Psoriasis in the Pediatric Age Group: Disease Phenotypes, Impact on Quality of Life
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Background Psoriasis in children is a heterogeneously-phenotyped, immune-mediated, inflammatory condition with a high psychosocial burden. The optimization of therapeutic strategies depends on the complete knowledge of the phenotypic spectrum as well as its effects on quality-of-life (QoL) where Baseline characteristics were summarized using descriptive statistics and multivariate logistic regression was used to identify predictive factors to adverse outcomes as well as The main aim of the study was to define disease phenotypes, severity, QoL impact, and comorbidity among 120 cases of psoriasis in children, as well as to explain the factors that have an impact on the disease burden through logistic regression analysis where based on A cross sectional study was used, which included children aged between 1 and 18 years old with psoriasis that was clinically proven and found The sample was 54.2 per cent male with a mean age of 10.4 years and a standard deviation of 3.7 in addition to Plaque psoriasis represented the predominant phenotype (65 %), followed by guttate (16.7 %) and pustular (8.3 %) and about Logistic regression revealed a statistically significant relationship between adverse outcome and disease duration (OR= 1.12, p=0.02) and PASI score (OR= 1.20, p=0.001) as well as QoL impact (OR= 1.15, p=0.01) finally paediatric psoriasis has a range of phenotypic expressions and has profound negative impact on quality of life and psychosocial functioning.
1. Sarkar S, Dhar S, Raychaudhuri SP. Childhood psoriasis: Disease spectrum, comorbidities, and challenges. Indian J Paediatr Dermatol. 2019;20:191–8. [Google Scholar]
2. Michalek IM, Loring B, John SM. A systematic review of worldwide epidemiology of psoriasis. J Eur Acad Dermatol Venereol. 2017;31:205–12. doi: 10.1111/jdv 13854. [DOI] [PubMed] [Google Scholar]
3. Das S, Adhicari P. A hospital-based clinical study of childhood psoriasis in a tertiary care center of Northeast India. Indian J Paediatr Dermatol. 2018;19:321–5. [Google Scholar]
4. Suganya SG, Kothandaramasamy R, Rani GG. Clinicoepidemiological study of childhood psoriasis in a tertiary care center. Indian J Paediatr Dermatol. 2017;18:187–90. [Google Scholar]
5. Bronckers IM, Paller AS, van Geel MJ, van de Kerkhof PC, Seyger MM. Psoriasis in children and adolescents: Diagnosis, management and comorbidities. Paediatr Drugs. 2015;17:373–84. doi: 10.1007/s40272-015-0137-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
6. Dogra S, Bishnoi A. Childhood psoriasis: What is new and what is news. Indian J Paediatr Dermatol. 2018;19:308–14. [Google Scholar]
7. Burden-Teh E, Thomas KS, Ratib S, Grindlay D, Adaji E, Murphy R. The epidemiology of childhood psoriasis: A scoping review. Br J Dermatol. 2016;174:1242–57. doi: 10.1111/bjd.14507. [DOI] [PubMed] [Google Scholar]
8. Spielberger CD. Manual for the State-Trait Anxiety Inventory for children. Palo Alto, CA: Consulting Psychologists Press; 1983. [Google Scholar]
9. Didar Balci D, Sangün Ö, Inandi T. Cross Validation of the Turkish Version of Children's Dermatology Life Quality Index. J Turk Acad Dermatol. 2007;1:71402a–71402a. [Google Scholar]
10. Yilmaz Ö, Türkeli A, Yüksel H. The validity and reliability of the Turkish version of the Family Dermatology Life Quality Index; Symposium of Allergic Diseases and Treatment in Clinical Immunology; 1-4 November 2011; Antalya, Turkey. Abstract Book; pp. 73–73. P113. [Google Scholar]
11. Oy B. Children's depression inventory: validity and reliability study. Turk Psikiyatri Derg. 1991;2:132–136. [Google Scholar]
12. Ozusta S. Turkish standardization, reliability, and validity of State Trait Anxiety Inventory for children. Turk J Psychol. 1995;10:32–44. [Google Scholar]
13. Kimball AB, Jacobson C, Weiss S, Vreeland MG, Wu Y. The psychosocial burden of psoriasis. Am J Clin Dermatol. 2005;6:383–392. doi: 10.2165/00128071-200506060-00005. [DOI] [PubMed] [Google Scholar]
14. Rapp SR, Feldman SR, Exum ML, Fleischer Jr AB, Reboussin DM. Psoriasis causes as much disability as other major medical diseases. J Am Acad Dermatol. 1999;41:401–407. doi: 10.1016/s0190-9622 (99)70112-x. [DOI] [PubMed] [Google Scholar]
