What does psoriasis look like at the initial stage?
Psoriasis is a chronic disease that affects children of any age.
They can suffer not only children of preschool and primary school age, but also newborns, as well as babies.
In the article we will look at what the initial stage of psoriasis in a child looks like, what are the signs and symptoms of this disease.
We will also talk about how a child develops psoriasis and its treatment methods.
How does psoriasis develop in a child?
There are four stages of the disorder:
In the initial stage, the skin on the legs, elbows, or other parts of the body is covered with small red rashes. The gluteal and axillary zones are especially affected. After that, small pimples with a smooth surface are formed, which, after two or three days, are covered with a scaly layer.
Symptoms of manifestation
The disease begins with itching and pain. Depending on the manifestations, you can see what stage of the disease in question. Psoriatic lesions can appear on the genitals and in the folds of the skin. But the most popular place is the skin that comes into contact with clothing. So, due to friction, spots appear that can reach quite large sizes.
Under the influence of the disorder may fall and language. It is covered with spots that change not only its shape, but also its size.
A rather rare, but still common form of the disease is nail psoriasis. Nail plates are covered with small depressions, creating a hilly relief.
A rash on the face comes along with redness that may be on the cheeks and forehead, moving smoothly on the eyelids as well as the ears. This form is especially difficult for the baby because the rash not only causes itching, but it can also be poorly perceived by children of its age.
Important! In infants, psoriasis appears in the form of eczema.
What does the initial stage look like in the photo?
Causes of disease
Possible reasons may be:
- constant nervous tension
- previous infections,
- infections caused by parasites
- liver function change,
- disruption of the immune system,
- abrupt climate change
- unfavorable environment.
Do not exclude such rare cases as:
- injuries of the skin,
- kidney disease
For parents, an important task is to notice the first signs of the disease in time to start therapy immediately. The sooner the doctor makes the diagnosis, the less the baby will suffer.
Features of treatment
Psoriasis reduces the quality of life of not only the baby, but also his parents. Adults understand that they are powerless against severe chronic illness. An important role in recovery is played by a dermatologist, who will conduct various studies to understand the further course of treatment.
Treatment of dermatosis in children is based on various therapies:
Retinoids and immunosuppressants can also be used.
Dermatosis in newborns is treated with a combination therapy.
Dermatosis in infants requires not only constant monitoring by a dermatologist, but also compliance with the prescribed diet. If parents follow the doctor’s advice, the baby will soon feel better.
Unfortunately, today psoriasis is included in the list of diseases that cannot be cured once and for all. You can not predict its development.
Drug therapy helps to increase the duration of remissionwhich is very important for the baby.
The doctor may prescribe drugs for oral administration. It can be:
- biological products,
- drugs with antiallergic action.
Some can help special cream, relieving itching and inflammation.
Physiotherapy is actively used in the treatment of psoriasis.
- Phototherapy treats the skin with ultraviolet rays. This procedure helps to get rid of psoriatic plaques, peeling marks, and to achieve early remission. Important! Phototherapy is strictly prohibited during the exacerbation of the disease.
- Another method of treatment is ultrasound. The sensor treats the affected skin in a pulsed mode, thereby achieving anesthetic and anti-inflammatory effects.
Thanks to the X-ray methods, the patient relieves itching and inflammation disappears. Soft X-rays promote the healing of plaques.
Remember that the baby's health must be checked by a doctor before trying old methods of treatment on a little man.
- Against dermatosis perfectly suitable ointment, prepared on the basis of tar. You can take both pine and birch.
Check the reaction of the child's body to allergies. If the answer is no, you can proceed to the preparation of the ointment.
The recipe is quite simple: twice a day, apply tar on the affected skin for ten minutes. Then rinse with warm water. Gradually, the time is increased from ten minutes to thirty. Celandine is great for treating psoriasis. Based on it, you can make a special solution.
- celandine - 2 tablespoons,
- series - 4 tablespoons,
- horsetail - 1 tablespoon.
All herbs pour boiling water and leave to languish for 30 minutes. After that, we filter the resulting product, cool it. It should be rubbed into defeated areas three times a week.
There are many other recipes that can help your child cope with dermatosis. But before using them, consult a specialist, as he may offer other, more effective treatment options.
Psoriasis is a serious disease, so you need to see a specialist at the first sign. The main thing for parents is to achieve stable remission.
