Clinical, Demographic and Treatment Characteristics of Pediatric Psoriasis: A Multicenter Study of 150 Patients

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dc.authoridOzyurt, Kemal/0000-0002-6913-8310
dc.authoridMETIN, Mahmut Sami/0000-0002-5099-8521
dc.contributor.authorDemirbas, Abdullah
dc.contributor.authorOzyurt, Kemal
dc.contributor.authorElmas, Omer Faruk
dc.contributor.authorMetin, Mahmut Sami
dc.contributor.authorAtasoy, Mustafa
dc.contributor.authorTursen, Umit
dc.contributor.authorKilitci, Asuman
dc.date.accessioned2025-01-21T16:34:52Z
dc.date.available2025-01-21T16:34:52Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBACKGROUND/AIMS: Many studies have focused on the epidemiological features of adult and childhood psoriasis. However, only a few studies have been conducted to demonstrate the clinical and demographic characteristics of pediatric psoriasis in Turkey. This study aimed to determine clinical, demographic, and treatment characteristics of childhood psoriasis in a multicenter series. MATERIALS and METHODS: This study was conducted in four different centers that are located in four cities of Turkey between June 2016 and June 2020. The demographic parameters, possible triggering factors (emotional stress, physical trauma, infection, and medication), and clinical characteristics (psoriasis type, psoriasis area severity index, involved areas, nail involvement, joint involvement, subjective symptoms, disease duration, last treatments and duration of use, and history of accompanying diseases) of pediatric patients with psoriasis were retrospectively analyzed. RESULTS: A total of 150 patients from four different centers were enrolled in the study, of whom 71 (47.30%) were males and 79 (52.70%) were females, with a mean age of 13.71 +/- 42 years (age range: 1-18 years). A family history of psoriasis was determined in 20 (13.33%) patients. Possible triggering factors included emotional stress (n=90, 60%), physical trauma (n=21, 14%), infection (n=14, 9.33%), and medication (n=1, 1.67%). The most common area of involvement was the trunk (n=69, 46%) followed by the scalp (n=42, 28%), hand (n=20, 13.33%), and face (n=19, 12.67%). The prevalence of clinical types was as follows: plaque (n=125,83.33%), guttate (n=10, 6.67%), palmoplantar (n=7, 4.67%), inverse (n=6, 4%), and pustular (n=2, 1.33%) psoriasis. Nail and joint involvement were observed in 30 (20%) and 15 (10%) patients, respectively. The last treatments received included topical treatment (n=101, 67.33%), phototherapy (n=23, 15.33%), acitretin (n=16,10.67%), methotrexate (n=9, 6%), and cyclosporine (n=1, 0.67%). CONCLUSION: In our cohort, the clinical types and treatments used for childhood psoriasis were similar to those of other studies, but the rate of family history was lower, whereas the incidence of emotional stress was higher. Addressing the psychological impacts of psoriasis along with its physical aspects may provide better treatment outcomes.
dc.identifier.doi10.4274/cjms.2021.2021-38
dc.identifier.endpage13
dc.identifier.issn2149-7893
dc.identifier.issn2536-507X
dc.identifier.startpage7
dc.identifier.trdizinid536684
dc.identifier.urihttps://doi.org/10.4274/cjms.2021.2021-38
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay536684
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24018
dc.identifier.volume6
dc.identifier.wosWOS:000840123500002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofCyprus Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectNail; children; treatment; psoriasis
dc.titleClinical, Demographic and Treatment Characteristics of Pediatric Psoriasis: A Multicenter Study of 150 Patients
dc.typeArticle

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