In children the psoriasis treatment has to start as soon as possible and stick to it. Also strictly you should follow the recommendation of your doctor in the care of the skin.
It is very important to follow the principles of a healthy lifestyle to help the immune system to deal with psoriasis.
Patches on the skin can pose a serious problem for the child, and should be trained to care for patients of the skin and to treat it.
In 15% of cases, psoriasis starts in childhood and in 30% of cases— up to 20 years. It is a chronic skin disease with genetic predisposition. The impetus for the development of the disease serve as the environmental factors (for example, change of season, the skin friction of the clothing, infections, emotional tension and the use of some drugs).
The clinical manifestations of psoriasis in children about the same as that of adults. However, in children the psoriasis, often, takes the form of atypical, which can lead to difficulties in diagnosis. Some baby dermatitis with lesions in the buttocks, eyelids and scalp, can be very similar to psoriasis.
Fortunately, not all affected children with psoriasis have had to experience this attitude, however, this story shows how difficult it can be to everyday life for those who are sick with psoriasis.
In children the psoriasis, most often, takes one of the following forms:
If Your child has psoriasis, do your best to rid it of the plate.
The child should be evaluated as soon as possible to start the treatment. Should strictly implement all the recommendations of the doctor and remember to put on your skin cream prescribed. The treatment is carried out until until the plaque disappears completely.
With the defeat of the stop used the same treatment and follow the same recommendations as in adults. Until the skin is healed, the treatment was carried out in the region without realizing it by n. it Is best to avoid wearing fashionable shoes that can damage the skin of the feet. However, after the decrease of the exacerbations this requirement can be somewhat mitigated.
Social well-being and good physical form of the child are very important, because if you love the sport, and has been left.
Encourage your child's desire to participate in sport, to be able to maintain a high level of physical activity; ask how the various interests, however, don't forget to ensure that the skin in certain areas of the body not subjected to frequent stretching. Excessive stretching of the skin (for example, when the child is too long a Bicycle) can trigger psoriasis.
No need to deprive the child of opportunities to swim in the pool. To relieve the irritation caused by chemical substances contained in the water, it is enough to apply on irritated areas vaseline. The affected areas must be completely dry, gently wet them with a towel.
In children with obesity, the possible psoriasis skin folds or areas of the skin prone to stretching. Do not allow your child to fill the shortage of positive emotions overeating.
You should also maintain in good condition the immune system of the child. Because the child's immune system, and in general your whole body, not completely formed, for its proper functioning are very important in balanced diet.
For the immune system is very harmful of tobacco smoke, therefore, it is necessary to ensure that the child is not in contact with the smoke of tobacco, and, above all, it tried to Smoke me.
The family of a sick child must give him all the love that is only capable, and to be its backbone. However, this does not mean that the child can be allowed to use his illness to manipulate adults, or psychological blackmail. In addition, it is very important that the child has not formed an attitude towards his illness as a kind of serious flaw.
Because the sense of self-confidence in children, often, depends on his voice, teasing on the plates in the skin of a patient with psoriasis child can cause serious psychological trauma. Teach your children not to respond to these comments. The participation of the child (and his best friend) in discussions with their teacher helping them to learn to communicate.
Emotional stress (whatever its cause) can exacerbate psoriasis, so that during the exacerbation of the disease as soon as possible to seek help from a specialist or a psychologist.
Children of psoriasis differs little from the adult and 30% of cases accompanied by itching. However, for children psoriasis still has some quirks. As well, the children especially observed phenomenon Kebnera, which consists in the appearance of psoriatic lesions in areas of injury or irritation of the skin. For example, these rashes can be localized around the scar left after vaccination, or injuries received in a fall from the bike.
The development of psoriasis at an early age, indicates a poor prognosis. In the same way, the development of psoriasis severe a child does not mean that as adults, they also suffer severe psoriasis. However, because of the psoriasis is a chronic disease, the more likely it is that it will remain in Your child for a lifetime, periodically definition, and leaves.
Diapers psoriasis
Although psoriasis can develop at an early age, which rarely appears at birth. However, the baby develops a special form of psoriasis called psoriasis diapers. Its main manifestation is the defeat of the buttocks caused by irritation of the skin caused by contact with urine and feces. Since these lesions can be many other reasons, the diagnosis of psoriasis in this case is not easy. In this location of the lesion is difficult to be sure that it is a manifestation of psoriasis, and not the usual dermatitis, similar to psoriasis. In older children the psoriasis has to be differentiated from dermatitis in the creases of the skin, on the buttocks, and scalp.
