engleski

Childhood psoriasis: a 11-year retrospective analysis in Croatia

Psoriasis may occur at any age and childhood psoriasis is relatively common. Although psoriasis in children is well recognized, few pidemiological studies are available.Objectives: The aim of this study was to present the clinical and epidemiological profile of childhood psoriasis in Croatia.The family history was positive in 151 children (36.9%). The ages of the children ranged from 3 months to 16 years. All children were treated with topical medications, mostly with topical corticosteroids, followed by vitamin D derivatives and keratolytics. Dithranol was used in some children for resistant lesions, and topical tacrolimus and pimecrolimus were commonly used for facial and flexural involvement. In case of non efficacy of local modalities, treatment with narrow band UVB phototherapy was considered. Systemic treatments, PUVA –bath, methotrexate and retinoids were used only in severe cases of plaque psoriasis ; retinoids were used in a child with pustular and in a child with erythrodermic psoriasis. Cyclosporine was used only in one patient. Although biological treatment with etanercept has been introduced for childhood psoriasis in 2009, we have not gained any experience with it until today. Results obtained in population studies are used on patient counseling. The appropriate choice of therapy is extremely important in order to acchieve good control of the disease and to minimise side effects of prolonged therapy. Successful management requires education of children and parents regarding the course of the disease and treatment options. They should be properly explained the chronic nature of the disease and its tendency to exacerbations as well as spontaneous remission, especially in childhood.

clinical and epidemiological profile of childhood psoriasis in Croatia

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