The psoriasis in children. Symptoms and treatment

Psoriasis in children diagnosed at any age. This chronic disease can affect even children and babies, in recent years, cases of child psoriasis in children's education. When the first signs of the disease is essential to start comprehensive treatment. As soon as you will be able to achieve a state of stable remission, the better for the health of the baby.

children's psoriasis

Causes of child psoriasis

Children psoriasis is systemic. For the development to cause alterations in the functioning of the immune system when the body can not resist the harmful effects of external factors.

The doctors are not able to select a single reason for causing the disease in the child. But there are a number of hypotheses reasonable:

  1. Genetic predisposition – if the family were diagnosed cases of psoriasis, the likelihood of the development of the child is increased by 30%. When this disease affects both parents, which increases up to 80%. But only inherits the predisposition to the disease, and therefore, with proper care for the child is likely to prevent it.
  2. Disorders of the nervous system – negative emotions, stress, sudden changes in life (change of school, the birth of a second child) may be asked at the onset of the disease.
  3. Metabolic alterations – the lack of vitamins and minerals.
  4. The presence of parasites worms absorb nutrients, secrete large amounts of toxins which negatively affects the child's body. Often there are reactions of the skin, psoriasis.
  5. Infection childhood psoriasis often appears after the transfer of infectious diseases. It can cause a sore throat, flu, colds.
  6. Dysfunction of the endocrine system – the hormonal imbalance triggers of psoriasis.
  7. Liver disease – in case of disturbances in the work of this body, the body is unable to neutralize toxins, which could lead to the development of psoriasis. More often the psoriasis in children first diagnosed in the cold season. Significantly increases the risk of development, and lesions of the skin.

The symptoms of psoriasis in children

symptoms

Signs of psoriasis in an infant is very different from the symptoms of this disease in adulthood. In children in the initial stages they appear red rash in the skin folds (gluteal region, axilla), above the head, the face, the genitals. It is also localized in areas exposed to the constant friction with the clothes. The rash rarely occurs on the palms of the hands and feet. The eruption resembles intertrigo, but it is the main symptom of psoriasis – ball Horny papules exfoliate in the shower. Slowly, the delicate skin covered with a layer of scales-crusts. Isolated small papules merge into conglomerates. Its size gradually increases, covering large areas of the epidermis. In the majority of cases, the eruption at the sink, with which the child great discomfort. 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. It is itchy, scaly, increases in size and spreads through the skin. Soon the rash covered with cracks, begins to bleed. Unlike adults, children have almost no phenomenon of stearic spots, the terminal film. In severe advanced stage of the child's body temperature rises, condenses on the surface of the epidermis, enlarged lymph nodes, there is inflammation of the skin, severe redness.
  2. Fixed – the formation of new lesions and the growth stops, decreases the intensity of the peeling.
  3. Regressive – the eruption begins to slowly dissolvere. After his disappearance on the skin appear depigmented headbands.

In the complete disappearance of the symptoms of the disease goes into remission. Its duration depends on the characteristics of the care of children, in particular of the diet. The recurrence of the disease in children is usually the result of the transmission of infectious diseases.

