Can a 1 year old have psoriasis? Psoriasis in children: how to get rid of the disease for a long time. What do different types of psoriasis look like in the initial stage in children

Skin diseases do not tolerate slowness in treatment, especially if children become patients. Psoriasis is a disease that worries not only adults, even infants and preschool children are at risk. Among the causes of the development of the disease, experts distinguish disorders in the work of the nervous and immune systems, a genetic predisposition. For the treatment of psoriasis in children, preventing its recurrence in the future, ointments, shampoos, physiotherapy procedures are used, do not forget to pay special attention to the care and nutrition of the child. Read on for more information about psoriasis, its symptoms and treatments.

What is psoriasis in children on the head

Psoriasis is a disease of a dermatological nature, it is accompanied by the appearance of white foci of inflammation on the skin (papules, tubercles, plaques) and is of a non-infectious nature. Skin lesions can be seen in a variety of places, but the most common are the elbows and the head. About 8% of children of different ages suffer from this disease, even infants. Moreover, among newborns, the disease is less common in boys than in girls.

Children's psoriasis "prefers" the cold season. The manifestations of the disease on hot days subside, and in the winter season there are more outbreaks of psoriasis in children.

There are several types of disease. They differ in symptoms and localization, but the main thing that unites them is that the disease requires the immediate help of a highly qualified doctor.

Specialists distinguish the following forms of the disease in children:

Guttate psoriasis. In children with this type of psoriasis, areas of the skin on the body, legs, arms or head are strewn with red, inflamed spots. They quickly increase, and in the future there is an increased peeling of the affected areas of the skin. The disease mainly occurs after a streptococcal infection in children 4–5 years old.
Plain or plaque. Perhaps the most common form of psoriasis in children. Accompanied by the formation of red spots on the body, head, they increase over time, become covered with plaque and peel off, leaving behind wounds.
Arthropathic. According to statistics, only 10% of children with psoriasis suffer from this form of the disease. Accompanied by edema, swelling of the lower extremities, pain in the folds, conjunctivitis may occur. This is a severe form of the disease that can lead to damage to the bone and cartilage tissue of the joints.
Flexion or inverse psoriasis. The foci of inflammation are localized exclusively in places of folds, folds of the skin, in the groin and on the genitals. Accompanied by the appearance of redness, barely rising above healthy areas of the skin.
Erythrodermic. It belongs to the most dangerous forms of the disease, because it can be fatal for a baby. Accompanied by severe peeling and unbearable itching, very painful.
Pustular childhood psoriasis. The disease is typical for children older than 7 years. Refers to severe forms of the disease and is accompanied by swelling of the affected areas of the skin. Bubbles filled with exudate (liquid) appear on the body, an increase in lymph nodes is possible.
Generalized pustular. It predominantly occurs in adults. Accompanied by instant reddening of the skin, with the further appearance of purulent formations. This form of the disease is dangerous with complications, affects the functioning of internal organs, the heart and kidneys.

Only a doctor can determine the form, the degree of the disease, he will also prescribe the appropriate treatment. Self-medication leads to complications and delays the healing process.

Note! Psoriasis is not an infectious disease, but often the cause of its development is a transferred staphylococcal infection, flu, tonsillitis and a cold.

Symptoms of the disease

Symptoms of the disease in adults and children are similar:

a red rash appears, it quickly increases in size, thickens and becomes covered with a silvery-white coating;
psoriatic rashes are accompanied by severe itching and pain;
after a while, the affected areas actively peel off, cracks and bleeding wounds may appear;
in infants, the symptoms are somewhat different - problem areas become soft, similar to eczema, weeping.

Experts distinguish 3 stages of childhood psoriasis:

Initial (progressive)- at this stage, the body, the scalp is covered with a small red rash. Gradually, the foci of inflammation increase in volume, the surface becomes embossed. The disease is accompanied by severe itching, peeling, the appearance of cracks, crusts and bleeding wounds. A more complex form of the disease is characterized by an increase in body temperature, skin hyperemia, thickening of problem areas, swollen lymph nodes and swelling of inflammatory foci.
stationary stage, when the patient follows the doctor's prescriptions and the symptoms begin to fade, itching, peeling decrease, and no new formations are observed.
regressive stage. During this period, you notice the complete disappearance of problem foci, depigmented spots remain on the skin after the disease.

Patients with psoriasis are characterized by an increase in protein, gamma globulins in the blood, as well as a low albumin-globulin ratio. A blood test is another assistant in diagnosing an ailment.

Psoriasis affects the skin in various areas (head, body, elbows, knees, buttocks). Almost every third child suffers from nail psoriasis (the main symptom is the appearance of holes in the nail plate). For infants, there is a high chance of localizing the disease in the folds of the skin, on the buttocks and in the groin, where the skin is often exposed to urine and feces.

Psoriasis of the scalp in children is accompanied by skin lesions behind the ears, on the forehead. At the initial stage, it may resemble dandruff, later the symptoms characteristic of psoriasis appear.

Be careful! Psoriasis does not pass without a trace, with insufficient skin care, violation of the temperature regime, with poor nutrition and a weakened immune system with infectious diseases, the disease will reappear.

Causes

Finally, the causes of the onset of the disease have not been studied, but experts suggest and identify several factors that contribute to the defeat of the scalp with an ailment.

In infants and young children

For infants and newborns, the appearance of diaper psoriasis is characteristic. The main cause of the development of skin disease in infants is heredity. A high risk of disease in a baby is observed if, before giving birth, a pregnant mother felt an exacerbation of psoriasis.

The cause of the disease may be:

unformed immunity;
violation of the rules for caring for the skin of a newborn, diaper rash and diaper dermatitis;
an allergic reaction to a drug or food;
an unbalanced diet of the mother during breastfeeding or an improperly selected formula for artificial formulas;
regular stress when a child starts attending a preschool;
infectious diseases that noticeably weakened the baby's immune system.

Teenagers

Psoriasis in teenagers is often provoked by:

genetic predisposition;
disorders in the work of the endocrine system;
weakened immune system after infectious diseases;
frequent stress, disorders associated with a change of scenery, school attendance;
imbalance of the nervous system;
as a result of an allergic reaction to a care product, a food product;
disorders of the gastrointestinal tract, lack of vitamins;
scalp injuries;
hormonal changes in the body.

Attention! The duration and complexity of the prescribed treatment, as well as the area of skin damage, depend on how quickly you notice the symptoms of the disease and seek help from a specialist.

Treatment of psoriasis

Treatment of the disease with ointments, creams alone will not bring a quick and desired result, it is important to provide a set of measures.

To the use of medical cosmetics and taking medications, add special care, proper nutrition, a course of physiotherapy, peace and the elimination of stressful situations and experiences.

Do not try to treat psoriasis on the head of a child on your own, trust a specialist. After establishing an accurate diagnosis, he will prescribe medications and the procedure for their use.

In addition, it is important to exclude the cause that provoked skin disease, stress and disorders, fill the diet with nutritious, vitamin dishes.

