The psoriasis in children. Symptoms and treatment

Psoriasis in children is diagnosed at any age. This chronic disease can also affect infants and newborns, in recent years, cases of children with psoriasis in preschool children. At the first signs of disease is essential to start comprehensive treatment. Soon you will be able to achieve a state of stable remission, the better it is for the child's health.

children psoriasis

The causes for child psoriasis

Children psoriasis is a systemic. Its development lead to disruption in the functioning of the immune system when the body can not resist the harmful effects of external factors.

Doctors cannot select a single reason for causing disease in the child. However, there are a number of reasonable assumptions:

  1. Genetic predisposition – if the family has been diagnosed cases of psoriasis, the likelihood for the development of the child is increased by 30%. When this disease affects both parents, but increases to 80%. But only an inherited predisposition to the disease, and, therefore, that with the proper care for a child is likely to avoid it.
  2. Disorders of the nervous system – negative emotions, stress, sudden changes in life (change of school, birth of another child) may prompt the emergence of the disease.
  3. Metabolic disorders – lack of vitamins and minerals.
  4. The presence of parasites, worms, absorb nutrients, secrete large quantities of toxins, which has a negative impact on the child's body. Often they are reactions on the skin, psoriasis.
  5. Infection childhood psoriasis often occurs after the transmission of infectious diseases. This can trigger a sore throat, the flu, the common cold.
  6. Disorders of the endocrine system – the hormonal imbalance triggers psoriasis.
  7. Diseases of the liver – in the case of a disturbance in the functioning of this body, the body is unable to neutralize toxins, which can cause the development of psoriasis. Most often the psoriasis in the first children diagnosed in the cold season. Significantly increases the risk for development and skin damage.

Symptoms of psoriasis in children

symptoms

Signs of psoriasis in an infant, which is quite different from the symptoms of this disease in adults. In children in the initial phase appears red rash on the skin folds (gluteal region, axilla), on the head, face, genitals. Also it is localized in areas exposed to constant friction with clothing. Rash rarely occurs on the palms of the hands and feet. Rash similar to intertrigo but the main symptom of psoriasis – ball Horny papules exfoliate in the bath. Gradually, the delicate skin covered with a layer of scale-crust. Isolated small papules merge into conglomerates. Their size gradually increases, which cover large areas of the epidermis. In most cases, the rash itches, bringing the child a lot of discomfort. He is scratching the papules, and the risk of infection.

Stage of the child's psoriasis and their symptoms

  1. Progressive – the appearance of fine rash of red or bright pink. This is the itching, scaly, increase in size and spreads through the skin. Soon, the rash covered with cracks starting to bleed. Unlike adults, children have almost no phenomenon, stearic points, the terminal film. In severe advanced stage of the child's body temperature rises, condenses the surface of the epidermis, enlarged lymph nodes, swelling of the skin, severe redness.
  2. Stationary – the formation of new lesions and their growth stops, decreases the intensity of the exfoliation.
  3. Regressive – the rash begins to gradually dissolvere. After her disappearance on the skin appear depigmented strip.

In a complete disappearance of the symptoms of the disease that comes in remission. Its duration depends on the characteristics of child care, in particular diet. The recurrence of the disease in children is often caused by the transmission of infectious diseases.

Children psoriasis

There are different types of psoriasis in children. They are classified based on the characteristics of the symptoms and localization of lesions. The main forms of the disease:

