Bedi T R
Indian J Dermatol Venereol Leprol. 1979 Nov-Dec;45(6):410-413.
A prospective study of childhood psoriasis revealed an overall prevalence of 0. I% among the general skin diseases outpatients; 8.5 % of the Indian psoriatics having onset of their disease during childhood. The peak age of onset was between 4 and 8 years and the mean age of onset in the males was lower than the females by approximately 2 years. Family history was positive in 12.5%. Plaque variety was the commonest and guttate lesions were observed in only 25% of the cases, Itching was a promin ' ent feature of guttate lesions which were observed to be preceded in 50% of the patients by throat infection. The commonest sites were the legs, arms and the trunk. The face was involved more often than the scalp, the commonest site of affection in the adults. Nails were involved in more than 60% of the cases. The therapeutic response to coal tar treatment was satisfactory and the guttatc lesions responded well to treatmentwith penicillin. The pustularand erythrodermic varieties and psoriatic arthritis were rare in the paediatric patients.
一项关于儿童银屑病的前瞻性研究表明，在普通皮肤科门诊患者中，银屑病的总体患病率为0.1%；8.5%的印度银屑病患者在儿童期发病。发病高峰年龄在4至8岁之间，男性的平均发病年龄比女性低约2岁。12.5%的患者有家族史。斑块型最为常见，点滴状皮损仅在25%的病例中出现，瘙痒是点滴状皮损的突出特征，50%的患者在出现点滴状皮损之前有咽喉感染。最常见的发病部位是腿部、手臂和躯干。面部受累比成人最常见的受累部位头皮更频繁。超过60%的病例指甲受累。煤焦油治疗的疗效令人满意，点滴状皮损对青霉素治疗反应良好。脓疱型、红皮病型及银屑病关节炎在儿科患者中罕见。