The complex of therapeutic measures against psoriasis in children includes:

external therapy with medicinal ointments, creams, shampoos and other products for the scalp;
internal intake of vitamin and mineral complexes;
the use of traditional medicine recipes to alleviate the symptoms of the disease and speed up recovery;
physiotherapy procedures;
special diet.

If the disease was noticed at the initial stage, the skin damage is minor, then the treatment is carried out at home in compliance with all the recommendations and prescriptions of the doctor. However with significant lesions, a complex course of the disease, the child is hospitalized.

Medical treatment

Drug treatment is a sure way to quickly stop the development of the problem, improve the patient's condition and prevent complications. As a therapy, drugs are prescribed for external and internal use.

For external therapy of the disease, ointments and creams are prescribed. They treat the affected areas of the skin several times a day.

Among the popular ointments, creams for psoriasis are:

Kartalin- non-hormonal cream with the addition of grease and extracts of medicinal herbs, natural oils, bee honey. It also contains salicylic acid. The cost of the drug is about 2000 rubles. The course of treatment with the drug lasts up to 4 weeks, in addition, it is used for 1 month to consolidate the success achieved. There are no age restrictions.

Psorikon- non-hormonal cream for external use. Contains a complex of extracts of Altai herbs, natural oils, grease. The drug must be rubbed into the steamed skin. The course of application lasts up to 4 months. The cost is about 310 rubles. Has no age restrictions.

Cytopsor- topical psoriasis ointment. In the composition you will find grease and a complex of vitamin and mineral supplements, extracts and oils of plants. Recommended ointment for the treatment of children older than 7 years. The price is about 1750 rubles.

Ichthyol ointment- one of the cheapest ointments for psoriasis. The drug has high antiseptic, anti-inflammatory properties, has a keratolytic effect on the problem, relieves pain. There is an ointment in the range of 70-100 rubles. It can be used to treat children of any age.

Salicylic ointment- an active drug, therefore, requires special care and attention in the treatment of children. Does not contain preservatives, parabens. The composition of the ointment contains only salicylic acid and petroleum jelly. The cost is 30 rubles.

Psorium- cream based on plant extracts and grease. It has a pronounced anti-inflammatory and wound-healing effect. The course of treatment lasts 1-3 months. The cost is from 600 rubles. Producer - Tomsk, Russia.

Magnipsor- ointment against psoriasis. Contains a complex of plant extracts, fatty grease. It acts as an antiseptic, relieves itching and inflammation, accelerates the regeneration of damaged tissues, and has a high keratolytic effect. Contraindicated in children under 7 years of age. The price of the ointment is 1950 rubles, the manufacturer is Ukraine.

In some cases, the doctor prescribes hormonal drugs with corticosteroids.(for example, Dermovate or Fluorocort).

To reduce itching, antihistamines are prescribed (Suprastin, Tavegil).

If the cause of the development of a skin disease is disorders of the nervous system, stress and anxiety, the therapy includes taking sedative medications (valerian extract, Persen).

In addition to ointments, creams, The use of medicated shampoos and aerosols based on zinc pyrithione is acceptable. Popular among them are:

Aerosol Zinocap- a drug against psoriasis, various types of dermatitis and skin diseases. Contains the active substance - pyrithione zinc. The agent is sprayed onto the damaged area up to 3 times a day. The treatment course lasts up to 1.5 months. It is used for children from 1 year old. Also available in cream form. The cost is 780 rubles.

Shampoo for hair- in addition to zinc pyrithione, it contains natural oils and synthetic additives. Has no age restrictions. The duration of treatment is up to 5 weeks. Used externally 2-3 times a week. Price - 1360 rubles.

Without fail, the doctor prescribes vitamin and mineral complexes, various nutritional supplements to strengthen the immune system and enhance the protective properties of the skin.

Attention! Before using a drug for psoriasis, make sure that the patient is not allergic to the drug. When combining medicines with folk remedies, a specialist consultation is required.

Folk remedies

Natural folk remedies will help to supplement the activity of drug treatment:

Soda baths. Before bathing a child, add 1 kg of baking soda to the bath. You can also add a decoction of string, chamomile. Take a medicinal bath for half an hour. It is recommended to do such procedures every other day.
Rubbing with soda water. Dissolve 2 tsp in 200 ml of warm water. baking soda. Twice a day, gently wipe the damaged areas with the prepared solution.
Homemade ointment from rosehip ash. For its preparation, rosehip branches are required. They are dried and burned, and the ashes are mixed with petroleum jelly. Apply the prepared composition daily to problem areas, after a week you will notice a positive effect.
Birch tar- another way to eliminate the disease. Apply a little liquid tar to the affected skin, gradually increase the exposure time from 10 to 35 minutes. To remove the active ingredient, use the foam of tar soap (you can not rub the soap bar on the skin). The treatment course lasts up to 1.5 months.
Homemade ointment with grease. For cooking, you will need honey (50 g), egg yolk and purified medical grease (150 g). Mix all ingredients. Apply the ointment to psoriatic plaques twice a day. Keep the product on the child's head for up to 2 hours, then rinse off. Store the ointment in the refrigerator in a closed container, but not more than 14 days.
Kalanchoe leaves grind into a gruel, then apply it to the plaques. For convenience, cover with a bandage or use adhesive tape. After half an hour, remove the gruel.
Use as a compress chopped celery root. Apply a healing gruel for 2 hours every day.

Alternative Methods

As alternative treatments for scalp psoriasis in children modern cosmetology centers, sanatoriums offer:

relaxation and music therapy - procedures relax, have a positive effect on the child's nervous system;
the use of therapeutic mud, filled with nutrients, minerals;
cryotherapy - local effect on the problem with cold;
phototherapy or light therapy. Ultraviolet radiation reduces inflammation. The procedure is prescribed individually so that the radiation dose does not exceed the permissible;
salt baths;
proper nutrition, you can learn more about the diet for psoriasis on our website;
vitamin therapy.

Preventive actions

Psoriasis looks unpleasant, attracts the eyes of strangers, is accompanied by ridicule from peers, so the child may have complexes, unnecessary experiences. For impressionable, modest children, such factors cause psychological trauma and only worsen the problem. Preventive measures will help prevent the recurrence of skin disease. These include:

constant control over nutrition, give preference to food baked in the oven or steamed;
pay attention to the state of the child's body, avoid communication with patients with infectious diseases;
support immunity by taking vitamin complexes, especially in the cold season;
try to create a calm atmosphere for the baby so that he is less nervous and worried;
monitor the microclimate of the room, the air should be moderately humidified, heat is not allowed;
protect from injury and damage to the head;
periodically use shampoos, psoriasis balms, you can use hair masks with the addition of tar soap;
at the slightest manifestation of the disease, contact a specialist, do not delay the treatment;
useful will be an annual recovery in a sanatorium, visits to special immunity-strengthening procedures, cosmetic sessions with the use of therapeutic mud;
teach your child how to properly care for the skin, choose shampoo and cosmetic products.

The causes of the development of psoriasis are not yet fully understood, and a cure for a complete cure has not been found. Therefore, pay special attention to this ailment and to the condition of the integument of your child. If the problem has already touched your baby, try to make every effort to prevent a recurrence of the disease.

