Kelly Katherine A, Balogh Esther A, Kaplan Sebastian G, Feldman Steven R
Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC 27103, USA.
Department of Psychiatry, Wake Forest School of Medicine, Winston-Salem, NC 27103, USA.
Children (Basel). 2021 Nov 16;8(11):1057. doi: 10.3390/children8111057.
Acne, atopic dermatitis (AD), and psoriasis are all chronic dermatologic conditions that greatly impact the lives of pediatric patients and their caregivers. The visible nature of these diseases negatively affects the self-image of children early in life as well as their relationships with their families and peers. Physicians recognize the importance of addressing both the physical and mental symptoms of their patients but are currently not equipped with clear guidelines to manage long-term psychosocial comorbidities in pediatric dermatologic patients. A PubMed and Google Scholar search of key words was conducted to explore self-image in pediatric patients with acne, AD, and psoriasis. Chronic skin diseases put pediatric patients at risk for strained family relationships, poor self-image, psychiatric comorbidities, stigmatization, and eventual suicidal behavior. A limitation of this study is a lack of a validated measure of quality of life in the pediatric population that fulfills enough criteria to evaluate long term quality of life in children and adults. Possible management options, including connecting patients with the same diagnosis and allocating resources to parents and teachers to better understand these chronic skin conditions, may provide pediatric patients with the support they need to develop resilience in the face of these challenges.
痤疮、特应性皮炎（AD）和银屑病都是慢性皮肤病，对儿科患者及其护理人员的生活产生重大影响。这些疾病的可见性会对儿童早期的自我形象以及他们与家人和同龄人的关系产生负面影响。医生认识到解决患者身体和精神症状的重要性，但目前尚无明确的指南来管理儿科皮肤病患者的长期心理社会合并症。通过在PubMed和谷歌学术上搜索关键词，探索痤疮、特应性皮炎和银屑病儿科患者的自我形象。慢性皮肤病使儿科患者面临家庭关系紧张、自我形象不佳、精神合并症、污名化以及最终自杀行为的风险。本研究的一个局限性是缺乏一种经过验证的儿科人群生活质量衡量标准，该标准要满足足够的标准来评估儿童和成人的长期生活质量。可能的管理选择，包括将诊断相同的患者联系起来，并为家长和教师分配资源，以便更好地了解这些慢性皮肤病，这可能为儿科患者提供他们在面对这些挑战时培养适应能力所需的支持。