The initial stage of scaly depriving (this is the second official name of psoriasis) in children is not as easy to recognize as it seems, but nothing impossible for attentive parents does not exist. This stage is called the earliest because it develops as the first sign of a disease that has begun.
On the skin of the child appear small papules pink or red. They have a somewhat glossy surface, but change quickly over several days. The head of the papules becomes grayish or silvery with pronounced signs of exfoliation.
With a light touch, the epithelium easily exfoliates, and under it forms a bright glossy pink surface.
Papules slightly protrude above the level of the skin. They quickly grow in size, merge with each other, forming the so-called psoriatic plaques. If dry silvery or whitish scales are removed from the plaque (and it is very easy to make it), the skin under them will be so thin that it becomes easily vulnerable, and even a small impact can cause bleeding due to the increased number of capillaries.
The initial stage of psoriasis in children in about half of all cases accompanied by symptoms such asitchiness The child will try to comb papules. Abundant plaque proliferation completes the initial stage, which usually lasts several weeks. Begins the progressive phase of the disease.
Symptoms of the initial stage largely depend on what type of psoriasis struck the child. In the reverse form, for example, pronounced papules do not pour out, but there are red smooth spots that do not protrude above the skin in the folds of the skin, in the groin, on the elbows, under the arms. In guttate psoriasis, the rash at the initial stage resembles bright red or purple specks, small droplets. They appear on a large area, sometimes covering the whole body.
With a rather dangerous pustular psoriasis, the skin becomes covered with pustules that are filled with a watery transparent liquid, and with erythrodermic psoriasis large fragments of desquamation appear - exfoliating, large pieces of the epidermis are separated.
Psoriasis favorite places are elbows and knees, often rashes appear on the body, neck, scalp, hands and face.
In newborns, infants and small children under 2 years old, the first papules appear almost always in the folds of the skin. In babies after the age of two, the first papules appear more frequently on the arms and legs.
Nail psoriasis may accompany general psoriasis, and may be a separate disease in which only the nail plates are affected. It begins with the appearance of longitudinal strips on the plates, small depressed points, then the nail plate is partially discolored. The nail looks thick and massive and, if left untreated, can peel off completely.
Differences from other diseases
It is important to distinguish psoriasis from other possible children's dermatological problems. From allergies papules of psoriasis are more saturated color. With the start of taking antihistamines, the allergic rash diminishes and becomes dull; this does not happen with psoriatic papules and plaque. They continue to grow and spread.
From diaper dermatitis, the initial manifestations of psoriasis differ in shape and color. Chilliness, diaper rash and dermatitis do not have such clear and even papular margins. In addition, papules in psoriasis are not exposed to the effects of powder, air, which help in a short time to save the child from prickly heat. Psoriasis plaques continue to grow, the powder causes them to peel even more, as it dries the skin.
From viral and bacterial infections, which are also accompanied by the appearance of papules and pustules on the skin, psoriasis is distinguished by the absence of any additional symptoms. Infectious rash is most often contagious and is accompanied by fever, respiratory manifestations, muscle and joint pain. With psoriasis, there are no such symptoms.
The earlier the treatment is started, the more chances to achieve stable remission. Cure psoriasis completely, unfortunately, is impossible. And even early treatment and proper therapy will not help make the child completely healthy. But early treatment will save the baby from frequent attacks of the disease.
At the first signs of a child starting a disease, they are hospitalized. In the future, this is no longer needed, and the attacks can be stopped at home. From severe itching, prescribe antihistamines, and with them calcium preparations. With heavy plaques and tendencies to further growth can be assigned hormonal drugssuch as Prednisolone.
For the treatment of plaques use moisturizers - "Bepanten", the usual children's cream, as well as ointment "Colloidin", "Antipsorin", "Sinaflan", "Flutsinar". The child is advised to bathe more often, to make wet lotions, since the skin is critically in need of moisture.
Immunosuppressants can be prescribed to the child - drugs that can suppress the activity of immune processes, since the autoimmune cause of psoriasis is considered to be the most convincing today. In fairness, we note that the true causes of the disease are still unknown to medicine and science.
Causes of childhood psoriasis
Children's psoriasis has a systemic nature. Disruption in the functioning of the immune system, when the body cannot withstand the harmful effects of external factors, leads to its development.
Doctors can not single out one reason that provokes the appearance of the disease in a child. But there are a number of scientifically based assumptions:
- Hereditary predisposition - if cases of psoriasis were diagnosed in the genus, the probability of its development in a child increases by 30%. When both parents suffer from this disease, it increases to 80%. But only the predisposition to the disease is inherited, which means that with proper care for the child there is a chance of avoiding it.