15. De Jager ME, van de Kerkhof PC, de Jong EM, Seyger MM. A cross-sectional study using the Children's Dermatology Life Quality Index (CDLQI) in childhood psoriasis: negative effect on quality of life and moderate correlation of CDLQI with severity scores. Br J Dermatol. 2010;163:1099–1101. Doi: 10.1111/j.1365-2133.2010.09993.x. [DOI] [PubMed] [Google Scholar]
16. Beattie PE, Lewis-Jones MS. A comparative study of impairment of quality of life in children with skin disease and children with other chronic childhood diseases. Br J Dermatol. 2006;155:145–151. Doi: 10.1111/j.1365-2133.2006.07185.x. [DOI] [PubMed] [Google Scholar]
17. Manzoni AP, Pereira RL, Townsend RZ, Weber MB, Nagatomi AR, Cestari TF. Assessment of the quality of life of pediatric patients with the major chronic childhood skin diseases. An Bras Dermatol. 2012;87:361–368. doi: 10.1590/s0365-05962012000300002. [DOI] [PubMed] [Google Scholar]
18. Lin VW. Tough-skinned kids: identifying psychosocial effects of psoriasis and helping pediatric patients and families cope. J Pediatr Nurs. 2012;27:563–572. doi: 10.1016/j.pedn.2011.10.003. [DOI] [PubMed] [Google Scholar]
19. Martínez-García E, Arias-Santiago S, Valenzuela-Salas I, Garrido-Colmenero C, García-Mellado V, Buendía-Eisman A. Quality of life in persons living with psoriasis patients. J Am Acad Dermatol. 2014;71:302–307. doi: 10.1016/j.jaad.2014.03.039. [DOI] [PubMed] [Google Scholar]
20. Eghlileb AM, Davies EE, Finlay AY. Psoriasis has a major secondary impact on the lives of family members and partners. Br J Dermatol. 2007;156:1245–1250. Doi: 10.1111/j.1365-2133.2007.07881.x. [DOI] [PubMed] [Google Scholar]
21. Spielberger CD. Manual for the State-Trait Anxiety Inventory for children. Palo Alto, CA: Consulting Psychologists Press; 1983. [Google Scholar]
22. Didar Balci D, Sangün Ö, Inandi T. Cross Validation of the Turkish Version of Children's Dermatology Life Quality Index. J Turk Acad Dermatol. 2007;1:71402a–71402a. [Google Scholar]
23. Yilmaz Ö, Türkeli A, Yüksel H. The validity and reliability of the Turkish version of the Family Dermatology Life Quality Index; Symposium of Allergic Diseases and Treatment in Clinical Immunology; 1-4 November, 2011; Antalya, Turkey. Abstract Book; pp. 73–73. P113. [Google Scholar]
24. Oy B. Children's depression inventory: validity and reliability study. Turk Psikiyatri Derg. 1991;2:132–136. [Google Scholar]
25. Ozusta S. Turkish standardization, reliability, and validity of State Trait Anxiety Inventory for children. Turk J Psychol. 1995;10:32–44. [Google Scholar]
26. Kimball AB, Jacobson C, Weiss S, Vreeland MG, Wu Y. The psychosocial burden of psoriasis. Am J Clin Dermatol. 2005;6:383–392. doi: 10.2165/00128071-200506060-00005. [DOI] [PubMed] [Google Scholar]
27. Rapp SR, Feldman SR, Exum ML, Fleischer Jr AB, Reboussin DM. Psoriasis causes as much disability as other major medical diseases. J Am Acad Dermatol. 1999;41:401–407. doi: 10.1016/s0190-9622 (99)70112-x. [DOI] [PubMed] [Google Scholar]
28. De Jager ME, van de Kerkhof PC, de Jong EM, Seyger MM. A cross-sectional study using the Children's Dermatology Life Quality Index (CDLQI) in childhood psoriasis: negative effect on quality of life and moderate correlation of CDLQI with severity scores. Br J Dermatol. 2010;163:1099–1101. Doi: 10.1111/j.1365-2133.2010.09993.x. [DOI] [PubMed] [Google Scholar]
29. Beattie PE, Lewis-Jones MS. A comparative study of impairment of quality of life in children with skin disease and children with other chronic childhood diseases. Br J Dermatol. 2006;155:145–151. Doi: 10.1111/j.1365-2133.2006.07185.x. [DOI] [PubMed] [Google Scholar]
30. Manzoni AP, Pereira RL, Townsend RZ, Weber MB, Nagatomi AR, Cestari TF. Assessment of the quality of life of pediatric patients with the major chronic childhood skin diseases. An Bras Dermatol. 2012;87:361–368. doi: 10.1590/s0365-05962012000300002. [DOI] [PubMed] [Google Scholar]
31. Lin VW. Tough-skinned kids: identifying psychosocial effects of psoriasis and helping pediatric patients and families cope. J Pediatr Nurs. 2012;27:563–572. doi: 10.1016/j.pedn.2011.10.003. [DOI] [PubMed] [Google Scholar]
32. Martínez-García E, Arias-Santiago S, Valenzuela-Salas I, Garrido-Colmenero C, García-Mellado V, Buendía-Eisman A. Quality of life in persons living with psoriasis patients. J Am Acad Dermatol. 2014;71:302–307. doi: 10.1016/j.jaad.2014.03.039. [DOI] [PubMed] [Google Scholar]
33. Eghlileb AM, Davies EE, Finlay AY. Psoriasis has a major secondary impact on the lives of family members and partners. Br J Dermatol. 2007;156:1245–1250. Doi: 10.1111/j.1365-2133.2007.07881.x. [DOI] [PubMed] [Google Scholar]


