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Psoriasis in children: Management of chronic plaque psoriasis

Authors
Amy S Paller, MD
Emily Broun Lund, MD
Section Editors
Kristina Callis Duffin, MD
Moise L Levy, MD
Deputy Editor
Abena O Ofori, MD

INTRODUCTION

Psoriasis is a systemic immune-mediated disease that can negatively impact the quality of life of affected children and their families (picture 1A-F). In most children, psoriasis can be adequately treated with topical medications. However, children with moderate to severe psoriasis often require phototherapy or systemic therapy.

Although many of the therapies commonly administered for psoriasis in children and adults are similar, high-quality efficacy and safety trials to guide the best approach to psoriasis in children are more limited. As a result, the development of guidelines for the treatment of pediatric psoriasis is challenging. In clinical practice, consideration of patient-specific factors, such as patient age, severity of disease, comorbidities, and tolerance of the risks and side effects of specific medications, guides the approach to treatment.

The management of chronic plaque psoriasis, the most common clinical variant of psoriasis in children, will be reviewed here. The diagnosis of psoriasis in children and the approach to treatment of other clinical variants of psoriasis and psoriatic arthritis are reviewed separately.

(See "Psoriasis in children: Epidemiology, clinical manifestations, and diagnosis".)

(See "Guttate psoriasis".)

                              
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Literature review current through: Oct 2017. | This topic last updated: Nov 03, 2017.
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