Children psoriasis

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

  1. Libero psoriasis. Appears in children under the age of one year. The eruptions are situated mainly in the area of the buttocks. Because of the constant contact with feces and urine, the result of the diaper rubbing the skin in this area gets irritated, so that the disease of difficult diagnosis. Parents often have this rash for dermatitis, what prevents the start of early treatment.
  2. Tabula (normal) psoriasis. The most common form of the disease in children. Its characteristic symptoms on the surface of the skin causing patches of red color. First, they are small, but quickly increased in diameter, starting to take off. The base of the papules has a texture dense. At the top are covered with a loose layer of scales, which are easily separable. Tabula papules are localized in different parts of the body, but most often arise in the area of the bend of the elbows and knees, scalp.
  3. Guttate psoriasis. The body is covered with a large number of lesions that form look like a drop, which has a small size and characteristic shape. Papules rise above the surface of the epidermis and cortices. They cover the head, the arms and the legs and the torso. The eruption may disappear independently or to climb in a tabula psoriasis. At the age of 4 or 5 years, this form of the disease caused by streptococcal infection.
  4. Generativus pustular psoriasis. It develops suddenly and very quickly. In a short period of time large areas of the skin become inflamed, covered ulcera. Affected areas of the epidermis badly. This form of psoriasis are dangerous because it leads to serious complications. It can lead to diseases of internal organs, in particular kidneys, the heart.
  5. pustular psoriasis.Affects children over the age of 7 years. In infants and preschoolers is rare. It is a severe form of the disease in which there is inflammation of the skin, and its surface is covered with blisters filled with non infectious exudo. Often accompanied by inflammation of the lymph nodes.
  6. Erythrodermic psoriasis. A very dangerous form, provocaverunt praesent thermoregulation of the body. Generativus is manifested in the inflammation of the epidermis, intense peeling. It is 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 bending surfaces. Appears in the curves of the body, most often in the area of the internal face of the thigh, the groin, genitals. The body is covered with red spots. Are smooth and not cortices, but slightly convex.
  8. Arthropathic psoriasis. It affects the joints. Signs of this form of the disease – rigidity muscular, they cease to be movable, the joints and the fingers swell and swell. The knees, fingers, ankles, wrists pain, a feeling of General discomfort. You can get conjunctivitis. The type of psoriasis is divided into types: winter or summer, regardless of the season, when there is a relapse, the majority of children of the winter form; the first occurred when symptoms appear for the first time; continually recurring – continuous exacerbation of the disease; the indeterminate nature of the form.
  9. The nails of the psoriasis. Clavum amazing plate. Symptoms depend on the form. There are the following varieties:
  • naperstkovidnym – on nails are formed of small niches, which are visually similar to the thimble;
  • nicomedes – nail separating from bed very quickly;
  • onycholysis is the progressive separation of the nail bed, while the inflammatory processes are absent, and around the base of the nail appears border yellow pink color;
  • trachyonychia the nail thickens, becomes rough, the surface becomes wavy, the edges are elevated;
  • subungual hemorrhaging under the nails of the surface of the displayed stripes and spots are red-pink hue;
  • psoriatic paronychia the skin around the nail and the finger thicken, this is accompanied by intense inflammatory processes.

Diagnosis of child psoriasis

Diagnosis of psoriasis is a dermatologist. He inspects the baby, says, when the rash as the disease manifests itself, whether in the family, the people who suffer from this disease. To diagnose children, especially under 1 year of age only in the visual inspection is difficult because there are often no classic symptoms of the disease: stearic stain, a terminal film and the "bloody dew". Accurately verify the presence of psoriasis will allow the analysis of scrapings taken from the surface of the lesions.

Treatment of psoriasis in children

diagnosis

The children, psoriasis patients need a comprehensive treatment. Quickly achieve the state of remission will help the therapy is systemic, and that at the same time aims to remove the symptoms and strengthen the body as a whole. Consider the basic methods of debugging.

Medicines for external use

Effective way to remove pimples the affected skin. This group includes:

  • salicylic ointment 1-2% is contraindicated in children;
  • 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, press pilosus part of the heading;
  • steroid creams and ointments – "Instructio", "Haec solutio" and other creams of psoriasis;
  • heparin ointment for the chronic plaques.

Medicines for internal use:

  • desensitizing means three times a day is shown to make a solution of gluconate calcium 5% of a teaspoon, the duration will be determined by the doctor;
  • sedatives for children can be a tincture of Valerian;
  • antihistamine medication to relieve the itching for 7-10 days to do, "Tavegil", "Suprastin", acute conditions of the injections are administered in a light – you can assign tablets;
  • quiet – in rare cases are assigned to older children, you can apply "Tazepam", "Seduksen";
  • vitamins to strengthen the immune system, ascorbic acid, B12, B15, D, A, E, drink three times a day for a few months;
  • pyrogenic drugs to activate the protection functions of the organism, normalization of vascular permeability, assign 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 of the dose.

Proper nutrition

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

  • excluded from the diet of cakes, muffin, sweets, fats and fried meals, chocolate;
  • limit the intake of citrus fruits;
  • drink plenty of fluids;
  • replace sugary drinks with herbal teas;
  • the basis of the diet – vegetables, herbs, recenter fruit juices, lean meats, lean fish.

Prevention

prevention

To minimize the risk of the disease and prolong the period of remission, follow the simple rules:

  • while the bathroom do not use aggressive funds and hard sponges;
  • teach your child to avoid cuts, burns, injuries of skin; protect the child from contact with the skin in the direct light of the sun;
  • prefer clothing made of natural fabrics; follow the child's diet; carefully collect the medicines;
  • try to have a child was dominated by an emotional state more positive.

In the case of the slightest suspicion that he has developed psoriasis, consult a dermatologist. It is a serious disease and how to treat it, can only say a competent doctor. Do not self-medicate, because as soon as it happens effective therapy, the faster you will be able to reach a state of stable remission. Despite the fact that psoriasis is not treated in a correct and timely approach to minimize the number of relapses of the disease.