- Disruption of the nervous system - negative experiences, stress, psycho-emotional shakes, dramatic changes in life (school change, the birth of the second child) can induce the appearance of the disease.
- Violations of metabolic processes - a deficiency of vitamins, microelements.
- The presence of parasites - helminths absorb nutrients, emit a large amount of toxins, which adversely affects the body of the child. Often there are skin reactions, psoriasis.
- Infections - in childhood psoriasis often appears after passing an infectious disease. It can be provoked by sore throat, flu, cold.
- Endocrine dysfunction - hormonal imbalance provokes psoriasis.
- Liver diseases - in case of dysfunctions of this organ, the body cannot neutralize toxins, which can lead to the development of psoriasis.
Symptoms of psoriasis in children
The symptoms of psoriasis in an infant are significantly different from the symptoms of this ailment in an adult. Children at the initial stage appear red rash in the folds of the skin (in the buttocks, axilla), on the head, face, genitals. It is also localized in places subject to constant friction with clothes. Rarely rash occurs on the palms and feet.
The rash resembles diaper rash, but it has the main symptom of psoriasis - the horny ball of papules exfoliates, peeling appears. Gradually, the delicate skin becomes covered with scales of crusts. Single small papules merge into conglomerates. Their size gradually increases, covering large areas of the epidermis.
In most cases, the rash is itchy, bringing great discomfort to the child. He is combing papules, risking infection. You can see what children's psoriasis looks like in the photo.
Stages of psoriasis in a child: progressive, stationary and regressive.
Stages of childhood psoriasis and their symptoms
- Progressing - The appearance of a small rash of red or bright pink. It itches, peels off, increases in size and spreads over the skin. Soon the rash becomes cracked, starts to bleed a little. Unlike adults, children practically do not have the phenomenon of stearic stain, terminal film.
With a severe form of the progressive stage, the child's body temperature rises, the surface of the epidermis condenses, the lymph nodes increase, there is swelling of the skin, and a strong reddening.
- Stationary - the formation of new rashes and their growth ceases, the intensity of peeling decreases.
- Regressive - The rash begins to gradually dissolve. After its disappearance, depigmented rims appear on the skin.
With the complete disappearance of signs of the disease comes remission. Its duration depends on the characteristics of child care, in particular on the diet. The relapse of the disease in children often becomes a consequence of the transmission of infectious diseases.
Appears in children under one year. The rash is localized mainly in the gluteal zone. Due to the constant contact with excrement and urine, as a result of rubbing diapers in the skin in this area is irritated, so the disease is difficult to diagnose. Parents often take this rash for dermatitis, which makes it difficult to start timely treatment.
Plaque (ordinary) psoriasis
The most common form of illness in children. Its characteristic symptoms are red spots on the skin surface. At first they are small, but rather quickly increase in diameter, start to peel off. The basis of papules has a dense texture. From above, they are covered with a loose layer of scales that are easily separated.
Plaque papules are localized on different parts of the body, but most often occur in the elbows, knees, and in the scalp.
The body is covered with a large number of lesions, which in form look like a drop, having a small size and a convex shape. Papules rise above the surface of the epidermis and flake. They cover the head, arms and legs, as well as the body. The rash may disappear on its own or develop into plaque psoriasis. At the age of 4-5 years, this form of the disease is provoked by streptococcal infection.
Generalized pustular psoriasis
It develops suddenly and very quickly. In a short period of time, large areas of skin become inflamed and become covered with ulcers. The affected areas of the epidermis hurt. This form of psoriasis is dangerous because it provokes serious complications. It can lead to diseases of internal organs, in particular of the kidneys, of the heart.
It affects children older than 7 years. In infants and preschoolers is rare. This is a severe form of the disease, in which there is swelling of the skin, and its surface is covered with blisters filled with non-infectious exudate. Часто сопровождается воспалением лимфатических узлов.
A very dangerous form, provoked by the dysfunctions of body thermoregulation. Manifested in generalized inflammation of the epidermis, intense peeling. Accompanied by severe itching, painful sensations. Large areas of skin begin to flake off. May be fatal, especially if the child is small.
Even "neglected" psoriasis can be cured at home. Just do not forget to smear once a day.