Useful videos

Psoriasis in men, women and children.

Psoriasis. How to get rid of spots on the skin.

In the process of growing up, the child's body is subjected to various tests. Increasingly, children are showing diseases that were previously considered “adults”. Quite an unpleasant pathology is psoriasis. Can a child have it? Why can this happen, and how is the disease treated in children?

Treatment of psoriasis in children is more effective, the sooner the disease is diagnosed

What is psoriasis and does it happen in children?

Psoriasis is a chronic non-infectious skin disease. It manifests itself in the form of dry red spots on the skin with a flaky white surface. The rash is localized on various parts of the body. Rashes can be single or cover a large area of the skin. They cause severe discomfort to a person, because they itch and can cause pain.

Many people believe that children do not get psoriasis. Indeed, the disease often worries people over 18 years of age. However, cases of illness in childhood have become more frequent. Sometimes the pathology affects even infants. The disease is chronic, it can subside and not manifest itself for several years, and if provoking factors occur, it can worsen.

Causes of the disease

The mechanism by which psoriasis develops is not fully understood. There are various theories that highlight several reasons for the formation of pathology in a child. Doctors believe that this disease is hereditary. The likelihood of detecting pathology in children increases if one or both parents have psoriasis.

Types of psoriasis are classified depending on the location of the rash and the characteristics of the manifestation. At different stages of the disease, the rash may change somewhat. It is important to recognize the disease in time and start treatment.

Plaque psoriasis

The types of the disease are described in the table:

View	The manifestation of rashes	Localization	Peculiarities
diaper	Red, scaly patches covering a large surface of the skin.	Gluteal area, skin folds	Similar to dermatoses, characteristic of infants, difficult to diagnose.
plaque-shaped	Small dense spots of red color, rapidly increasing in size, flaky and itchy. The rash is covered with white scales, if injured, the skin may burst, blood will appear.	Most often - on the elbows, head, knees	Most common in children.
teardrop	Dry single small papules of a pink or purple hue, strongly itch and peel off. With untimely treatment, they occupy a large area.	Head, limbs, torso	The disease can develop within 4-5 years after a streptococcal infection.
Pustular or pustular	Symmetrical skin inflammation, accompanied by burning and itching. After a while, the pustules fill with fluid. When it enters the burst vesicles of the infection, abscesses form.	Soles, palms	It is rare in children. Accompanied by fever, treated in a hospital.
Psoriatic erythroderma	Redness merges into large red spots covering the whole body.	Whole body	Accompanied by pain in the joints and high fever. He is being treated in a hospital.
Arthropathic or psoriatic arthritis	Rashes are red, flaky, located in large areas.	Whole body	Joints swell, conjunctivitis worries, fingers hurt. The therapy is carried out under the supervision of a physician.

Stages of psoriasis in children

The disease goes through several stages. Psoriasis in children develops more slowly than in adults.

It is quite difficult to suspect a disease at the very beginning of the disease, therefore, if a rash occurs on the child's body, it is necessary to seek the advice of a specialist.

Stages of development of psoriasis in children:

Initial stage. It is characterized by the formation of small single red spots, which dry out after a while and begin to peel off. The symptoms are similar to those of an allergic reaction.
Progressive stage. Rashes grow, merge into large grouped areas. The rash peels off in the center of the rash and itches. There are pain when touching the inflamed areas.
stationary stage. The growth of red spots stops. Peeling and itching lose their intensity.
regression stage. The rash gradually disappears. Sometimes light pigment spots form at the site of the rash.

The initial stage of the disease

Symptoms when various parts of the body are affected

On different parts of the body, the symptoms of psoriasis have their own distinctive features. In a child, rashes can be located on various parts of the body: head, arms, legs, nails. A photo of the disease at the initial stage in children will help to recognize psoriasis in time. Consider the main symptoms of the disease.

Psoriatic lesion of the head

Rashes on the scalp are a fairly common form of pathology. Most often, it worries children older than a year, but sometimes the disease affects infants. A rash with this form of the disease can spread to the frontal part of the face. For teenagers, this disease can cause deep psychological trauma. Symptoms of psoriatic head damage:

localization of rashes - parting of the scalp, occipital part of the neck, ears, forehead;
peeling appears at the beginning of the disease;
the skin on the head softens;
red spots appear, which are covered with whitish plaques and begin to itch;
when combing, the skin cracks;
over time, the entire skin under the hair becomes covered with white scales.

Features of the course of psoriasis on the nails

Psoriatic nail damage is easily mistaken for a fungal disease. However, psoriasis has its own distinctive features. At the beginning of the disease, small dotted depressions appear on the nail plate. Sometimes red spots are visible under the nail. Gradually, the nail begins to become cloudy, and longitudinal or transverse furrows stand out on it. When pressing on the nail, the patient feels discomfort.

Nail involvement in childhood is rare and is usually accompanied by skin rashes. If the disease is not detected at an early stage of development, then the nail will begin to collapse.

There are several types of this pathology, which are characterized by an increased manifestation of one of the symptoms of the disease. Sometimes nail psoriasis occurs in parallel with fungal infection. Types of nail lesions:

Thimble. It is expressed in the appearance of small pits on the nail and pain when pressed.
Onycholysis. It is distinguished by the appearance of a pink-yellow border around the nail and exfoliation of the nail plate.
Onychomadesis. Nails quickly exfoliate, there is no edging.
Subungual psoriatic erythema. Spots from pink to black are observed under the nail plate.
Trachionochia. The affected surface becomes uneven and rough. Gradually, the edges of the nail curve up.
Psoriatic paronychia. It differs in that the inflammatory process affects the entire finger, and it swells.

Limb damage

Psoriasis on the legs of a child

Psoriasis on the arms and legs manifests itself on the hands, elbows, knees, shins and feet. On the back of the hand and between the fingers, the disease looks like coarse red spots. The peculiarity of elbow rashes is that they do not have obvious signs. This is due to the fact that the skin in this part is thick.

The first signs of the disease on the elbows are similar to small abrasions, which gradually degenerate into a small dotted rash. After a while, the rashes merge, and the inflammatory process begins. The spots acquire clear boundaries and itch. When combing, the skin cracks and small wounds form.

A rash on the knees with psoriasis is characterized by coarsening of the skin and the appearance of red spots with a gray scaly border. Sometimes the rashes are in the form of small watery bubbles. They gradually spread to the surface of the thighs and lower leg. On the feet, psoriatic lesions lead to the formation of calluses. The skin of the feet becomes inflamed, scaly and cracked.

Treatment of psoriasis in a child

Psoriasis cannot be completely cured. Therapy of the disease is aimed at accelerating the period of remission.