The usual psoriasis
Kids, like adults, can harm the normal, or psoriasis, which appears red, very circumscribed areas of the skin lesions covered with thick white scales.
Guttate psoriasis
Guttate psoriasis often occurs in childhood. It is characterized by the sudden appearance of small scaly red papules, usually on the trunk, arms and legs. This form of psoriasis often develops after a previous infection, such as otitis media or nasopharyngitis. Sowing smear from the pharynx often, it detects the infection. Guttate psoriasis is often confused with diseases accompanied by fever and the eruption.
In children as in adults, in exceptional cases, there are severe forms of psoriasis, including pustular psoriasis and erythroderma. In general the development of these forms of the disease require hospitalization.
Pustular psoriasis
Pustular psoriasis in children is observed rarely, although it can occur immediately after birth. In these cases, it is called pustular psoriasis baby. It is manifested by multiple pustules with sterile content and can develop as an independent disease or as a complication of conventional psoriasis. Triggering factor of this form of psoriasis can serve to infection, stress, vaccinations or the use of certain drugs. To confirm the diagnosis is sometimes possible only after the appearance of new clinical signs. Generalized pustular psoriasis is often accompanied by episodes of fever. Pustular psoriasis of the palms and soles has a course fluctuating and, at times, leads to serious functional limitations.
Psoriatic erythroderma
In children who suffer from psoriatic erythroderma, the skin becomes red from head to toe. Redness may be accompanied with fever and pain in the joints. In some areas of the skin can be covered with pustules. This form may begin as independent, illness or complicate the course of other forms of psoriasis. The impetus for its development, often, it serves as the infection or the use of certain drugs.
Psoriatic arthritis
Psoriatic arthritis in children is very rare. Is manifested by a combination of arthritis with skin lesions in the form of pustules or redness. Arthritis occurs with asymmetric involvement of large and small joints of the hands and feet.
Location of the injury
The lesion is localized in almost the same areas of the body that in adults. However, the lesions on the face in adults (5.6% of the cases) is much lower than that in children (30%). Rashes can appear on the forehead and cheeks, accompanied by the redness of the skin, and sometimes spread to the eyelids and the ears. The defeat of the face is particularly difficult to bear psychologically and can lead to isolation. In children psoriasis affects other areas of the body, including:
Skinfold: except for the total number of children under the chin there are skin folds, in other cases, the loss skin folds of the neck is marked a few times. The skin of the armpits also rarely becomes the target of the injury, in contrast to the region umbilical, where eruptions appear very often.
Nails: one third of children who suffer from childhood psoriasis affects the nails. At the same time that gets all the nails in the hands and feet. The nail covered with small depressions and are similar to thimble.
Scalp: lesions of the scalp in children psoriasis is not uncommon. However, it is important to remember that children lose the scalp, it can be a manifestation of dermatitis, which, along with the one that captures the buttocks.
The children and their parents is sometimes difficult to feel that psoriasis is chronic and significantly reduces the quality of life. Even if you manage to find an effective treatment to cure psoriasis remains elusive.
Since psoriasis may be inherited, parents tend to blame themselves for the illness of a child, especially if they suffer from psoriasis. A research carried out between 100persones with psoriasis, showed that 11% of them do not want to have children, because they fear the transfer of their disease. Parents may be upset to learn that the psoriasis have their child could be triggered by stress. Finally, parents can feel completely helpless in the face of this disease, not knowing how to help your child deal with it.
In this sense, the dermatologist should try to give the child and his parents an idea realistic about the disease, reminding them, in particular, that the genetic predisposition is not the only cause of psoriasis.
Appointed dermatologist treatment should consider not only the form clinical of psoriasis but the child's wishes (if old enough to Express them) and their parents. The dermatologist must work together with the child and parents, selecting the most appropriate treatment. Weigh the risks and benefits of treatment should be even more careful than with adults, especially if you plan to use the fund for use systemic. In relation to the toxicity of certain drugs, the selection of the suitable for children methods of treatment is limited.
The children of the psoriasis is usually treated sequentially, switching from one treatment to another, every three months (as adults). In the summer of the defeat becomes less noticeable, thanks to the action of the solar light. With the appearance of new lesions to resume treatment and continue until, until the skin in these areas is not clear.
For the treatment of psoriasis in children usually use only a topical treatment.
With an extensive or serious injury, or a significant decrease in the quality of life in relation to psoriasis, your doctor may prescribe treatment systemic.
Systemic treatment can lead to serious side effects, so that its advantages and disadvantages, should be discussed with the child and their parents. It is usually prescribed in short courses that can be carried out under the supervision of a doctor.