It affects the nail plate. Its symptoms depend on the form. There are the following varieties:
- nimble - small indentations form on the surface of the nails, because of which they visually become similar to a thimble,
- onihomadez - nails peel off from the bed very quickly,
- onycholysis - the nails gradually exfoliate from the bed, while there are no inflammatory processes, a yellow-pink border appears around the base of the nail,
- trachyonium - the nail thickens, coarsens, its surface becomes undulating, the edges are lifted,
- hemorrhage under the nails - stripes and patches of red-pink color appear under the surface of the nail,
- paronychia psoriatic - the skin around the nail and the finger itself thicken, this is accompanied by intense inflammatory processes.
It affects the joints. The signs of this form of the disease are muscular rigidity, they cease to be mobile, the joints and fingers swell and swell. The knees, fingers, ankles of the wrist are sore, there is a feeling of general discomfort. Conjunctivitis may occur.
According to the type of psoriasis, it is divided into types:
- winter or summer - depending on the season, when a relapse occurs, most children have a winter form,
- first occurring - when symptoms first appear,
- continuously relapsing - a constant exacerbation of the disease,
- indefinite form.
Diagnosis of childhood psoriasis
Psoriasis is diagnosed by a dermatologist. He conducts an examination of the child, specifies when the rash appeared, how the disease manifests, whether there are people in the family suffering from this ailment.
It is difficult to diagnose children, especially those under the age of 1, solely by visual inspection, since they often lack the classic symptoms of the disease: a stearin stain, a terminal film, and "blood dew." Accurately verify the presence of psoriasis will allow the analysis of scraping, taken from the surface of the rash.
Treatment of psoriasis in children
Psoriasis before and after treatment at different stages.
Children with psoriasis need complex treatment. Systemic therapy will help to quickly achieve remission, at the same time aimed at eliminating the symptoms and strengthening the body as a whole. Consider the basic methods of treatment.
Drugs for external use
Effective to eliminate papules that hit the skin. This group includes:
- Salicylic ointment 1-2% is contraindicated in infants,
- sulfur tar ointment 2-3%,
- boric ointment
- glucocorticoid ointments 0.5% - Lokakorten, Flutsinar, Prednisolone,
- phosphodiesterase inhibitors - papaverine ointment 1% and theophylline ointment 5% for the treatment of psoriasis affecting the scalp,
- steroid creams and ointments - “Lorinden A”, “Sinaflan” and other ointments for psoriasis,
- Heparin ointment - for old plaques.
Drugs for internal use
- desensitizing agents - three times a day it is indicated to take a solution of calcium gluconate 5% per teaspoon, the duration is determined by the doctor,
- sedatives - children can tincture of valerian,
- antihistamine medicines for relieving itching - take “Tavegil” and “Suprastin” for 7-10 days, in acute conditions injections are given, in case of lighter ones, you can prescribe pills,
- tranquilizers - in rare cases, are assigned to older children, you can apply "Tispeam", "Seduxen",
- vitamins to strengthen the immune system - ascorbic acid, B12, B15, D, A, E, drink three times a day for several months,
- pyrogenic preparations - to activate the protective functions of the body, normalize vascular permeability, 8-10 injections of Pyrogenal are prescribed, for children over 3 years old,
- glucocorticoids - are prescribed in severe cases by a course of 2-3 weeks with a gradual decrease in dose.
Two photos: a boy with psoriasis before and after treatment
At home, you can use folk remedies. Effective recipes:
- Pour the flax seeds with boiling water. For 1 tablespoon of seeds you need 1 glass of water. Insist night in a thermos, and in the morning on an empty stomach to give the child a drink of 0.3-0.5 cups of flax infusion. The course of treatment is 2 weeks.
- Cook gruel from kalanchoe leaves and apply it on papules. Secure plaster from above. Hold for 30 minutes.
- Grind celery root. The resulting mass for 2 hours to attach to the papules. The course of treatment is 2 months. Repeat daily.
Two photos: a girl with psoriasis before and after treatment
In order to cure psoriasis as quickly as possible and achieve a state of remission, you need to follow the correct diet:
- eliminate from the diet pastries, muffins, sweets, fatty and fried foods, chocolate,
- limit citrus consumption
- drink enough liquid
- replace sweet drinks with herbal tea,
- The basis of the diet is vegetables, greens, freshly squeezed juices, dietary meat, lean fish.
Read more about the basic principles of nutrition for psoriasis in the section "Diet".
To improve the condition of the child will help regular bathing with salt or decoction of chamomile, sage, flax, pine needles. After bathing, moisturize the skin with oil.