Treatment of pathology in children is complicated by the fact that many drugs and procedures cannot be used in childhood. Consider the most popular treatments for psoriatic skin lesions.

traditional medicine

Therapy for psoriasis in children includes the use of local medicines and vitamin complexes. Treatment is prescribed by a specialist after a comprehensive examination of the patient. The duration of therapy depends on the severity of the disease and the localization of psoriatic skin lesions. Ointments are effective remedies for psoriasis. Children are prescribed the following drugs:

Zinc, Zinocap, Skin-cap - zinc-based products;
Salicylic;
Ichthyol;
sulfuric;
Tar;
Psori super;
Dermovate, Fluorocort - hormonal drugs prescribed for severe illness;
Papaverine and Theophylline - for the treatment of the scalp;
Heparin - for chronic rashes.

To relieve irritation and itching, small patients are recommended to take antihistamines (for example, Suprastin, Diazolin, Tavegil). Since one of the factors that cause psoriasis is nervous strain, children are prescribed a course of sedatives. To activate the body's defenses, immunostimulating and pyrogenic drugs are used.

Vitamin complexes will strengthen the patient's immunity and replenish the body with the missing vitamins and minerals. Among the popular means for children note:

Complivit;
Vitrum;
Multitabs;
Undevit;
Aevit.

Head psoriasis is treated with Nizoral, Friderm, Sulsen shampoos. In complicated diseases, the patient is prescribed to take corticosteroid drugs for 2-3 weeks.

Traditional methods of therapy also include physiotherapy. Remission is facilitated by ultraviolet irradiation, salt baths, phototherapy, plasmapheresis, PUVA therapy. Experts recommend adjusting the child's diet and including foods rich in vitamins and minerals in his diet.

Folk methods

Folk methods for the treatment of psoriasis can be included in the treatment of the disease. When choosing folk remedies, it is necessary to take into account the age of the patient and the characteristics of his body. Preliminary consultation with a specialist will help to exclude the occurrence of negative consequences.

Walnut is used in the treatment of the initial stage of psoriasis

The table describes the popular methods of dealing with psoriasis.

View	Compound	Cooking	Application
Ointment	Solid oil, honey, yolk	Mix 150 g of grease with 1 yolk and 50 g of honey.	Apply 2 times a day for 2 hours.
Ointment	Propolis, sea buckthorn oil	100 g of propolis is softened in a water bath and mixed with a tablespoon of oil.	Apply to affected areas 2-3 times a day.
Compress	Sea salt	Dissolve 50 g of salt in 200 ml of water.	Soak a cloth in the solution and apply to the affected area. Repeat daily for 7-10 days.
Baths	walnut shell	Pour 500 g of raw materials with a liter of boiling water and let cool. Pour the solution into the bathroom.	Take 30 minutes every other day for 2 months.
	Baking soda	Dissolve 900 g of soda in water.
	Chamomile, string	Prepare a decoction of a medicinal plant and pour into a bath filled with water.

Prevention of exacerbations of the disease

Because psoriasis is incurable at any age, it is important to take steps to prevent flare-ups. First of all, it is necessary to provide the child with comfortable living conditions and proper balanced nutrition, to protect him from stress.

In everyday life, the following rules and recommendations should be observed:

monitor the hygiene of the child;
when bathing, use gentle products and soft washcloths;
avoid hypothermia and overheating of the baby;
buy clothes made from natural fabrics;
exclude from the child's menu products that can cause allergies;
prevent chronic diseases;
strengthen children's immunity;
properly handle cuts and cracks.

If you suspect an exacerbation of the disease, you should immediately contact a dermatologist. Timely and proper treatment will ensure a long remission of the disease. Older children should be taught that psoriasis is not contagious and cannot create restrictions on their daily activities. Teens need moral support.

Children's psoriasis is an unpleasant phenomenon not only for young patients, but also for their parents. A chronic disease causes anxiety and concern of adults for the health of babies. Fortunately, the disease does not apply to contagious infections, it is not transmitted through contact with other children and through household items. What are the causes of psoriasis in children and can it be cured?

The life of a child is filled with emotional outbursts, joys, sorrows and physical activity much more than that of an adult. His body is vulnerable physiologically and psychologically, hence the majority of the causes of psoriasis. Doctors have combined them into a list:

Genetics comes first. If one of the parents of a child has psoriasis, then in 25% of cases the baby will inherit the disease. If both parents are ill, the risk rises to 50-70%.
Severe allergies. Children eat a lot of foods that are serious allergens (chocolate, seafood, citrus fruits, berries). Entering the body, they cause stress on the digestive system and negatively affect the nervous system of a small patient.
Stress associated with physical action. It has been established that about 18% of children with psoriasis developed it due to physical stress (hypothermia, severe abrasions, heat strokes).
Mental stress. A small body is emotionally unstable, it is hard for the death of loved ones, scandals in the family, communication problems at school, situational fears. The task of parents is to reduce such worries.
Metabolic disorders due to malnutrition when parents don't keep track of their child's menu.

Photo of psoriasis in children

How it starts:

See photo

On nails:

See photo

Diagnosis of children's psoriasis

It is enough for a specialist to see the first signs of psoriasis in children in order to make a diagnosis during an external examination of a small patient. To rule out other skin diseases that often occur in childhood, a bioscopy (scraping) of the skin and blood and urine tests are prescribed.

What forms of psoriasis do children suffer from? In order to understand what psoriasis looks like in children, you need to know its forms. Doctors divide the disease into several main types:

Spotted form. Caused by staphylococcal infection. Rashes are reddish spots up to 1 cm in size. Spotted psoriasis appears in children on the legs, arms, torso. With a weakened immune system and a tendency to disease, the area of \u200b\u200bthe spots increases.
Asymmetrical shape. A type of disease that affects the joints of the limbs. External signs of psoriasis in children on the hands are combined with pain when the child complains that his fingers hurt. This type can develop into, which is much more dangerous to health.
Pustular form. It rarely develops in children. It is noted by the appearance of small papules, gradually merging into one large spot. In severe cases, the rash can completely cover the body.
erythrodermic appearance. Accompanied by inflammation and swelling of the affected areas.
Vulgar form. Psoriasis occurs in children on the head in the form of pinkish pimples. Able to affect small and large joints. It appears in the same places.

Symptoms of psoriasis in children

It is difficult to notice the initial symptoms of psoriasis in children, because the disease manifests itself as a small, inconspicuous spot. The spot does not attract the attention of the child, it does not itch, does not hurt, the baby does not complain to his parents. Rashes on the head are noticed even less often if the daughter or son has thick hair, and the amount of rash is minimal.

It's important to know! In severe cases, plaques with scales can cover up to 90% of the child's body.

The easiest way to recognize psoriasis in children is on the face, when papules dot the cheeks, forehead, and ears. Rashes may be accompanied by:

itching;
severe redness of the skin;
chills and fever.

The disease is especially pronounced on those areas of the skin that are in close contact with clothing. The friction of the tissue on the affected areas causes scabies and inflammation, it injures the epidermis, leading to the progression of the disease. New papules quickly transform into large plaques that connect with each other and form a spot up to 5 centimeters in diameter. What methods of combating the disease does modern medicine offer?

Ways to treat childhood psoriasis

Psoriasis in children are effective enough to stop the progress of pathology. It is not possible to completely cleanse the body of the disease. In the case of young patients, primary hospitalization is carried out, which makes it possible to determine the stage and type of the disease, as well as to take the correct tactics for its treatment.

