Pediatric psoriasis
Introduction
Introduction to Pediatric Psoriasis Pediatric psoriasis and streptococcal infection, genetic factors are more closely related, the majority of patients have a history of tonsillitis or upper respiratory tract infection before the onset, more than half of the children with chronic tonsil swelling, about 70% of the children have obvious family history. basic knowledge The proportion of sickness: 0.01%-0.018% Susceptible people: children Mode of infection: non-infectious Complications: psoriatic arthritis
Cause
Pediatric psoriasis
1, psychological factors lead to children with psoriasis
Psychological factors are one of the important pathogenic factors of children's psoriasis, such as divorced parents, family disharmony, often criticized in school, etc., can cause internal depression, bad mood, over time, physical immune dysfunction leads to the incidence of psoriasis in children.
2, genetic factors lead to children with psoriasis
Children with psoriasis usually have "diaper psoriasis" in infancy, that is, dark red patches appear in the area where the diaper is used, and the boundary is clear. The surface has silvery white cloud-like dandruff, and the lesion development can exceed the range of the diaper to the thigh. In the upper part, this psoriasis is genetically related, that is, there is a history of psoriasis in its parents or family.
3, upper respiratory tract infection causes psoriasis in children
Because children's resistance is low, hygiene can not be guaranteed, so it is easy to cause upper respiratory tract infection, which leads to psoriasis, which is one of the common causes of psoriasis in children.
Prevention
Pediatric psoriasis prevention
1, a reasonable diet, strengthen nutrition: children should pay attention to adjust the diet structure during psoriasis, eat high protein, high vitamins, low-fat foods, avoid eating cattle, sheep, seafood and other foods, these may induce recurrence or aggravation of psoriasis, Do not agree to the requirements of children with psoriasis because of love, beware of recurrence of psoriasis.
2, strengthen nursing, timely diagnosis and treatment: infection is one of the important reasons for the incidence of psoriasis in children, especially upper respiratory tract infection. Parents should give the sick child a good job of preventing cold and warmth. If the child is found to have secondary infection or worsening the disease, he should go to the hospital in time to give timely and effective treatment.
3, prudent medication, to avoid injury: avoid the use of corticosteroids, its toxic side effects on the human body is very large, although short-term efficacy is good, but long-term use will produce dependence, severe bone marrow suppression, liver and kidney damage.
Complication
Pediatric psoriasis complications Complications psoriatic arthritis
1. Bone and joint damage: The bone and joint changes in children with psoriasis lead to stunting in children with psoriasis, which will have a lifelong impact on life and work.
2, eye lesions: children with psoriasis, especially in patients with unusual psoriasis, the incidence of conjunctival damage and papillary pigmentation is significantly higher than children without psoriasis.
3, visceral tumors: children with psoriasis are more likely to cause visceral tumors, and most patients with tumors occur after the appearance of psoriasis lesions.
Symptom
Pediatric psoriasis symptoms Common symptoms Scalp itching pustule lesions can be horny bulging pointy hemorrhage
1. Diaper type psoriasis. This type of psoriasis is usually a baby. The diaper psoriasis occurs in the baby's diaper area. It is dark red patches with clear borders and silvery white cloud-like dandruff. The lesions can extend beyond the size of the diaper to the upper thigh. Patients with diaper psoriasis often have a history of clan genetics.
2, drip psoriasis. Spotted psoriasis usually has a sudden onset, and the disease develops rapidly. It quickly develops a small red mottled mung bean and soy bean, which is quietly scratched with silvery white scales. Pediatric psoriasis is usually caused by colds, upper respiratory tract infections, etc.
3, pustular psoriasis. Pustular psoriasis is usually caused by the fact that psoriasis is not treated in time. The symptoms of patients with severe pustular pediatric psoriasis are clinically similar to those of adults. Young children are more likely to be more common in adults than in adults. The erythema has a thin, small pimples and a small pustule that spreads.
Examine
Pediatric psoriasis examination
1. Blood routine examination: Many functional levels in the human body can be expressed through blood. The indicators in human blood can directly reflect the immune level and morbidity of patients with psoriasis. In addition, children are in the developmental stage and can be known through this test. Whether the child's blood is normal or not.
2, skin biopsy: human skin is composed of thousands of cells, checking the ability of cells to regenerate is essential for the treatment of the disease. Skin biopsy of psoriasis patients can be used to determine the type of treatment for psoriasis patients.
3. Trace element inspection: Trace elements are important substances for the body to maintain normal activities. Once the trace elements are lacking, the normal human body will be at the edge of the disease. In addition, the level of trace elements can also be seen whether the human body is in an abnormal state. That is to say, patients with psoriasis should be supplemented with adequate nutrients and rationalized diet.
4, related examinations: for long-term application of some drugs that may affect liver function or suspected liver damage should check liver function, and regular review during treatment; may have kidney involvement in addition to laboratory tests should also check the kidney Work and blood acid and alkali and electrolyte levels; B-ultrasound helps to understand changes in liver and kidney morphology; heart problems can be reflected by electrocardiogram, cardiac ultrasound, etc.
5, X-ray examination: arthritic psoriasis needs X-ray examination (perspective, film, etc.) to determine the location, type, degree of joint damage.
Diagnosis
Diagnosis and diagnosis of psoriasis in children
diagnosis
First, the child is accompanied by fever and other symptoms. Pediatric psoriasis patients usually have some complications during the onset of the disease - colds, fever, body chills, etc. When the child has these symptoms, parents must be vigilant, not to be confused by some external symptoms, and thus delay the psoriasis Treatment.
Second, children have erythema on their bodies. If you find that there are erythema in your child, you can diagnose it as one of the symptoms of psoriasis. The shape and size of the erythema will vary, and the area will expand as the condition deepens. The distribution of erythema will spread throughout the body, most of which will be presented. Symmetry distribution.
Third, the affected area has symptoms such as scales, film, and spotted bleeding. These three symptoms are the main basis for the diagnosis of psoriasis in children. There is a layer of scaly on the erythema of the affected area, which will thicken as the condition deepens. A thin film will appear after gently removing the scales. After the film is removed, there will be a bit of bleeding. At this time, the skin of the affected area is prone to trauma.
