stretching of the skin (e.g., when the child is too long to ride the Bike) can cause psoriasis.

Not to be deprived of the child's options for swimming in the pool. For the relief of skin irritation caused by chemicals from the water, it is enough to use on irritated areas of the petrolatum. The affected surface must be thoroughly dry, gently dunking them with a towel.

What diet is recommended for children who suffer from psoriasis?

In children with obesity is possible, psoriasis, skin folds or areas of skin that are prone to stretching. Do not allow your child to fill the lack of positive emotions eating.

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You must also maintain in good condition the immune system of the child. Because the child's immune system, and generally his whole body, which is not fully shaped, for its correct operation, are very important to a balanced diet.

For the immune system is very harmful tobacco smoke, it is therefore necessary to ensure that the child is in contact with tobacco smoke, and, especially, not tried Smoking myself.

How can I help the patient with psoriasis to a child?

Relatives of the sick child, must give him all the love that is possible, and that your spinal column. However, this does not mean that the child may be allowed to use their illness to manipulate adults, or mental blackmail. In addition, it is very important that the child does not develop the relationship to their illness as some sort of serious error.

Because it is a feeling of self-confidence in children is often dependent on their looks, the taunts of the panels on the skin of patients with psoriasis a child can cause severe psychological trauma. Teach your child not to respond to such comments. Children's participation (and his best friend) in discussions with their teachers help him to learn to communicate.

Emotional stress (whatever the cause) can exacerbate psoriasis, so at the time of acute disease, as soon as possible seek help from an expert or a psychologist.

Forms of child psoriasis

Children psoriasis is a little different from the adult and 30% of the cases along with the itching. However, for children psoriasis still has some peculiarities. Therefore, children especially observed phenomenon Kebnera, which consists in the formation of psoriatic lesions in the area of injury or irritation of the skin. For example, these rashes can be localized around the scar left after vaccination or injury received in a fall from a bicycle.

The development of psoriasis at an early age means a poor prognosis. Similarly, the development of severe psoriasis in a child does not mean that as a grown-up, will also suffer severe psoriasis. However, because psoriasis is a chronic disease, most likely it will remain in Your child for a lifetime, periodically grinding and leaves.

1. The common forms of

Diaper psoriasis

Although psoriasis can develop at an early age, it rarely appears at birth. However, the newborn develops a special form of psoriasis is called psoriasis diaper. Its main manifestation is the defeat of the buttocks caused by irritation of the skin caused by contact with urine and stool. Because such injury can be many other reasons, the diagnosis of psoriasis in this case is not easy. At this location of the lesions, it is difficult to be sure that it is a reflection of psoriasis, not the usual dermatitis, similar to psoriasis. In children, the elderly psoriasis has to be distinguished from dermatitis, skin folds, on the buttocks and scalp.

Usually psoriasis

Children, like adults, can hurt the normal, or psoriasis, which appears red, closely limited areas of skin lesions covered with thick white scales.

Guttate psoriasis

Guttate psoriasis often occurs in childhood. It is characterized by the sudden appearance of small red scaly papules, usually on the trunk, arms and legs. This form of psoriasis often develops after a previous infection, such as otitis media or nasopharyngitis. Sowing swab from the throat, often detect the infection. Guttate psoriasis is often confused with diseases which are accompanied by fever and a rash.

2. Severe forms of

In children, as in adults, in rare cases, severe forms of psoriasis, including pustular psoriasis and erythroderma. Usually the development of these forms of diseases require treatment in the hospital.

Pustular psoriasis

Pustular psoriasis in children is observed rarely, although it can occur immediately after birth. In such cases, it is called pustular psoriasis newborn. This is demonstrated by the many pustules with a sterile content, and can develop as an independent disease or as a complication of conventional psoriasis. The triggering factor of this form of psoriasis can serve to infection, stress, vaccinations or the use of certain medications. To confirm the diagnosis is sometimes possible only after the emergence of additional clinical signs. Generalized pustular psoriasis is often accompanied by attacks of fever. Pustular psoriasis on the palms of the hands and soles of the feet of course varies and sometimes leads to serious functional limitations.

