[Children with psoriasis in secondary care: Clinical aspects and comorbidities diverge from the generally published data].
Psoriasis de l’enfant vu en milieu libéral : les aspects cliniques et épidémiologiques diffèrent des données habituellement publiées.
Adolescent
Child
Child, Preschool
Comorbidity
Cross-Sectional Studies
Diabetes Mellitus
/ epidemiology
Dyslipidemias
/ epidemiology
Female
France
/ epidemiology
Humans
Hypertension
/ epidemiology
Infant
Male
Nail Diseases
/ epidemiology
Overweight
Pediatric Obesity
/ epidemiology
Private Practice
/ statistics & numerical data
Psoriasis
/ epidemiology
Scalp Dermatoses
/ epidemiology
Cabinet libéral
Cardiovascular diseases
Infant
Maladies cardiovasculaires
Obesity
Obésité
Private practice
Psoriasis
Journal
Annales de dermatologie et de venereologie
ISSN: 0151-9638
Titre abrégé: Ann Dermatol Venereol
Pays: France
ID NLM: 7702013
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
24
08
2018
revised:
29
10
2018
accepted:
30
01
2019
pubmed:
8
4
2019
medline:
27
12
2019
entrez:
8
4
2019
Statut:
ppublish
Résumé
Psoriasis affects 0.2-0.7 % of children and is associated with obesity. Published studies have been conducted in hospital settings (tertiary care). The PsoLib study evaluated childhood psoriasis in private practice (secondary care) in terms of epidemiology, clinical aspects and comorbidities. This was a non-interventional, cross-sectional, multicenter study of children with psoriasis performed by 41 dermatologists working in private practice. The clinical and therapeutic aspects and comorbidities were systemically evaluated. We compared data to the χ-Psocar study performed in hospitals using the same methodology. In all, 207 children (girls: 60.4 %; mean age: 10.5±4.2 years) were included. Scalp psoriasis (40.6 %) was the most frequent clinical type, while plaque psoriasis represented 26 % of cases. Nail, tongue, and arthritic involvement were rare. Less than 1 % of children suffered from hypertension, diabetes or dyslipidemia, but 16.4 % were overweight and 7.0 % were obese. Severity (PG≥4 at peak) was associated with excess weight (P=0.01). Scalp psoriasis is the most frequent clinical type of psoriasis in childhood. Comorbidities and extracutaneous localization are rare. Even in private practice, the severity of the disease is associated with excess weight.
Sections du résumé
BACKGROUND
BACKGROUND
Psoriasis affects 0.2-0.7 % of children and is associated with obesity. Published studies have been conducted in hospital settings (tertiary care). The PsoLib study evaluated childhood psoriasis in private practice (secondary care) in terms of epidemiology, clinical aspects and comorbidities.
PATIENTS AND METHODS
METHODS
This was a non-interventional, cross-sectional, multicenter study of children with psoriasis performed by 41 dermatologists working in private practice. The clinical and therapeutic aspects and comorbidities were systemically evaluated. We compared data to the χ-Psocar study performed in hospitals using the same methodology.
RESULTS
RESULTS
In all, 207 children (girls: 60.4 %; mean age: 10.5±4.2 years) were included. Scalp psoriasis (40.6 %) was the most frequent clinical type, while plaque psoriasis represented 26 % of cases. Nail, tongue, and arthritic involvement were rare. Less than 1 % of children suffered from hypertension, diabetes or dyslipidemia, but 16.4 % were overweight and 7.0 % were obese. Severity (PG≥4 at peak) was associated with excess weight (P=0.01).
CONCLUSION
CONCLUSIONS
Scalp psoriasis is the most frequent clinical type of psoriasis in childhood. Comorbidities and extracutaneous localization are rare. Even in private practice, the severity of the disease is associated with excess weight.
Identifiants
pubmed: 30954294
pii: S0151-9638(19)30090-0
doi: 10.1016/j.annder.2019.01.024
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
fre
Sous-ensembles de citation
IM
Pagination
354-362Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.