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[儿童银屑病]

[Childhood psoriasis].

作者信息

Mahé E, Gnossike P, Sigal M-L

机构信息

Service de dermatologie, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil, France.

Service de dermatologie, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil, France.

出版信息

Arch Pediatr. 2014 Jul;21(7):778-86. doi: 10.1016/j.arcped.2014.04.018. Epub 2014 Jun 13.

Abstract

Psoriasis is a chronic inflammatory skin disease that can affect nearly 1% of children, even during the first months of life. Recently, a link with obesity has been demonstrated by a few studies. The most common clinical form is the plaque psoriasis type, which only affects 50% of children. Napkin psoriasis, guttate psoriasis, and palmoplantar keratoderma appear to have specific aspects in childhood. Although benign, the social impact induced by psoriasis can be major, especially in children, if the disease is poorly understood or inadequately treated. First-line treatment should always include local treatments. In severe cases as assessed by clinical appearance or impact on quality of life, initiation of systemic treatments should not be delayed.

摘要

银屑病是一种慢性炎症性皮肤病,即使在生命的最初几个月,也可能影响近1%的儿童。最近,一些研究表明它与肥胖有关。最常见的临床类型是斑块状银屑病,仅影响50%的儿童。尿布银屑病、点滴状银屑病和掌跖角化病在儿童期似乎有其特殊表现。尽管银屑病是良性的,但如果对该疾病了解不足或治疗不当,其引起的社会影响可能很大,尤其是对儿童。一线治疗应始终包括局部治疗。根据临床表现或对生活质量的影响评估为严重病例时,不应延迟启动全身治疗。

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