al-Fouzan A S, Nanda A
Department of Dermatology, Al-Sabah Hospital, Kuwait.
Pediatr Dermatol. 1994 Jun;11(2):116-9. doi: 10.1111/j.1525-1470.1994.tb00563.x.
One hundred ninety cases of childhood (age birth-12 yrs) psoriasis constituted 0.3% of the total of new dermatologic outpatients. Girls outnumbered boys by a ratio of 1.5:1. Plaque psoriasis was the commonest clinical variant (84%), followed by guttate psoriasis. The scalp was the most common site of onset (22%). Sites predominantly affected later were the extensor surfaces of the legs and the scalp (63% and 53%, respectively). A majority of the children had a milder form of disease. Nail involvement was seen in 36%, with pitting the most common feature (87%). Seven percent had mucosal involvement. A positive family history of psoriasis was obtained in 28%. Topical therapy (coal tar, anthralin, steroids) was the main treatment in the majority of patients (92%). Sixteen patients (8%) required more aggressive intervention (ultraviolet B, psoralin-UVA, retinoids). This is the first study of this kind from the Middle East, the findings are compared with those reported from other parts of the world.
190例儿童（出生至12岁）银屑病患者占皮肤科新门诊患者总数的0.3%。女孩与男孩的比例为1.5:1，女孩人数多于男孩。斑块状银屑病是最常见的临床类型（84%），其次是点滴状银屑病。头皮是最常见的发病部位（22%）。随后主要受累的部位是腿部伸侧和头皮（分别为63%和53%）。大多数儿童病情较轻。36%的患者有指甲受累，其中甲凹点最为常见（87%）。7%的患者有黏膜受累。28%的患者有银屑病家族史阳性。大多数患者（92%）的主要治疗方法是局部治疗（煤焦油、蒽林、类固醇）。16例患者（8%）需要更积极的干预（紫外线B、补骨脂素-紫外线A、维甲酸）。这是中东地区的首例此类研究，并将研究结果与世界其他地区的报告结果进行了比较。
