Psoriasis in Children

Introduction

Psoriasis in Children – Psoriasis is often seen as a skin condition that mostly affects adults, but children can also experience its effects. Pediatric psoriasis can impact not just the skin but also a child’s confidence, school life, and overall well-being. Understanding the signs early and offering the right support can make a big difference in a child’s life.

Psoriasis is an autoimmune disorder. Around 0.5-2% Children are affected by psoriasis. Out of them 0.55% are in the age group of 0-9 years and 1.37% are in the age group of 9-19 years. Plaque psoriasis is the most common type found in the children, followed by Guttate Psoriasis, Scalp Psoriasis and Diaper Psoriasis.

Causes of the Psoriasis

1. Lack of Sleep.
2. Lack of Exercise.
3. Genetics.
4. Environmental Factors.
5. Diet.

Trigger Factors in Children

1. Stress, Anxiety – Children are over stressed due to studies, Competitive atmosphere in the class, expectations and pressure from the parents.
2. Family dynamics – In today’s world both the parents are working and sometimes the stress of work and differences are converted into fights in front of children. If the frequency of the fights is more then the child gets stressed. This may also lead to Psoriasis.
3. Lack of Exercise – Children are busy playing games on the phone rather than the ground. They used to watch cartoons on the phone as well as TV. This habit makes that child lazy and that child doesn’t want to go play outdoor games. More screen time also leads to the lack of sleep. 
4. Diet – Recently children are attracted more to junk foods, they don’t like to eat green vegetables and healthy food. 
5. Medications.

Types of Psoriasis Seen in the children

1. Plaque Psoriasis – It is a most common type of Psoriasis. It affects 34%-73% of the Children. It causes red, itchy, dry patches, as well as hyperpigmented silvery-white scales. Usually on the knees, elbows, lower back, & scalp.
2. Guttate Psoriasis – Guttate Psoriasis is triggered by a bacterial infection such as throat strep. It looks like small, red, drop-shaped scaly spots usually appear on the trunk, arms, and legs. 
3. Scalp Psoriasis – It is the most common type of psoriasis that is seen in children. It causes red, scaly patches on the scalp. 
4. Diaper Psoriasis – It is also known as the napkin psoriasis. It appears as a rash in the diaper area, appearing as bright red, well-defined glazed plaque.

Symptoms that parents must notice

1. Red patches with white scales.
2. Dry and cracked skin sometimes may bleed is the early stage of the psoriasis so don’t ignore it.
3. Sometimes it seems like a rash but does not go away when you use regular cream for that.
4. Psoriasis mostly appeared on the elbows, knees, scalp, face, behind the ears.

Treatments: 

1. Homeopathy may have the results that last longer in a child because it must help boost the immunity of the child.

Conclusion

Psoriasis in children may seem overwhelming at first, but with early diagnosis, proper care, and emotional support, children can live healthy and confident lives. The key lies in recognizing the symptoms, avoiding triggers, and choosing safe, child-friendly treatments that manage the condition effectively.

FAQ

Q1. Can children really get psoriasis?
Yes, psoriasis can affect children, though it is less common than in adults. Studies suggest that around 1% of children may experience psoriasis, often triggered by genetics, infections, or environmental factors.

Q2. What are the early signs of psoriasis in kids?
Common signs include red, scaly patches on the scalp, knees, elbows, or behind the ears. In some cases, children may complain of itching, soreness, or skin discomfort.

Q3. How is psoriasis in children different from eczema?
While both cause red, itchy skin, psoriasis usually has thick, silvery scales and well-defined patches, whereas eczema tends to be dry, inflamed, and less clearly bordered.

Q4. What triggers psoriasis in children?
Triggers can include throat infections (like strep), stress, skin injuries, cold weather, and sometimes certain medications.

Q5. Is psoriasis in children contagious?
No, psoriasis is not contagious. It is an immune-mediated condition and cannot be spread from child to child.

Q6. How is childhood psoriasis treated?
Treatment may include topical creams, medicated shampoos, light therapy, or in severe cases, systemic medicines. Pediatric dermatologists usually tailor treatment depending on the child’s age and severity.

Q7. Will my child have psoriasis forever?
Psoriasis is a chronic condition, but symptoms can be managed. Some children may see their psoriasis improve or go into remission, while others may have flare-ups throughout life.

Q8. Can diet or lifestyle changes help?
Yes, maintaining a balanced diet, reducing stress, staying hydrated, and avoiding known triggers can help reduce flare-ups and improve overall well-being.

Q9. Should parents be worried about long-term complications?
Most children with psoriasis lead normal lives. However, in rare cases, untreated psoriasis can lead to joint issues (psoriatic arthritis) or impact emotional health, making regular check-ups important.

Q10. How can parents support a child with psoriasis emotionally?
Encourage open communication, educate them about the condition, build their confidence, and work with teachers to avoid bullying or stigma at school.