To minimize the risk of disease and prolong the period of remission, follow simple rules:
- during bathing do not use aggressive agents and hard washcloths,
- teach your child to avoid cuts, burns, skin injuries,
- Protect your child from direct sunlight.
- Give preference to clothes made from natural fabrics,
- watch the diet of the child
- carefully pick up drugs
- Try to have a positive emotional state prevail in your child.
If you have a minimum suspicion that the child has psoriasis, contact your dermatologist. This is a serious illness, so only a competent doctor can tell how to treat it. Do not self-medicate, because the sooner the effective therapy is completed, the sooner you will be able to achieve a state of stable remission. Despite the fact that psoriasis is not treated, with the right and timely approach, you can minimize the number of relapses of the disease.
Psoriasis in children: the initial stage of the photo
The initial stage of psoriasis in children (see photo 2) atypical for the development of pathology, so the symptoms of how psoriasis begins can be confused with other skin diseases. Usually, psoriatic manifestations occur where the disease does not manifest. Psoriasis begins in children with maceration of the skin in natural folds, on the mucosa, in the face area.
The initial stage of psoriasis in children is found on the head - a photo of psoriasis on the head can be seen in order to distinguish it from dandruff. The course of the disease is long, even with persistent treatment, positive results are not achieved soon. The initial stage on the elbows in children is accompanied by cracks, which aggravate the course of the disease. Psoriasis in young children goes through three stages of development of the disease - progressive, stationary and regressive.
Psoriasis in a child: a photo of the initial stage
Psoriasis in children in the initial stage can occur in various forms: plaque, pustular, guttate, and erythrodermic. The most common first form. Psoriasis in a child (see photo 3) in a plaque-like form it appears as inflamed crusts, which peel off and are difficult to exfoliate, and capillary bleeding opens under them. Children's psoriasis affects any part of the body. For example, a plaque-like initial stage in the legs in children extends to both the knee joint and the fold of skin under the knee.
Psoriasis on the body of a child in a tear-shaped form is often localized on the limbs and under the hair. Drop psoriasis in children is less common. The most severe course of childhood psoriasis is in a pustular form, when the rash with fluid inside the generalized spots merge over large parts of the body. Psoriasis in a child in the initial stage (photo below) with the erythrodermic form threatens young children with a fatal outcome, since it is accompanied by a severe inflammatory process.
Children psoriasis: symptoms and signs
Symptoms of psoriasis in children vary depending on the form of the course of the disease. Signs of psoriasis in children usually appear under the influence of a provoking factor. Children's psoriasis (see photo 4) is manifested by the following features:
- redness and rash in the area of natural skin folds,
- soreness of psoriatic rash,
- persistent severe itching
- cracking plaques
- bleeding opening under the crusts
- infection of the affected area,
- symptoms of psoriasis in infants - softening of the affected area and the appearance of soak, similar to eczema.
Psoriasis on the head of a child (photo below) in the initial stage may resemble dandruff, but soon the disease manifests its specific features. Psoriasis in children looks on the body, as in adults - the same plaques and places of increased desquamation appear.
Symptoms of psoriasis in infants
Psoriasis in babies appears in the first months of development of the baby, if the symptoms of psoriasis in women worsened during pregnancy. Psoriasis in infants (see photo 5) can be triggered by diaper dermatitis, which appears in the form of diaper rash on the buttocks. This presents certain difficulties in the diagnosis of the disease.
Typically, diaper dermatitis quickly disappears with proper treatment, but psoriasis in infants is delayed for a long time. During this period, the disease may not manifest itself as classical signs, and the symptoms of psoriasis in the infant child do not appear, and only redness remains at the site of skin lesions.
Causes of Psoriasis in Children
The exact causes of psoriasis in children have not yet been identified. Considering possible causes of psoriasis in childrenfirst of all it is worth paying attention to heredity. Psoriasis is an autoimmune disease, so the risk of getting it is quite large. Psoriasis is inherited from father to child, but the same percentage of the probability of getting the disease from the mother, especially if psoriasis and pregnancy coincided in time.
The causes of psoriasis in children can be exacerbated by provoking factors, including stress, skin diseases, and the child’s susceptibility to allergies. Psoriasis in newborns occurs if the causes of psoriasis were triggered by diaper dermatitis. A child may have psoriasis due to weak immunity, and psoriasis in adolescents (photo below) is often provoked by hormonal changes in the body during puberty. Psoriasis in children on the head and psoriasis of the nails in children can be caused by impaired metabolic processes.
