Beytout Q, Pepiot J, Maruani A, Devulder D, Aubert R, Beylot-Barry M, Amici J-M, Jullien D, Mahé E
Service de dermatologie, hôpital Victor-Dupouy, 69, rue du Lieutenant Colonel-Prudhon, 95107 Argenteuil cedex, France.
Association France Psoriasis, 53, rue Compans, 75019 Paris, France.
Ann Dermatol Venereol. 2021 Jun;148(2):106-111. doi: 10.1016/j.annder.2021.01.005. Epub 2021 Feb 23.
Children with psoriasis may have been directly impacted by the COVID-19 pandemic and their illness may also have affected their ability to follow preventive measures.
To investigate the impact of the COVID-19 pandemic on children with psoriasis.
A survey of children (<18 years) with psoriasis, conducted from June 10 to June 29, 2020.
In total, 92 children were included: 71.7% had psoriasis lesions at the time of home lockdown while 45.2% were receiving systemic treatments, and two contracted COVID-19. During lockdown, psoriasis worsened in 47.3% of the children and 18.8% stopped their systemic treatments, mainly for reasons linked to the pandemic. A total of 41.3% had a consultation for psoriasis during lockdown (71.1% by teleconsultation): 39.5% due to worsening of their psoriasis and 21.1% for pandemic-related issues. Among patients not having a consultation during lockdown, 27.5% had a cancellation by the doctor and 9.3% had concerns over going to see the doctor. Finally, 22.8% of patients reported finding it difficult to respect hygiene measures because of their psoriasis, e.g., application of alcohol-based hand sanitizers (47.6%), handwashing routines (42.9%), and wearing a mask (28.6%).
This study demonstrates the major clinical impact of the COVID-19 pandemic on children with psoriasis. Teleconsultations played a key role in patient management as regards patient monitoring, provision of information, and renewal of treatments. It is vital that we learn from these data to improve and adapt the monitoring of chronic dermatoses in both children and adults in the event of a future health crisis.
银屑病患儿可能受到了新冠疫情的直接影响，而他们的病情也可能影响了其采取预防措施的能力。
调查新冠疫情对银屑病患儿的影响。
于2020年6月10日至6月29日对18岁以下的银屑病患儿进行了一项调查。
共纳入92名儿童：71.7%在居家封锁时患有银屑病皮损，45.2%正在接受全身治疗，2人感染了新冠病毒。在封锁期间，47.3%的儿童银屑病病情加重，18.8%停止了全身治疗，主要原因与疫情相关。共有41.3%的患儿在封锁期间因银屑病进行了会诊（71.1%为远程会诊）：39.5%是因为银屑病病情加重，21.1%是因为与疫情相关的问题。在封锁期间未进行会诊的患者中，27.5%被医生取消了预约，9.3%对去看医生有所顾虑。最后，22.8%的患者报告称由于银屑病难以遵守卫生措施，例如使用含酒精的洗手液（47.6%）、洗手习惯（42.9%）和佩戴口罩（28.6%）。
本研究证明了新冠疫情对银屑病患儿的重大临床影响。远程会诊在患者管理中，在患者监测、信息提供和治疗续方方面发挥了关键作用。我们必须从这些数据中吸取经验教训，以便在未来发生健康危机时改进和调整对儿童及成人慢性皮肤病的监测。
