A collaborative effort between the American Academy of Dermatology (AAD) and the National Psoriasis Foundation (NPF) has led to the first joint guidelines of care for the treatment and management of pediatric patients with psoriasis.1
Similar to guidelines for adults with psoriasis, clinicians need to be aware of the comorbidities that can occur in the pediatric psoriasis population. However, one expert believes that much more attention needs to be given to the psychosocial impact of psoriasis on kids.
“The last AAD psoriasis guidelines that addressed juvenile pediatric psoriasis came out a little over 10 years ago,” says Alan Menter, M.D., chairman, division of dermatology, Baylor University Medical Center, Dallas and co-author of the new guidelines.
“The current guidelines, in collaboration with the National Psoriasis Foundation, are a much more extensive review and include everything we have learned in the treatment and management of psoriasis over that time. We now know more acutely that the quality of life (QoL) of pediatric psoriasis patients can be severely impacted, and this needs to be more seriously addressed by healthcare providers going forward,” he says.
The association of several comorbidities including psoriatic arthritis, Crohn’s disease, uveitis, obesity, type II diabetes mellitus, dyslipidemia, hypertension and cardiovascular issues, as well as anxiety and depression have long been recognized in adult psoriasis and are regularly screened for in this patient population.
Dr. Menter reports no relevant disclosures.
1. Menter A, Cordoro KM, Davis DMR, et al. Joint American Academy of Dermatology-National Psoriasis Foundation guidelines of care for the management and treatment of psoriasis in pediatric children. J Am Acad Dermatol. 2019 Oct 24. pii: S0190-9622(19)32655-6. doi: 10.1016/j,jaad.2019.08.049. [Epub ahead of print]v