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Infantile Psoriasis - Causes, Symptoms, Diagnosis, and Management

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Infantile psoriasis is a type of psoriasis which is a skin disorder that occurs in infants and young children. Read more about the condition and its treatment.

Written by

Dr. Durga. A. V

Medically reviewed by

Dr. Bhaisara Baraturam Bhagrati

Published At June 22, 2023
Reviewed AtJune 22, 2023

Introduction

Infantile psoriasis is a type of psoriasis that occurs in infants and young children. Psoriasis is a condition characterized by an autoimmune disease that causes skin cells to increase abnormally fast, resulting in thick, scaly patches of skin. Infantile psoriasis is most common in the first year of life and can be inherited or caused by environmental factors. Symptoms include red, scaly patches of skin, particularly on the scalp, face, diaper area, and skin folds. It is also capable of causing nail deformities and joint inflammation. Topical creams, phototherapy, and oral medications may be used to treat infantile psoriasis. However, because infants' skin is thinner and more delicate, treatment options may be limited, and topical medicines should be used cautiously. It is critical to work.

What Is Infantile Psoriasis?

A rare type of psoriasis that affects infants and young children is known as infantile psoriasis, commonly referred to as psoriasis in infancy or early childhood. Skin patches that are thick, red, and scaly emerge as a result of the fast accumulation of skin cells that characterize the autoimmune skin disorder psoriasis. Psoriasis in children manifests differently than psoriasis in adults. It frequently manifests in infants as red, scaly areas, usually on the scalp, face, or folds of the skin. Scratching or rubbing on the patches can cause them to itch and can cause irritation or infection. Although the precise origin of infantile psoriasis is unknown, it is thought to be a result of a mix of genetic predisposition and immune system dysregulation. Having psoriasis in the family can make you more likely to get it.

Infantile psoriasis is normally diagnosed through a careful physical examination of the afflicted skin as well as taking the child's medical history into account. To confirm the diagnosis and rule out other skin disorders, a skin biopsy may occasionally be done. In order to manage symptoms and enhance the child's quality of life, infantile psoriasis is treated. It frequently entails delicate skin care techniques, like routine moisturization and staying away from abrasive soaps or detergents. Itching and inflammation can both be treated with topical corticosteroids or other medicines.

What Are the Causes of Infantile Psoriasis?

Some of the possible causes of infantile psoriasis include:

  1. Genetics: Infantile psoriasis is thought to have a genetic component. Children with a family history of psoriasis are more likely to develop the condition.

  2. Immune System Dysfunction: The immune system mistakenly attacks healthy cells because psoriasis is an autoimmune disorder. The immune system attacks skin cells in psoriasis, causing them to grow too quickly.

  3. Environmental Factors: Infections, for example, are examples of environmental factors, skin injuries, and stress, can cause or exacerbate psoriasis symptoms.

  4. Medications: Certain drugs such as lithium ions and beta-blockers, can cause or worsen psoriasis symptoms.

It should be noted that infantile psoriasis is a type of psoriasis that is not curable.

How to Diagnose Infantile Psoriasis?

  • A physical exam and a review of the child's medical history are typically used to diagnose infantile psoriasis.

  • A dermatologist or pediatrician, for example, will examine the child's skin and may enquire about the child's symptoms and family history.

  • A skin biopsy may be performed in some cases to confirm the diagnosis. This entails taking obtaining a tiny piece of skin tissue and investigating it under a magnifying glass for psoriasis-specific signs.

  • It's important to note that infantile psoriasis can be mixed with other skin disorders such as eczema or cradle cap.

  • Hence, seeking guidance from a healthcare professional is essential to obtain a precise diagnosis.

  • If the child is diagnosed with infantile psoriasis, the doctor may suggest additional tests to determine the severity of the condition and eliminate any deeper health issues that may be leading to the symptoms.

  • They will work together to develop a personalized action plan tailored to their child's specific needs.

What Is the Treatment Plan For Infantile Psoriasis?

The following are some standard treatment options that may be suggested:

  1. Topical Creams: To reduce inflammation and control symptoms, topical corticosteroids, vitamin D analogs, and other topical medications may be used. However, because infants' skin is thinner and more delicate, topical medicines should be used with caution.

  2. Phototherapy: Phototherapy involves subjecting the skin to targeted wavelengths of light to diminish inflammation and decelerate the growth of skin cells. However, due to the potential risks associated with UV exposure, this treatment may not be appropriate for infants.

  3. Oral Medications: To reduce inflammation and slow skin cell growth in severe cases, oral medications such as methotrexate, cyclosporine, or acitretin may be prescribed. These medications, however, may have side effects and are not commonly used for infants.

  4. Moisturizers: Maintaining skin moisture levels can assist in alleviating itching and discomfort associated with psoriasis.

  5. Avoiding Triggers: Certain environmental factors, such as stress, infections, and skin injuries, can cause or worsen psoriasis symptoms. Avoiding these triggers can help with symptom management.

