Farber E M, Mullen R H, Jacobs A H, Nall L
Pediatr Dermatol. 1986 Jun;3(3):237-43. doi: 10.1111/j.1525-1470.1986.tb00520.x.
The appearance of psoriasis in infancy has been questioned by many dermatologists and pediatricians, although childhood psoriasis is a well-recognized entity. To elicit further information on this matter, a follow-up group of nine children who had been diagnosed initially as having infantile psoriasis was reexamined 6 to 13 years later to determine the course of the disease over time. Seven of the nine children had recurrent psoriatic lesions and two remained completely clear after the resolution of the initial eruption. The majority did not have a severe disease course; on the contrary, progression of the illness was mild for most of them. Familial aggregation was noted in almost all of the children. In fact, over the intervening years the number of relatives with psoriasis significantly increased. Most patients were not aware of the role of such factors as infections, injury, and stress in precipitating psoriasis. Participation in a self-help workshop is recommended as a way for both parents and children to learn to cope with the clinical and psychologic aspects of the illness.
尽管儿童银屑病是一个已被充分认识的疾病实体，但许多皮肤科医生和儿科医生对婴儿期出现银屑病表示质疑。为了获取关于此事的更多信息，一组最初被诊断为婴儿期银屑病的九名儿童在6至13年后接受了复查，以确定疾病随时间的发展过程。九名儿童中有七名有银屑病病变复发，另外两名在最初皮疹消退后完全痊愈。大多数儿童的病程并不严重；相反，他们中大多数人的病情进展较为轻微。几乎所有儿童都有家族聚集现象。事实上，在这期间，患银屑病的亲属数量显著增加。大多数患者并未意识到感染、损伤和压力等因素在引发银屑病中的作用。建议家长和孩子参加自助工作坊，以此学习应对该疾病的临床和心理方面的问题。
