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儿童银屑病共病。

Pediatric Psoriasis Comorbidities.

出版信息

Skin Therapy Lett. 2020 Nov;25(5):1-6.

Abstract

While the association between psoriasis and various comorbidities is well documented in adults, questions remain as to whether the same relationships exist in the pediatric population. However, psoriasis develops in childhood or adolescence in approximately 40% of patients, suggesting that the risk of comorbidities may also begin early in life. This presents an opportunity for prevention, early detection and intervention for children who may suffer from, or be at risk of, comorbidities. The pediatric psoriasis Comorbidity Screening Initiative, a multidisciplinary panel, devised and published consensus-based screening recommendations for pediatric psoriasis patients in 2017. As these guidelines closely align with the routine age-related screening recommendations for healthy children set forth by the American Academy of Pediatrics, in the absence of signs and symptoms of comorbidities prompting additional evaluation, dermatologists should partner with patients' primary care physicians to ensure up-to-date, routine, and age-based screening.

摘要

虽然银屑病与各种合并症之间的关联在成人中已有充分的记录,但在儿科人群中是否存在同样的关系仍存在疑问。然而,大约 40%的患者在儿童或青少年时期就出现了银屑病,这表明合并症的风险也可能在生命早期就开始存在。这为可能患有或有患合并症风险的儿童提供了预防、早期发现和干预的机会。儿科银屑病合并症筛查倡议是一个多学科小组,于 2017 年为儿科银屑病患者制定并发布了基于共识的筛查建议。由于这些指南与美国儿科学会为健康儿童制定的常规与年龄相关的筛查建议密切一致,因此,在没有合并症的迹象和症状提示需要进一步评估的情况下,皮肤科医生应与患者的初级保健医生合作,以确保进行最新的、常规的、基于年龄的筛查。

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