Medical therapy

In the drug therapy of childhood psoriasis, the same drugs are used as in the treatment of the disease in adults. A small patient may be prescribed:

Sedative sedatives (Motherwort, Valerian). The drugs reduce the emotional arousal of the child and prevent the exacerbation of the chronic process. Such funds are especially useful at school age, when the rhythm of children's lives changes.
Desensitizing, weakening the allergic reaction, drugs (5% calcium gluconate or 10% calcium chloride). Against the background of an allergy, the plaques become inflamed and itchy, which causes severe discomfort to the child.
If itching bothers the baby constantly, take antihistamines (Suprastin, Tavegil) at the age dosage.
Tranquilizers (Meprotan, Seduxen, Tazepam) reduce physical activity, which helps protect babies from injury to the affected areas.
B vitamins (6B6, 12, 9.15). Drugs are given by injection. The course of admission is 10-20 injections.
Vitamins C and A.
Blood transfusion is combined with weekly administration of albumin.
Pyrogens (Prodigiosan, Pyrogenal) that help improve vascular permeability. Drugs can reduce the rate of skin cell division, preventing the formation of new plaques.
In some cases, when the disease is severe, glucocorticosteroids (Prednisolone) are prescribed.

The patient should receive the listed drugs in a hospital setting or under the strict supervision of a doctor.

The use of external agents

Important treatments for psoriasis are ointments, creams and lotions. They are used to treat affected areas.

If children have psoriasis on the face or head, apply eufillin or papaverine ointment. The drug is rubbed with soft movements, trying not to strongly disturb the surface of the plaques.

Ointments for psoriasis in children

For hands and feet, it is useful to make dressings with salicylic, sulfur-tar or prednisolone ointments. Apply the ointment to the affected areas, wrap with cellophane, seal tightly with a bandage, leave the bandage overnight. Under the influence of the healing composition, the plaques soften, their severity decreases, and the scales fall off.

Local applications with the addition of sapropel improve the water balance of the skin, relieve inflammation and itching. If the rash has affected the whole body, use sapropel for therapeutic baths.

Ointments

Zinc ointment. It is used even for newborns - from 3 to 6 times a day, can be used as a preventive measure against diaper rash.
Advantan. An agent from the group of active corticosteroids, for psoriasis in children, is used from 4 months. age no more than 4 weeks - 1 time per day is applied in a thin layer.
Afloderm. Glucocorticoid, anti-inflammatory and antipruritic agent. It is used for children from 6 months. - 1 p. per day for no more than 3 weeks.
Magnipsor. As part of grease and herbal components, it is prescribed for children from 7 years old. It has antiseptic and regenerating properties.

Lotions

Fufan. Active ingredients: borneol, salicylic and fluoric acid. It is used for psoriasis in a child from 1 year old - treatments are carried out 2 p. in a day.
Elokom. The active substance is mometasone fluorate, which has anti-inflammatory and antipruritic effects. It is used in the treatment of children from 2 years old - gently rubbed into the skin until it disappears completely.
Calamine. Active ingredients - calamine and zinc oxide (reduce inflammation, irritation, itching). Treatments are carried out until the symptoms disappear completely 1 time per day.

Creams

Kartalin. A herbal remedy with anti-inflammatory effect. Has no age restrictions. Depending on the result of the treatment and the severity of the lesions, the cream is applied 1-2 times a day without the use of dressings.
Picladol. Active ingredients - birch tar, extracts of medicinal herbs, fir oil, medical grease, etc. The cream is applied to the affected areas 2-4 times a day for 2-3 weeks.
Triderm. A drug with antibacterial, anti-inflammatory, glucocorticoid action. Allowed for the treatment of children from 2 years of age: treatments are carried out 2 p. per day for no more than 3-4 weeks. It is also available in the form of an ointment.

Additional medical procedures

In addition to tablets and ointments, physiotherapy and phototherapy are used in the treatment of psoriasis in children. Sedative baths and UV reduce the severity of the symptoms of the disease, facilitate its course, which saves the little patient from discomfort in the form of itching and pain.

The effectiveness of treatment also depends on how competently eliminate the causes that provoke the disease. So, for small patients with psoriasis, sanitation of the oral cavity is mandatory. The procedure helps to identify and eliminate foci of infection (caries).

Prevention of children's psoriasis

Even knowing the causes of the formation of psoriasis, the disease is difficult to predict, especially to determine exactly when it can manifest itself. Since the child is not able to build his own life in such a way as to reduce the risks of the disease, parents will have to fulfill a preventive mission.
Of course, if one of the adults has psoriasis, it is almost impossible to prevent its occurrence in a son or daughter. If we talk about other reasons, then they can be eliminated. Follow these rules:

Protect children from psychological and physical overstrain. Try to avoid family scandals in front of your daughter or son. Make sure that the child does not get cold, does not overload his body physically and does not stay in the sun for a long time with his head uncovered, so as not to get heat stroke.
Buy children's clothing made from natural materials that do not contain chemical dyes.
Carefully plan the diet of children. The baby's menu should not contain foods with a strong allergenic sign. Eliminate foods that have already caused an allergic reaction in your child.
If the child has a cold or other illness, give him the medicine prescribed by the doctor. Do not self-medicate.
Any, even the most harmless medicine in your opinion, can intensify the pathological process, bring a lot of discomfort to your treasure.

Conclusion

The main principle that doctors adhere to in the treatment of psoriasis in children is “do no harm”. Methods should be as gentle as possible and used with caution. After all, the little patient still has a whole life ahead of him, and the disease is practically incurable.

According to experts, in 80% of cases, the success of treatment depends on a properly selected topical preparation - it is better that it be a remedy with a complex effect and a minimum of contraindications.

Spa treatment, physiotherapy, a certain diet can have an additional effect - you should not neglect any of the methods.

Psoriasis in children belongs to the group of chronic dermatoses and ranks second in its prevalence. In recent years, medical statistics have noted with alarm an increase in the incidence of psoriasis in children of preschool and primary school age. Often, pediatricians are faced with manifestations of the disease in infants and even newborns.

Most often, psoriasis manifests itself in the cold season (55%) of cases, only about 18% of exacerbations of the disease occur in the summer. At the first signs of psoriasis in children, doctors advise parents to immediately seek qualified help from a dermatologist. Treatment should begin as early as possible, strictly follow the doctor's recommendations for skin care and follow the principles of a healthy lifestyle. This will help the child's immune system to cope with the disease.

Psoriasis is a chronic skin disease characterized by profuse rashes on the body in the form of scaly plaques. It is believed that the disease occurs as a result of a negative reaction of the nervous system to signals from the external environment. Reacting to signals, the body begins to produce special proteins that, penetrating into skin cells, cause negative changes. To the question " Can psoriasis be passed on to a child from an adult or from another child?? doctors answer in the negative, since dermatosis is not of an infectious nature and is not considered a contagious disease.

