Last Updated on May 22, 2025
Did you know that up to 40% of people suffering from psoriasis notice symptoms before they turn 16. Moreover, around 10% get those symptoms before they’re 10. This figure shows that kids are also susceptible to this condition.
This blog is the perfect guide if you want to learn more about psoriasis in kids, its symptoms, treatment, and more. Read it till the end.
Psoriasis in Kids-What You Need to Know about Pediatric Psoriasis?
When it comes to skin conditions, the main issue lies in its impact on self-confidence, especially younger ones. So, this kids psoriasis is a main issue that needs proper addressing.
Psoriasis is a chronic autoimmune condition that speeds up the life cycle of skin cells, causing them to build up rapidly on the surface of the skin. They may appear on any body part like face, ears, elbow, eyelid, etc. Sometimes, you may confuse scalp psoriasis with dandruff, however, both conditions are different.
The extra skin cell production results in red, inflamed areas covered with silvery scales. While it is not contagious, the appearance of the condition can lead to discomfort and self-consciousness, especially in younger patients.
Additionally, we cannot confuse pediatric psoriasis with adult psoriasis, as pediatric cases can manifest differently and often require unique treatment options. Psoriasis is a lifelong condition with no cure. However, the condition can be managed with proper medications. Moreover, most pediatric psoriasis is mild and can be easily managed with proper treatment.
Understanding the nature of psoriasis in kids helps lay the foundation for identifying it early and managing it with confidence.
Who is at a Greater Risk?
Your child is more likely to be at risk of this condition if they are:
- Obese
- Use medications like beta-blockers, malaria drugs, and lithium
- Have cuts, rashes, or sunburns on the skin
- Due to cold weather
- If they are suffering from stressful conditions
Common Signs and Symptoms in Kids
The symptoms of psoriasis in kids can vary, but some indicators are more prevalent. These include:
- Red, raised patches of skin covered with thick, silvery-white scales
- Itching or burning sensations
- Dry, cracked skin that may bleed
- Thickened or ridged fingernails or toenails
- Patches appearing on the scalp, face, elbows, knees, or lower back
In addition to physical symptoms, psoriasis in children can take an emotional toll as well. Children feel embarrassed or frustrated when they are commented on their appearance. They have to face social withdrawal and anxiety, especially during flare-ups. Because these symptoms can resemble other skin conditions like eczema or fungal infections, it’s essential to seek a proper diagnosis from a healthcare provider.
Types of Psoriasis in Children
Psoriasis has five main types, while two of them are more prevalent in children than in adults:
Plaque Psoriasis: This is the most prevalent type found in children with psoriasis. It is characterized by the appearance of dry, red patches and may sometimes cause silver scales.
Guttate Psoriasis: Another name for this type is “drop-like” psoriasis. It results in the formation of little red dots on the arms, legs, back, and trunk.
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What Triggers Psoriasis in Kids?
Triggers are a paramount factor behind the onset and flare-up of psoriasis in kids. The exact cause, however, remains unclear. Researchers believe a combination of factors, like genetics and environmental factors, lies behind. Let’s look at the most identified triggers:
- Genetics: If a parent or close relative has psoriasis, the child is more likely to develop the condition. Genetics create a predisposition, but they don’t guarantee onset.
- Infections: Infections, particularly strep throat, are a major trigger for pediatric psoriasis, especially the guttate form. Infections can cause the immune system to overreact, leading to a psoriasis flare.
- Skin Injuries: Minor cuts, scrapes, bug bites, or even sunburns can lead to something called the Koebner phenomenon, where psoriasis appears at the site of skin trauma.
- Emotional Stress: Children are not immune to stress. Academic pressure, family issues, or peer conflicts can all lead to flare-ups. Stress management is an often overlooked but central aspect of care.
- Cold Weather: Winter months bring dry air and less sunlight, both of which can worsen psoriasis in children.
- Irritants and Allergens: Certain soaps, detergents, and skincare products can irritate sensitive skin, increasing the likelihood of a flare. Allergens in the environment can also contribute.
- Identifying and avoiding triggers can significantly reduce flare-ups and improve a child’s quality of life.
Diagnosing Psoriasis in Children
Diagnosing psoriasis in kids usually begins with a physical examination by a pediatric dermatologist. The doctor will inspect the affected areas and ask about family history and any recent illnesses or skin injuries.
In some cases, a skin biopsy may be necessary to confirm the diagnosis. This involves removing a small piece of skin for lab analysis. While the idea may sound intimidating, the procedure is quick and usually performed under local anesthesia.
Early diagnosis of this psoriasis allows for timely intervention, which can minimize the severity and impact of the disease.
Managing Psoriasis in Kids Effectively
Management focuses on reducing symptoms, preventing flare-ups, and supporting the child emotionally. Here are the most effective strategies:
Topical Treatments
Physicians usually opt for topical treatments as a means of first line of defense. These include:
- Corticosteroids: Help reduce inflammation and itching
- Vitamin D analogs: Slow down the overproduction of skin cells
- Moisturizers: Keep skin hydrated, reducing itching and scaling
Phototherapy
If topical medications don’t work, the next option is phototherapy, or light therapy. This involves exposing the skin to controlled amounts of natural or artificial ultraviolet light. It’s a safe and effective option for many children when monitored closely by specialists.
Systemic Medications
For moderate to severe cases, especially if psoriasis affects large areas or is resistant to topical treatments, systemic medications may be used. These can include biologics which are the drugs that target specific parts of the immune system. Although not the first choice for younger children, these medications are increasingly approved for use in this type of psoriasis with positive outcomes.
Conclusion
To summarize, psoriasis in kids can be a challenging journey. Although there is no available cure for psoriasis, medications can help manage the condition. From understanding the early signs to identifying triggers and following effective treatments, parents and caregivers play a main role in supporting their children.
Additionally, as there is no cure available, researchers tend to find more potent therapies to cure this condition. That’s where MetroBoston Clinical Partners stands out — offering expert-led, patient-focused clinical trials designed to advance treatment options. We aim to uplift science and discover breakthroughs in the way treatments are given.
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