Psoriasis baby cream
Children's cream for psoriasis must satisfy the main condition - to be safe for the health of the child. Typically, babies prescribe cream based on herbal remedies that do not cause allergies. Such products are saturated with vitamins, skin psoriasis cream moisturizes it well, eliminates dryness and flaking. Among the drugs that the doctor prescribes for children are effective and have good reviews Psoricon, Cytopsor, Kartalin and others. Also psoriasis baby cream must contain keratolytics, therefore, along with such creams, doctors also prescribe keratolytic drugs - Akriderm, Kollomak, salicylic ointment.
How does psoriasis begin and what is this disease
Psoriasis is an inflammatory skin disease that cannot be cured. Once faced with a pathology, a person becomes its hostage for life.
The disease develops due to improper immune response of the body to various internal and external stimuli. Causes of psoriasis include injuries of the dermis, impaired metabolic processes of the body, weakened immunity, severe hypothermia, and many other reasons.
The symptoms of skin psoriasis are quite easily confused with various dermatitis, because many skin pathologies are accompanied by the appearance of red eruptions on the body, which itch and peel off. In order to distinguish the disease from others, it is important to find out what psoriasis looks like at the initial stage.
The first stage of psoriasis is accompanied by the formation of multiple or single psoriatic lesions on different parts of the body. Characteristic red or pale pink spots appear on the body, arms, legs, face, which most often have well-defined boundaries. Clear boundaries can be seen in the photo of psoriasis in the article.
Many patients are interested in how to distinguish psoriasis from diseases such as diathesis, allergies? Answer this question just can not. The main feature is the location of the rash. Psoriatic spots in most cases appear on areas of the body, unusual allergic rash. Psoriasis affects places that are subject to mechanical friction, for example, from clothes, shoes.
In order to understand how psoriasis manifests itself, one should study in detail the stages of development of the pathology. The stages of psoriasis are as follows:
- Papules in children and adults at the initial stage can be in single and plural quantities. Initially, it is barely noticeable rash that does not bring discomfort.
- Very quickly, the manifestation of psoriasis becomes more aggressive, the spots become more clear, they appear characteristic for the disease flakes of silver or yellowish tint.
- The symptoms of skin psoriasis in the later stages are the addition of an inflammatory process. Psoriasis in children and adults is accompanied by severe itching, feeling of skin retraction, redness.
Stages of development of the disease and their duration differs depending on the individual characteristics of a person. Someone develops pathology rapidly, has pronounced symptoms, while other patients appear isolated rash with slight redness.
Answering the question how to recognize psoriasis, there are three main features:
- clear boundaries of rash,
- increasing the number of scales when trying to scraping them.
Only a competent dermatologist is able to diagnose pathology. Independently establishing the diagnosis and taking measures for its treatment can be dangerous to your life.
Where are the rashes most often?
The first signs of the disease you can notice on the buttocks, back, elbows, lower back, scalp. In newborns and babies up to a year, the most problematic places are skin areas under diapers, as a result of which parents write off everything on diaper dermatitis or heat loss.
If you do not pay attention to the rash, it will soon begin to spread throughout the body. In addition to this, itching, peeling, nails will begin to break down. There is a risk of a generalized form of the disease (one of the most dangerous) and psoriatic arthritis.
Did I scare you? Yes, yes, this is all possible. Therefore, carefully monitor the condition of the skin of your offspring to avoid all this. In the course of the article you will see photos of the disease, which will give a clearer picture of children's psoriasis.
What does psoriasis look like in children at the initial stage?
We turn with you to the most important thing - to the first symptoms. I note that they are slightly different from adult symptoms. The following signs should alert parents:
- Infants under the diaper (in the folds) began to appear reddening with clear boundaries,
- The same redness affects the skin in the folds throughout the body,
- The skin in these places begins to peel off, and the child combs them,
- At the age of 2–3 years, children develop papules, which afterwards transform into itchy plaques
- Often the disease affects the scalp (usually in children after 10 years).
There are cases when the baby is already born with signs of psoriasis. In most cases, this is influenced by a hereditary factor. You can read more about the causes of psoriasis in children in a separate article, and we will continue.
Remember! If in adults psoriasis develops rapidly, in children the first symptoms are not so pronounced, and the disease develops more slowly.