It is generally accepted that psoriasis is a common disease, which is accompanied by a number of functional and morphological changes in human organs and systems. Patients have disorders in the work of the central, peripheral and autonomic nervous system, endocrine changes, immunological failures. Laboratory studies confirm that children's psoriasis, unlike an adult, has certain features of metabolic disorders in skin cells. Given these nuances, the treatment of dermatosis in children is somewhat different than in adults.

Stages of development of psoriasis in children

Psoriasis is characterized by an undulating course. There are 4 stages of the development of the disease:

progressive
Stationary
Regressive

The initial stage of psoriasis in children manifests itself by the appearance of small pink papules, with a shiny, smooth surface. After a few days, such formations are covered with silvery-white scales, which are easily removed.

Progressive stage characterized by proliferation and confluence of skin rashes. The nature of the peeling of papules changes, the scales cover only the center of the papule, and psoriatic elements grow in the peripheral pink corolla. Patients feel itching of varying intensity, the skin becomes inflamed, itchy and redden. During this period, it is quite difficult to control and treat a child, because the baby does not understand that it is impossible to comb the skin in places of inflammation. The appearance of scratching is fraught with the risk of attaching a secondary infection, which often leads to errors in the diagnosis of the disease. The progressive stage of the disease can last from 2 weeks to several months.

For stationary stage psoriasis is characterized by a cessation of the appearance of new rashes and a slowdown in the growth of existing plaques. Increased peeling is noted, scales cover the entire surface of papules and plaques. This stage can last indefinitely and smoothly move into a regressing stage.

Regressive stage completes the psoriatic cycle. At this time, there is a decrease in peeling and a gradual flattening of plaques in the center with their subsequent resolution. In this case, no scars remain, but areas of the skin with hyperpigmentation, or discolored, devoid of pigment areas may appear. These changes are temporary and disappear over time.

The exact causes of psoriasis in children have not yet been established. Most experts are inclined to believe that an important factor in its development is a hereditary history. The risk of transmission of psoriasis increases many times (up to 70-80%) if both parents are susceptible to this disease.

Additional factors that increase the risk of developing dermatosis are the reactions of the child's body to climate change, emotional stress, and an unfavorable environment. The onset of the disease in children is often provoked by influenza, pneumonia, kidney disease, or trauma to the skin. It is important for parents to notice the first signs of psoriasis in a child in time in order to immediately begin treatment and help the little man cope with the disease.

Symptoms of psoriasis in children

To provide timely and adequate assistance, you need to know how psoriasis manifests itself in children. In most cases, the symptoms of the disease in a child are somewhat different than in an adult. So, psoriatic rashes can appear in atypical places: on the face, in skin folds, on the genitals.

In many cases, psoriasis is detected in a child on the head, where clusters of white scales are noted against the background of inflamed areas. Favorite places for localization of the rash are areas of the body subject to friction of clothing. Pink papules that appear on the body tend to merge into plaques of various sizes and irregular shapes. Sometimes their sizes reach the size of a child's palm.

In a third of sick babies, the nails on the hands and feet are affected. characterized by the appearance of small depressions, which makes the nail plates look like a thimble.

Rashes on the face are accompanied by redness of the skin and can be localized on the cheeks and forehead, spreading to the eyelids and ears. It is these manifestations of the disease that are especially difficult for children to bear and negatively affect their psychological state, since the child is often subjected to obstruction in the children's team.

Often the mucous membranes in the mouth and tongue are affected. Moreover, the tongue is covered with spots, the size and shape of which is constantly changing (“geographical language”).

The resulting plaques are painful, their appearance is accompanied by intense itching, forcing the child to comb the inflamed areas. Scaly rashes often crack, which is accompanied by minor bleeding, the danger of which is the addition of a bacterial infection.

In some cases, the rashes are teardrop-shaped and are distinguished by the small size of the papules and their rapid appearance on the face, neck, and torso.

The course of psoriasis in children is usually persistent and prolonged, with the exception of the drop-shaped form, which is the most favorable and is characterized by stable remission.

Features of diagnostics

A dermatologist makes a diagnosis based on the examination and questioning of the child and his parents. This takes into account the nature of the rashes, their duration, the characteristics of the course of the disease, the presence of itching, inflammation. An important point is information about the genetic predisposition and the presence of the disease in close relatives of the baby.

A general analysis of blood and urine in most cases does not give anything and can show only a slight increase in the level of leukocytes in the blood. To clarify the diagnosis allows microscopic examination of the scraping taken from the rash.

To do this, first make a slight scraping of the plaque. As the scales peel off at the site of mechanical impact, the formation becomes like a crushed drop of stearin (stearin spot). In the course of further scraping, the surface becomes pink, the last scales leave it in the form of plates (a symptom of a thermal film). If you scrape the plaque further, small droplets of blood appear on its surface, indicating small punctate hemorrhages.

Psoriasis significantly reduces the quality of life of the child and it is hard for parents to hear that the disease has a chronic course and is difficult to treat. Often dermatosis accompanies a person throughout his subsequent life. Often parents feel powerless and retreat before the illness, not knowing how to help the baby. In this regard, an important role is assigned to the attending dermatologist, who should give parents a real idea about the disease and explain the methods of treatment and methods of dealing with the manifestations of dermatosis.

The dermatologist prescribes treatment taking into account the clinical form of psoriasis, taking into account the wishes of the parents and the child, and together with them selecting the most appropriate methods of therapy. In this case, the doctor must carefully select the most appropriate tactics for treating the baby, given that many drugs are toxic.

If the child's disease is in a progressive stage, it is better to hospitalize him in a hospital. In the process of treatment, sedative (calming) drugs, solutions of calcium gluconate, calcium chloride are prescribed orally with dessert or tablespoons three times a day.

If the child is concerned about unbearable itching, the use of antihistamines in short courses of 7-10 days is indicated. In older children with insomnia and an excited state, small doses of tranquilizers and hypnotics (tazepam, seduxen) give a good sedative effect.

ascorbic acid, vitamin A,
vitamin B12,
nicotinic acid,
riboflavin,
vitamin D2.

Pyrogenic preparations help to stimulate protective mechanisms and normalize the vascular permeability of the epidermis. They are administered intramuscularly. A good effect is given by weekly transfusions of plasma, blood, albumin. In children with persistent forms of psoriasis and the absence of a positive effect from treatment, glucocorticosteroids may be administered orally at the rate of 0.5 mg per 1 kg of body weight. The duration of such treatment is two weeks, with a gradual decrease in the dose of drugs.

When the disease passes into stationary and regressive forms, physiotherapy procedures (UVI), cool baths with a temperature of 35 ° C, taken for 10-15 minutes, are useful. A new effective remedy copes well with the disease.

Local treatment of psoriasis

For external treatment of psoriasis in children, ointments are widely used:

salicylic,
sulfur-tar,
ointments with glucocorticoids (lorinden, fluorocort, prednisolone),
lanolin cream.

