A comparative study of pediatric onset psoriasis with adult onset psoriasis

A comparative study of pediatric onset psoriasis with adult onset psoriasis
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DOI:
10.1046/j.1525-1470.2000.01746.x
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发表时间:
2000-05-01
影响因子:
1.5
通讯作者:
Gross, J
Gross, J
中科院分区:
医学4区
文献类型:
--
作者:
Raychaudhuri, SP;Gross, J

文献摘要

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儿童期银屑病并不罕见。我们报告的数据收集自223名儿童发病和484名成人发病银屑病患者。在儿童发病银屑病患者(POPPs)中,家族史的患病率为68.2%,而在成人发病银屑病患者(AOPPs)中为54%。我们还注意到,由应激因素(POPP中50.4%,AOPP中42.7%)、咽炎(POPP中27.9%,AOPP中12.2%)和创伤(POPP中49.6%,AOPP中38.9%)等诱发的银屑病加重在POPP中更常见。我们的数据显示POPP的自发缓解率为35.3%,而AOPP为24.3%。儿童时期的皮肤病可能会对情绪产生深远的影响。儿童牛皮癣需要特别注意。要实现长期缓解,银屑病患儿及其父母必须了解导致银屑病发病率增加的外源性和内源性因素。
Psoriasis in childhood is not uncommon. We report data collected from 223 pediatric onset and 484 adult onset psoriasis patients. In the pediatric onset psoriasis patients (POPPs), prevalence of family history was 68.2% compared to 54% in the adult onset psoriasis patients (AOPPs). Also we noticed that exacerbation of psoriasis induced by precipitating factors such as stress (50.4% in POPPs, 42.7% in AOPPs), pharyngitis (27.9% in POPPs, 12.2% in AOPPs), and trauma (49.6% in POPPs and 38.9% in AOPPs) were more frequent in POPPs. Our data show that the frequency of spontaneous remission in POPPs was 35.3% compared to 24.3% in AOPPs. A disfiguring skin disease in childhood may have profound emotional effects. Childhood psoriasis needs special attention. To achieve a prolonged remission it is essential that children with psoriasis and their parents have an understanding of the exogenous and endogenous factors responsible for the increased morbidity of psoriasis.