If you find suspicious spots on the skin of the baby, you should as soon as possible show it to a dermatologist who can make an accurate diagnosis.
It manifests itself in only 1% of patients. These are his symptoms:
- The body begins to show inflammation,
- After these pustules form on these inflammations,
- It is all very itchy and burning,
- Symptoms are worse at night and when in contact with clothing,
- A little later pustules are filled with serous fluid,
- When these blisters burst, the infection gets into the damaged areas, as a result of which they will fester.
Such plaques on the palms, soles of the feet are localized.
The initial stage of this type of illness is as follows:
- Light pinkish plaques form on the body,
- Very quickly they merge, forming a single focus of destruction,
- There are papules with fluid,
- Эпидермис начинает шелушиться, расслаиваться, вследствие чего ткань становится ороговевшей,
- If scratching plaques, then droplets of blood are formed at this place.
Frequent places of formation are limbs and skin folds.
Reverse type of psoriasis
The following initial symptoms will be present:
- first, light pink spots will appear on the body,
- these spots are smooth, shiny, well peeled,
- more often they are located in the groin and armpits,
- The danger is that plaques are often injured, and therefore there is a risk of infection.
Yes, this pathology can also affect children, especially if the disease is neglected. However, this is quite rare. Nail literally decomposes. And the nail bed will be bare. The main thing is to notice the symptoms of the nail plate damage in time. They are:
- on the very nail you will notice small dimples, like dots,
- the nail plate itself will begin to grow cloudy,
- If you press on the nail bed, the child will feel pain.
The initial stage of the disease in newborns
It also has its own features:
- In infants, the disease is always first like
- The spots will merge into one,
- Basically, babies have skin between the folds and face,
- By 1-2 years all formations begin to peel off strongly,
- These plaques have a clear edging,
- There is a risk of complications.
As you can see, dear readers, psoriasis is a dangerous disease, especially for children. Monitor the condition of the skin of your offspring. If obscure stains appear, immediately make an appointment with a dermatologist to rule out or confirm the development of the disease.
Only a doctor can prescribe the correct treatment. In relation to children self-treatment is unacceptable!
On this I finish my article. Now you more or less imagine what psoriasis looks like in children at the initial stage. I wish your children good health, and good luck to you!
Causes of Psoriasis in Children
As a rule, those children whose parents suffer from allergies or are prone to dermatological illnesses fall into the risk group for psoriasis. Thus, predisposition to psoriasis is transmitted at the level of genes, which is activated under the influence of certain causes.
Fact! If one of the parents has a history of any form of psoriasis, it will be passed on to the child with a 25% chance. When both dad and mom suffer from ailment, the chance of a disease in children increases to 75%.
Etiology of the disease
There are many factors that give rise to the disease:
- Infectious disease. In itself, the infection can not be the cause of psoriasis, but the transferred illness leads to a failure in the immune system, and then the mechanism of the development of the disease starts.
- Allergy. Also, the appearance of dermatological problems is often associated with seasonal exacerbation of allergies.
- Hereditary predisposition It has long been proven that the tendency of parents to psoriasis leads to a high chance of developing a disease in a baby.
- Virus. There is a theory that some viruses can cause the activation of the disease.
- Hormonal disruptions. Disorders in the endocrine system often provoke the development of dermatological problems.
- Liver disease. In case of dysfunction, the body can not remove toxins accumulated in the body, which may be fraught with the development of psoriasis.
In order to be ready for the possible appearance of a skin disease, it will not be superfluous to be tested and find out if the child has a tendency to psoriasis.
The body of the child is particularly susceptible to the influence of its environment, which can cause the occurrence of the disease. You can list a number of key factors:
- Wrong food. Constant use of products containing a large number of dyes and preservatives. This may also include products-allergens.
- Stress. Psychological stress in a preschool or school, as well as problems in communicating with peers can cause stress.
- Overwork. Failure to comply with the regime and lack of sleep can adversely affect the condition of a small organism.
- High sensitivity to household chemicals.
- Wearing synthetic, non-breathable fabrics.
Attention should be paid to these factors, the exclusion of which will help prevent the occurrence of childhood psoriasis. When a child’s diagnosis is confirmed, the elimination of triggers is the basis of treatment.
What are the different types of psoriasis in the initial stage in children?
Often, people who have never suffered from psoriasis do not know what the ailment looks like. And suspicious rashes can easily be attributed to the usual allergic reaction, not taking any measures to eliminate the disease. As a result, parents get the running stage of the disease. So what does psoriasis look like in children of different species?