When the disease passes into the stationary and regressing stages, fatty pastes containing ichthyol, naftalan, birch tar, and sulfur are prescribed. However, in addition to useful properties, these tools have a number of disadvantages. So, with the absorption of tar, allergic reactions or disturbances in the functioning of the kidneys are possible. should not be applied to large areas of the skin, and the use of naftalan ointment can lead to excessive dryness of the skin. These nuances should be taken into account when prescribing a course of therapy. In most cases, doctors combine therapies and avoid long-term exposure to strong drugs.

A modern trend in the treatment of psoriasis is the use of medical cosmetics. A series of cosmetics "Psorilom" has a pronounced therapeutic effect and is easy to use, presenting a variety of forms necessary for external use. This is a cream, shampoo, shower gel and spray.

At the stationary and regressing stages of the disease, it is recommended to use a shower gel containing chaga extracts, tar and sapropel extract. Shampoo of this series is designed to treat the scalp and has a pronounced antiseptic effect. It is convenient to treat rashes that appear in skin folds with Psoril spray.

Good therapeutic, containing a complex of vitamins, for example, Radevit ointment (vitamins A, E, D). The use of this tool stimulates the process of skin regeneration and normalizes the condition of the skin. Psoriasis in children is treated sequentially, changing therapies every three months. Sometimes, in combination with conservative treatment, a good result is the use of folk recipes.

Treatment of psoriasis in children with folk remedies

Children have the following activities:

Psoriasis has an autoimmune nature, that is, the child's immunity becomes so weak that it is not able to protect the body. Therefore, it is necessary to harden the child in every possible way and increase the defenses of his body. Give your baby more fresh vegetables and fruits rich in vitamins. Ventilate the room more often, walk more in sunny weather, buy clothes made from natural fabrics for your baby. Encourage sports, gymnastics, give the child to the ballroom dancing or wrestling section. Children with psoriasis are subject to psychological stress, so the care and love of loved ones is especially important for them.

As a rule, in the first psoriasis that appears in children, it is easy to treat.

Often it is enough to follow a diet, a regimen of study and rest. But if psoriasis progresses, then treatment should be started as soon as possible, and the child's condition should be closely monitored. It is important that a child maintains a healthy lifestyle to help their immune system cope with psoriasis. Rashes can be a serious problem for children, who must learn to treat and control their condition. To do this, they need family support.

Psoriasis occurs in childhood in 20 cases, at the age of 20 in a third of cases. This non-infectious chronic skin lesion develops, as a rule, from a certain genetic predisposition.

Environmental factors may be the cause, as well as external factors (such as seasonal changes or clothing-to-skin contact) and internal factors (such as infectious diseases such as sore throats, emotional stress, and certain medications). The clinical symptoms of psoriasis in children are usually similar to those in adults. However, psoriasis in children can take atypical forms that can make diagnosis difficult. Some skin conditions that affect children around the buttocks, eyelids, or skin look similar to psoriasis.

This disease develops a complex, because the attitude of the surrounding people can be cruel.

And here are the results that were obtained in two months of treatment according to the method of Dr. Ogneva

I will never forget a number of incidents that happened in my childhood. Of course, this is an extreme experience. And God forbid everyone to go this way.

I remember myself at 8 years old. Sochi. I lived on Tangerine Street with my mother. When I first came to the beach. I'm in the sea...everything is from the sea. Immediately this part of the beach became free. Everyone looked suspiciously in my direction, the children poked their fingers and went to the beach with their grandmothers. And the second picture from my childhood always reminds me of the cruelty of people. And I will always remember my mother with swollen eyes from tears, who tried to explain to everyone that my Svetochka was not contagious. It was in the Sochi bathhouse, I was 8 years old and then I lost consciousness for the first time. And how many there were. We lived on Baumanskaya. Mom and I are on the tram - all from the tram. And the wild cries of mothers who pulled out their children, fearing me like a leper.

I remember myself as a first-year student of the Department of Musical Comedy, when the head of the course N.A. came up to me and said: “Sveta, the girls don’t want to rehearse with you, they don’t want to put on costumes after you. You need to leave on your own. Better go to the medical ... "Thanks to N.A. Today I can say that I am happy only because I can hear the words of gratitude from my patients.

But I will always love the theatre, the stage, poetry. And I often dream that I am standing on the stage, in some kind of stage costume, and I hear the voices of my disgruntled classmates. This has been my pain for the rest of my life.

What is psoriasis in children

Psoriasis often takes one of the following forms in children: Lesions on the elbows, knees, and scalp that are usually permanent (do not come and go). Or small red plaques that sometimes cover the whole body, but suddenly disappear after a few weeks. Psoriasis is often unpleasant for a child. Eruptions cause great anxiety even during pregnancy, which creates a deep psychological impact. Inadequate attitude of other children can exacerbate the problem.

If your child has psoriasis, you should do everything in your power to try and get rid of the rash.

The child should be shown to the doctor and diagnosed as soon as possible. You must strictly follow the doctor's advice, and do not regularly apply the creams prescribed by the doctor. If you persistently follow all the instructions, you can ease the course until the plaques disappear.

The treatment for psoriasis on the feet is the same as for adults, and the skin should be treated with care while it is being treated. It is best to avoid uncomfortable shoes that can damage the leather. However, once the disease is under control, you can afford to loosen this tight control a little.

Your child's well-being and health is more important, and if the child loves sports, apart from the practical benefits, you should encourage your child who suffers from psoriasis to participate in physical activities and play sports. Make sure she/he has a variety of interests, but care must be taken to avoid skin damage. Psoriasis can start when the skin breaks down, such as if the child still spends too much time on a bike. There is no reason to avoid swimming. Vaseline can be applied to the affected areas to reduce skin irritation caused by water disinfection.

Children who are overweight may have psoriasis on the skin in areas of folds and where it remains tense. However, severe dietary restrictions can cause emotional discomfort and be a new provocateur.

It is also important to keep your child's immune system healthy. Because his immune system, like the rest of his body, is still immature, and maintaining a balanced diet is essential to keep the immune system functioning at its optimum. Tobacco smoke also affects the immune system, you must protect your child from exposure to tobacco smoke.

Their disease to manipulate you or emotionally blackmail you, and children must learn not to view psoriasis as a disadvantage. Often children, basing their self-esteem on appearance and "image" can suffer from ridicule about rashes, which can create a lot of inconvenience. They must learn to ignore these remarks from a social point of view, it can be helpful to explain to the child (and his best friend) during meetings with teachers.

Psychological stress (regardless of the cause, be it school or family) can have a significant impact on the disease, so if a child's psoriasis worsens, then consideration should be given to seeking help from a psychologist or expert at an early stage.

Various forms of childhood psoriasis

Psoriasis looks the same in a child as in adults, and the causes of itching in 30% of cases are the same. However, it does have some different symptoms. Koebner's syndrome, which is characterized by the appearance of psoriatic skin lesions in areas that have been injured or irritated, is very common among children. It often appears in areas such as vaccine scarring or injuries caused, for example, by falling off a bicycle.

The fact that a child suffers from psoriasis in the first years of his life is not in itself a factor in an unfavorable prognosis. No severe flare-up of psoriasis in childhood indicates that children will continue to suffer from a more severe form of psoriasis in the future. However, given the chronic nature of psoriasis, it is very likely that the child will continue to suffer from psoriasis flares, alternating with periods of improvement, for the rest of his life.