  1. Libero psoriasis. Appears children in one year. Rashes are localized mainly in the buttock area. Due to the constant contact with stool and urine, due to the diaper rubbing the skin in this area becomes irritated, so the disease is difficult to diagnose. Parents often take this rash for dermatitis, what prevents the start of early treatment.
  2. Tabula (normal) psoriasis. The most common form of the disease in children. Typical symptoms on the surface of the skin that causes red dots. For the first time, are a small, but rapidly increase in diameter, beginning to peel off. On the basis of the papules has a dense texture. At the top are covered with a soft layer of scales, which are easily separated. Tabula papules are localized in different parts of the body, but most often occur in the area of bend of the elbows and knees, scalp.
  3. Guttate psoriasis. The body is covered with a large number of injuries that form the look like dripping, which have small size and convex shape. Papules rise above the surface of the epidermis and cortices. Cover head, arms and legs and torso. The rash may disappear independently or to escalate in tabula psoriasis. At the age of 4-5 years, this form of the disease, which is triggered by streptococcal infections.
  4. Generativus pustular psoriasis. Develops suddenly and very quickly. In a short time large areas of the skin, inflammation, covered ulcera. Affected areas of epidermis hurt. This form of psoriasis are dangerous because it causes serious complications. This can lead to diseases of internal organs, especially the kidneys, the heart.
  5. pustular psoriasis.The impact on children from the age of 7 years. In infants and preschoolers is rare. This is a severe form of the disease, in which there is swelling of the skin and its surface is covered with blisters filled with noninfectious exudo. Often accompanied by inflammation of the lymph nodes.
  6. Erythrodermic psoriasis. A very dangerous form, provocaverunt praesent thermoregulation of the body. Generativus results in inflammation of the epidermis, intense exfoliation. Accompanied by severe itching and pain. Large areas of the skin begin to flake off. Can lead to death, especially if the child is small.
  7. Psoriasis flexion surfaces. The curves of the body, most commonly in the area of the inner thigh, groin, genitals. The body is covered with red spots. They are smooth and not cortices, but slightly convex.
  8. Arthropathic psoriasis. This affects the conclusions. The signs for this form of the illness muscle stiffness, cease to be movable, joints and fingers that swell and swell. Knees, fingers, ankles, wrists pain, feeling of General discomfort. You may receive conjunctivitis. The type of psoriasis is divided into types: winter or summer regardless of the season, when the recurrence of the disease, the majority of children, winter form; the first occurred when symptoms appear for the first time; constantly repeat – continuous exacerbation of the disease; an indeterminate form.
  9. On nail psoriasis. Clavum the striking plate. Its symptoms are dependent on the shape. There are the following varieties:
  • naperstkovidnym – on nails are formed of small recesses, which visually are similar to the thimble;
  • nicomedes – nails separating from the bed very quickly;
  • onycholysis is the gradually separating from the nail bed, while inflammatory processes, which are absent around the base of the nail appears border, yellow, pink colors;
  • trachyonychia the nail thickens, becomes rough, its surface becomes wavy, with edges that are raised;
  • subungual hemorrhaging under the nail surface appear the lines and spots are red-pink shade;
  • psoriatic paronychia the skin around the nail and finger thicken, this is accompanied by an intense inflammatory processes.

The diagnosis of child psoriasis

The diagnosis of psoriasis is a dermatologist. On examination of the child, he says, when the rash as the disease manifests, either in the family, the people who suffer from this disease. To diagnose children, especially under 1 year of age only on a visual inspection is difficult because often no classic symptoms of the disease: a stearin stain, a terminal film and the "bloody dew". Accurately verify the presence of psoriasis will allow the analysis of scrapings taken from the surface defects.

Treatment of psoriasis in children

diagnosis

Children, psoriasis patients need a comprehensive treatment. Quickly achieve the state of remission will help systemic therapy, which at the same time directed at eliminating the symptoms and strengthening the body as a whole. Consider the basic methods of treatment.

Medicines for external use

Effectively eliminate pimples affected skin. This group includes:

  • salicylic ointment 1-2% is contraindicated in infants;
  • sulfur-tar ointment 2-3%; boric ointment;
  • glucocorticoid ointment, 0.5% – "Locacorten", "Flucinar", "Prednisolone";
  • inhibitors of phosphodiesterase – papaverina ointment 1% and teofillina ointment 5% for the treatment of psoriasis, hit pilosus part of the head;
  • steroid creams and ointments – the "Instructio", "Haec solutio" and other creams from psoriasis;
  • heparin ointment for chronic back panels.

Medicines for internal use:

  • desensitizing means, three times a day, shown that the solution of calcium gluconate 5% a teaspoon, the duration is determined by the doctor;
  • sedative that children can be a tincture of Valerian;
  • antihistamine medication to relieve itching for 7-10 days to take "Tavegil", "Suprastin", in acute conditions the injections are placed on the light – here you can define the tablet;
  • tranquilizers – in the rare cases they were granted for older children, you can use the "Tazepam", "Seduksen";
  • vitamins for strengthening the immune system, ascorbic acid, B12, B15, D, A, E, drink three times a day for a few months;
  • pyrogenic drugs to activate protective functions of the organism, normalization of vascular permeability, determined by the 8-10 injections "Pirogenal", children older than 3 years;
  • glucocorticoids – are prescribed in severe cases, a course of 2-3 weeks, with a gradual reduction in dose.

A proper diet

For the quick cure of psoriasis and achieve a state of remission, you need to follow proper diet:

  • excluded from the diet, cakes, muffin, sweet, greasy and fried meals, chocolate;
  • if you want to limit the consumption of citrus fruits;
  • drink plenty of fluids;
  • replace sugary beverages with herbal teas;
  • on the basis of the diet, – vegetables, herbs, recenter juices, lean meats, lean fish.

Prevention

prevention

In order to reduce the risk of disease and extend the period of remission, follow simple rules:

  • while bathing do not use aggressive funds and hard sponges;
  • teach your children to avoid cuts, burns, skin damage, protect the children from contact with the skin to direct sunlight;
  • prefer clothes made of natural fabrics; follow the child's diet; carefully pick up the medicine;
  • try to have a child, which is dominated by a positive emotional state.

In the case of the smallest suspicion that you developed psoriasis, you should consult with a dermatologist. This is a serious disease, so, how to treat, I can only say a competent doctor. Do not self-heal, whereas previously do effective therapy, the faster you can reach a state of stable remission. Despite the fact that psoriasis is not treated in a correct and timely approach to reduce the number of relapses of the disease.