Working closely with a healthcare professional to develop a treatment plan that is appropriate for their child's needs is critical. Regular follow-up appointments may be required to monitor the condition and, if necessary, adjust the treatment plan.

Conclusion

Infantile psoriasis is a chronic skin condition that affects infants and young children. It is a form of psoriasis, an autoimmune disorder in which skin cells grow too quickly, as a result of which the skin develops red, scaly patches. Although the exact etiology of infantile psoriasis is uncertain, it is thought to arise from a blend of genetic and environmental factors. Early detection and treatment are essential for successfully managing symptoms and avoiding complications such as infection or joint problems.

Topical creams, phototherapy, oral medications, moisturizers, and avoiding triggers may be used to treat infantile psoriasis. However, because infants' skin is more delicate, care should be taken when administering medications to them. Regular check-ins with a healthcare professional are essential for monitoring the condition and adjusting the treatment plan as needed. Offering critical support and care to children with infantile psoriasis is vital due to the potential for significant discomfort and adverse impact on their quality of life. Children with juvenile psoriasis can lead healthy and fulfilling lives with appropriate supervision and maintenance.

Frequently Asked Questions

1.

Can Psoriasis in Kids Be Cured?

Psoriasis in children cannot be totally cured with current therapies. However, there are treatments available to lessen illness severity and ease symptom flare-ups. Corticosteroid-based lotions, ointments, and shampoos can be used for topical therapy.

2.

What Is the Preferred Treatment for a Baby With Psoriasis?

Treatment with minimal side effects is considered best for baby psoriasis. Avoiding psoriasis triggers, good skincare practices, light therapy, and topical steroids are all therapies that are available.

3.

Can Psoriasis Begin During Infancy?

Psoriasis can begin to develop during infancy. In babies, psoriasis resembles a diaper rash that does not respond to treatment. The rashes can also develop on the head and face and cause itching. Babies have trouble sleeping and become irritable due to itchiness.

4.

Can Psoriasis Be Cured Permanently?

Psoriasis currently does not have permanent treatment. However, treatment is available to manage symptoms and improve patient’s quality of life. The available treatments are topical therapy, phototherapy, oral or injected medications, and self-care measures.

5.

Can Psoriasis Resolve on Its Own?

Psoriasis is a chronic and inflammatory skin disorder. As a result, the skin condition cannot go away on its own but can occasionally go into remission, during which the symptoms disappear. After remission, psoriasis symptoms may worsen during phases of relapse, flare-ups, or rebound.

6.

What Is the Youngest Age for Developing Psoriasis?

According to the National Psoriasis Foundation, 40 percent of individuals get psoriasis symptoms before 16 years, and ten percent develop symptoms before they reach ten years. However, psoriasis symptoms presentation in children differ from that of adults.

7.

When Do Psoriasis Symptoms Begin?

The symptoms of psoriasis can develop at any age. However, most individuals develop psoriasis symptoms between 16 to 35 years of age. However, individuals older or younger than the mentioned age group can also develop psoriasis symptoms.

8.

How to Determine Whether a Child Has Psoriasis?

Psoriasis in children manifests as red, scaly patches of skin that can be irritating and uncomfortable. The skin appears dry, cracked, and even might bleed. When psoriasis in a child is suspected, a biopsy confirms the diagnosis.

9.

How Is Scalp Psoriasis Best Treated in Children?

Treatment includes:
- Topical Corticosteroids: Creams and ointments with steroids are applied to the affected area to reduce inflammation and itching.
- Coal Tar: It helps slow the skin cell growth and reduces inflammation.
- Salicylic Acid: The medication helps remove scales from the scalp.
- Calcipotriene: It is a synthetic form of vitamin D that helps with inflammation and itching.

10.

Does Infant Psoriasis Resolve on Its Own?

Infant psoriasis is a common condition among children below two years. Infant psoriasis resolves on its own within a few months to a year. But in some cases, the disease persists in adulthood. Therefore, persisting psoriasis cannot be cured but managed with medications.

11.

What Is the First Line of Treatment for Psoriasis in Children?

Topical corticosteroids for pediatric psoriasis in children. The medication effectively reduces itching and inflammation. Other treatments for pediatric psoriasis include topical vitamin D analogs, topical retinoids, and phototherapy.

12.

Which Treatment Is Effective in Treating Psoriasis?

There is no cure for psoriasis, although there are treatments to lessen the discomfort, swelling, and scaling. To manage psoriasis symptoms, a variety of therapies are used, including topical steroid creams, oral medications, and injections.

13.

What Are the Newer Treatment Modalities for Psoriasis?

For moderate to severe plaque psoriasis treatment in adults, a more modern medication named Bimekizumab has recently received approval. It is a monoclonal antibody that prevents interleukins from contributing to the psoriasis inflammatory process.
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Dr. Bhaisara Baraturam Bhagrati
Dr. Bhaisara Baraturam Bhagrati

Pediatrics

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