Types of psoriasis

Infant psoriasis

Psoriasis may be noticeable at an early age, but rarely manifests itself in children in the first periods after birth. However, infants are susceptible to a special form of psoriasis known as diaper psoriasis. This is a dermatosis with lesions that occur mainly in the buttocks, due to skin irritation with urine and feces. They clearly do not look like psoriatic lesions, and this type is not easy to diagnose. It is very difficult to determine if a child is suffering from psoriasis or if it just seems to be gluteal dermatosis. In older children, it is necessary to distinguish between seborrheic psoriasis and dermatitis, identifying the cause of lesions on the skin, buttocks and scalp.

Plaque psoriasis

Like adults, children can suffer from plaque psoriasis or psoriasis vulgaris, which consists of red, well-demarcated lesions covered with a thick layer of white scales.

Guttate psoriasis

Guttate psoriasis is especially common in children. Characterized by the sudden appearance after some minor injury, red bumps, especially localized on the body, arms and legs. This type of psoriasis usually accompanies infections such as otitis or rhinopharyngitis. Cytological examination of the throat swab often indicates the existence of a streptococcal infection. Guttate psoriasis is often confused with an allergy attack. Other types. Like adults, children can also, in exceptional cases, be susceptible to severe forms of psoriasis, such as erythrodermic or pustular psoriasis. In severe forms of psoriasis, hospitalization is required.

Pustular psoriasis

Although rare in children, pustular psoriasis can present as early as birth. In this case, the form is known as neonatal pustular psoriasis. It may be the first manifestation of psoriasis, or a complication of psoriasis vulgaris. May be caused by infection, stress or vaccines, or certain medications. It is often not possible to confirm the diagnosis of pustular psoriasis until they it is not known what provoked it.

Generalized pustular psoriasis is often accompanied by bouts of allergies. Pustular psoriasis in the palms and feet alternately changes periods of improvement and relapse, and sometimes can lead to functional disability.

Erythrodermic psoriasis

Children who suffer from erythrodermic psoriasis look red from head to toe, and are often prone to fever and joint pain. The skin on some parts of the body may be covered with plaques. This form of psoriasis may mark the onset of a disorder, or worsen an existing psoriasis. It is usually triggered by infections or certain medications.

Psoriatic arthritis

Psoriatic arthritis in children is also very common. It is characterized by arthritic lesions often in combination with pustular psoriasis. Arthritis can cause irreversible joint damage.

Localization of psoriasis

Lesions in children are located almost the same as in adults. However, despite the fact that skin lesions can be large.

But facial involvement is a relative rarity. The lesions appear on the luba and cheeks, which become very red, and sometimes extend further, to the eyelids, to the ears.

The manifestation of psoriasis on the face has a depressing effect.

Other parts of the body suffering from manifestations of psoriasis. They are:

Mucous membranes, especially of the tongue, whose lesions may change shape and location very frequently (a phenomenon known as "geographical tongue");

The palms of the hands and feet that suffer from hyperkeratosis (thickening of the upper layers of the epidermis);

Elbows, knees, buttocks very often suffer from psoriasis;

In the folds of the skin: except in children who have a large fold under the chin, in this case the base of the neck is rarely affected. Very often the presence of psoriasis in the navel.

Nails: One third of children with psoriasis have thimblenail syndrome. This is called "nail dystrophy", in which all nails are affected. In this condition, small holes are visible on the nail plates, similar to the pits of a thimble.

Skin: Generally, psoriasis in children is clearly visible on the skin, but it should be noted that lesions are sometimes confused with symptoms of dermatitis, especially on the buttocks.

Parents should be aware that psoriasis is a chronic dermatosis that affects quality of life. A definitively effective treatment for psoriasis has not yet been found.

Because psoriasis can be genetically transmitted, parents may feel guilty, especially when they themselves suffer from the condition. A study conducted among 100 people with psoriasis showed that 11% do not want to have children because of the risk of having it in children. Parents are also concerned when they learn that stress is a trigger for psoriasis. Finally, a diagnosis can leave parents feeling helpless as they don't know how to help their children cope with the illness.

However, one must know that heredity is not the only factor that causes the disease.

Usually in a child, psoriasis consistently changes its course every three months (just like in adults). Lesions may be less visible in summer due to sun exposure. The prescribed treatment must be continued until the symptoms disappear completely, in order to avoid a return.

Most importantly, moisturize the skin, which can usually be achieved by taking a bath and using emollients and moisturizers.

In cases of not only adults, but also children, I do not recommend the use of corticosteroids, retinoids, immunosuppressors. Since both PUVA therapy and UVB therapy, and immunosuppressive agents are a risk of cancer and infections.

What to do?

Man is born! Boy or girl! This is always a joyful event for which every family is preparing! When my daughter Elvira was born, I was a first-year student. There was a pediatrician on our site, whom I remember all my life. You know, there is such a folk wisdom: "A good doctor, like a teacher, is most reliable to look for on the recommendation." But this is today, but then, 40 years ago, it seems to me that everyone was then doctors from God! I will always remember her words: "Only lazy mothers have sick children." I always repeat these words and say to young mothers. From the first days we bathed my daughter 1-2 times a day. Bathed in chamomile, string, currant leaves and twigs, walnut leaves. Yes, it was difficult then! But my family has psoriasis! And my district pediatrician systematically repeated this socramental phrase. All baby diapers, diapers, undershirts - everything was boiled in a separate bucket and only with baby soap. And everything was ironed on both sides. And all this before a year and a half. And I'm a student. I didn't take academic leave. Psoriasis in infants is very difficult, but it is necessary to try. This is how I raised my daughter! Breastfeed your babies! And preferably up to 1 year. My pediatrician then said that I should eat, what herbs to drink. I remember that I ate fresh walnuts every day, expressed milk 3-4 times a night. Of course I didn't sleep. But my daughter is still healthy.

I already have a granddaughter. We raised our granddaughter the same way.

Conclusion:

We need to bathe the little ones in herbs.
Mom needs to eat right
Three daytime sleep the child should be on the street.
Individual dishes for the child, as well as a bucket for diapers (but not diapers!). A bath that should be washed after each bath with baking soda and hydrogen peroxide or any natural disinfectant. The utensils in which you will cook food should belong only to this purpose. All children's clothes should be ironed on both sides.

Until two months, I did not allow anyone to enter the room where my daughter was. The room was cleaned daily, the windows washed weekly.

I have never fed my daughter or my granddaughter formula milk. These were only natural products. Yes, everything is very difficult now. But if the mother wants the child to be healthy, she will do everything for this. And no antibiotics! Any cold can be treated with folk remedies, you just need to really want to.

And so the child has psoriasis! What to do?

Bathe in string, chamomile, walnut leaves, calendula, birch leaves, etc.
Smear the skin with baby cream "Glutamol"
Smear with a simple baby cream from the Svoboda factory

And hurry to see a competent dermatologist.