Pourchot D, Chiaverini C, Bourrat E, Barbarot S, Vabres P, Hubiche T, Droicourt C, Piram M, Kupfer-Bessaguet I, Ferneiny M, Puzenat E, Balguérie X, Beauchet A, Bursztejn A-C, Mahé E
Dermatology department, hôpital Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prud'hon, 95107 Argenteuil, France.
Dermatology department, hôpital Archet 2, ESPIC CHU-Lenval, 06000 Nice, France.
Ann Dermatol Venereol. 2018 Oct;145(10):578-586. doi: 10.1016/j.annder.2018.04.003.
Little information is available on the prevalence and clinical aspects of tongue involvement in children with psoriasis. The aim was to evaluate the prevalence, clinical aspects and risk factors concerning tongue involvement in children with psoriasis.
This study was carried out in two stages. We performed a multicentre, cross-sectional study in 23 French dermatology centers. All children seen for psoriasis during the one-year study were systematically included. The clinical features of the tongue and of psoriasis were recorded. Association with clinical aspects of psoriasis and comorbidities was evaluated. We then carried out a literature review to evaluate the prevalence of tongue involvement in children with psoriasis and its positive predictive value for psoriasis. A search was conducted in the PUBMED database using the following keywords: "child" and "psoriasis" and ("tongue" or "glossitis" or "migratory glossitis" or "benign migratory glossitis" or "geographic tongue" or "fissured tongue").
7.7% of the 313 children with psoriasis had tongue involvement. The clinical aspects were geographic tongue (4.2%), fissured tongue (2.8%) and both (0.64%). There was no association between tongue involvement and the clinical characteristics of the children. Two hundred and ninety-five articles were referenced and 3 were analysed. Psoriasis is very rare in cases of tongue abnormalities.
The prevalence of tongue involvement was 7.7% in children with psoriasis. No clinical or epidemiological association was shown. Tongue involvement does not modify the management of psoriasis. In the literature review it was not possible to evaluate either the prevalence of tongue involvement in psoriasis or the positive predictive value thereof.
关于银屑病患儿舌部受累的患病率及临床特征，目前可用信息较少。本研究旨在评估银屑病患儿舌部受累的患病率、临床特征及危险因素。
本研究分两个阶段进行。我们在23个法国皮肤科中心开展了一项多中心横断面研究。对在为期一年的研究期间因银屑病前来就诊的所有儿童进行系统纳入。记录舌部及银屑病的临床特征。评估其与银屑病临床特征及合并症的相关性。随后我们进行了文献综述，以评估银屑病患儿舌部受累的患病率及其对银屑病的阳性预测值。使用以下关键词在PUBMED数据库中进行检索：“儿童”和“银屑病”以及（“舌”或“舌炎”或“游走性舌炎”或“良性游走性舌炎”或“地图舌”或“沟纹舌”）。
313例银屑病患儿中，7.7%有舌部受累。临床特征为地图舌（4.2%）、沟纹舌（2.8%）以及两者均有（0.64%）。舌部受累与患儿的临床特征之间无相关性。共引用295篇文章，分析了其中3篇。在舌部异常病例中银屑病非常罕见。
银屑病患儿舌部受累的患病率为7.7%。未显示出临床或流行病学相关性。舌部受累不改变银屑病的治疗管理。在文献综述中，无法评估银屑病中舌部受累的患病率或其阳性预测值。