Psoriatic erythroderma

In children suffering from psoriatic erythroderma, the skin becomes red from head to toe. Redness can be accompanied by fever and pain in the joints. In some areas of the skin may be covered with pustules. This form can be initiated as a separate illness or complicate the course of other forms of psoriasis. The impetus for its development often serves as an infection or use of certain medications.

Psoriatic arthritis

Psoriatic arthritis in children is quite rare. This is manifested by a combination of arthritis with lesions on the skin in the form of pustules or redness. Arthritis occurs with asymmetrical involvement of small and large joints of the hands and feet.

Localization of lesions

The lesion, which is localized in almost the same areas of the body that in adults. However, lesions on the face in adults (5.6% of the cases) is much less than in children (30%). Rashes may appear on the forehead and cheeks, accompanied by redness of the skin, and sometimes spread to the eyelids and ears. Defeat in the face, it is especially hard to endure psychologically and can lead to isolation. In children with psoriasis affect other parts of the body, including:

  • Mucous membranes, especially of the tongue, the epithelium, which may be subject to a desquamation, causing the tongue is covered with spots, the shape and size, which changes every day ("geographic tongue");
  • The palms and soles, with the development of hyperkeratosis (thickening of the stratum corneum of epidermis);
  • Elbows, knees, lower back and scalp — the most frequent localizations of lesions in psoriasis;
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Skinfold: except for joint children under the chin are skin folds, in other cases, the loose folds of skin on the neck is marked rarely. The skin under the armpit also rarely becomes the target lesion, in contrast with the central regions where rashes occur very often.

Nails: one third of children suffering from infantile psoriasis affects the nail. At the same time are overwhelmed by all the nails in the hands and feet. Nails covered with small depressions and are similar to thimble.

Scalp: injury of the scalp in children psoriasis is not uncommon. However, it is important to remember that children lose their scalp may be the term dermatitis, which, along with that covers the buttocks.

Treatment approach

Children and their parents, it is sometimes difficult to hear that psoriasis is a chronic and significantly reduces quality of life. Even if they manage to find effective treatment for treatment of psoriasis remains elusive.

Since psoriasis may be inherited, parents tend to blame themselves for the treatment of diseases of children, especially if they are suffering from psoriasis. A survey conducted among 100ljudje with psoriasis, showed that 11% of them do not want to have children, because they fear the transfer of their disease. Parents may be upset to learn that the psoriasis have their child, that could be triggered by stress. Finally, parents can feel completely helpless against this disease, not knowing how to help your child deal with it.

In this context, a dermatologist would try to give the child and his parents a realistic idea about the disease, warns them, in particular, that genetic predisposition is not the only cause for psoriasis.

Treatment

Called dermatologist treatment should consider not only the clinical form of psoriasis but the child's wishes (if old enough to Express them) and his parents. A dermatologist must work together with the child and parents, selecting the most appropriate treatments. Weigh the risks and benefits of treatment, which should be even more careful than adults, especially if you plan to use the resources for systemic use. In relation to the toxicity of certain drugs, selection of suitable for the children of the treatment methods is not limited.

Children psoriasis is usually treated in the sequence, changing one treatment to another every three months (as adults). In the summer of defeat becomes less noticeable, due to the action of light. With the emergence of new damage to the continuation of treatment and continues until, until the skin in these areas is not clear.

Local treatment

For the treatment of psoriasis in children is usually only used by local treatment.

  • What is most important - hydration of the skin, especially with the help of moisturizers and baths with the addition of softening agents.
  • Effective psoriasis ointments with corticosteroids.

Systemic treatment

With extensive or severe injury or significant decline in the quality of life in conjunction with psoriasis, your doctor may prescribe systemic treatment.

Systemic treatment can cause severe side effects, so its advantages and disadvantages should be discussed with the child and parents. This is usually prescribed in short courses, which can be carried out under the supervision of a physician.