The main signs of the development of plaque psoriasis can be distinguished:
- The kid feels weak and quickly overworked.
- Red spots appear on the skin.
- Then, these spots begin to peel abundantly, which is accompanied by subsequent keratinization of the skin.
- At the slightest injury to the plaque, a small amount of blood is released.
- To touch the red marks are quite hot.
- Spots very itchy.
In addition, these traces can quickly grow and merge together. The surface of the plaques is usually covered with a thin gray bloom. Such rashes can be detected absolutely on any part of the body, especially a cunning disease on the scalp. You can see how plaque psoriasis looks like in children, in the photo.
This form is extremely rare. It is present in only 1% of psoriatics. The following symptoms of the pustular form of the disease can be distinguished:
- First, inflammation appears on the skin.
- At these places, then there are symmetrical lesions, which are called pustules.
- In places of rash, there is burning and itching.
- Symptoms are aggravated at night and upon contact with diapers that were poorly rinsed with powder.
- Then the rash begins to fill with fluid.
- If the bubbles with the liquid burst, an infection gets into the wounds, after which suppurations form.
Localized rash, usually on the soles of the feet and palms.
The reverse form of psoriasis in children is characterized by the following symptoms:
- First, there are deep pale pink spots.
- These lesions always have a smooth and shiny surface, since the rashes peel off very well and without a trace.
- Rashes appear on the thin skin of the armpits or in the groin area.
Since the localization of the rash is quite tender, the risk of damage and infection is increased.
Psoriasis of the scalp
Often, children's psoriasis is localized on the scalp. The disease progresses very slowly, and at the initial stage of this disease can be confused with ordinary dandruff. Psoriasis on the scalp appears as follows:
- First you can see the first signs of a reddish rash.
- Then this rash grows into oval papules, on which scales are clearly visible.
- At this stage, peeling of the skin appears, similar to dandruff.
- Next comes the proliferation of spots and their transformation into plaques.
- The course of the disease is accompanied by unbearable itching. As a result of plaque scratching, suppurations are formed.
Psoriasis on the head can occur in various forms.
Features of the disease in newborns and infants
Psoriasis in small children has the following number of features:
- Newborns almost always produce an atypical form of psoriasis, which strongly resembles prickly heat.
- The formed spots quickly merge together.
- In children, the rash is localized mainly on the face and in the folds of the skin.
- Closer to 1-2 years abundant peeling appears on the spot.
- The plaques in infants have clearly limited contours.
- Complications develop very quickly, developing psoriatic arthritis, as a rule, is asymmetric.
Knowing these nuances of the disease, you can quickly detect the disease and consult a doctor.
In some cases, the course of the disease complications can go on the entire skin. The following symptoms occur:
- skin takes on a bright red tint
- swelling appears
- there is severe dryness and peeling,
- the patient has a fever,
- itching and burning all over.
Also, when the disease is observed expansion of the lymph nodes. Complication can occur with the usual form of psoriasis, the cause of the appearance of erythroderma can be the following factors:
- abrupt cancellation of therapy,
- infectious diseases,
- alcohol consumption.
All these factors, especially in adolescence, significantly complicate the course of the disease. Therefore, it is necessary to realize that the disease requires only competent qualified treatment with strict adherence to the recommendations.
Important! Complications can be fatal due to impaired heat exchange in the body and skin barrier dysfunction.
Generalized pustular psoriasis
This is the most complicated form of the disease, difficult to treat. The course of the complication is undulating, accompanied by the following symptoms:
- The appearance of the lesion is always accompanied by fever and deterioration of the patient.
- First, the plaques are far from each other, but quickly expanding in size, merge into a single focus.
- Plaques are accompanied by the appearance of pus.
- On places of pustules after their drying, crusts are usually formed, but it happens that purulent formations appear again at the same place.
In addition, Staphylococcus aureus may be sown in some foci.
Fact! Treatment of generalized pustular psoriasis should be carried out in a hospital under strict supervision.
Almost every tenth patient suffers from this complication. As a rule, joints of the following parts of the body are affected:
The process of defeat begins with inflammation of the articular sac. But the inflammatory process is rather weak. Often, before the ailment, the patient feels a general deterioration of the condition, as well as muscle pain. Symptoms of the disease proceeds as follows:
- the area around the joint swells up,
- the skin in this place becomes burgundy,
- interphalangeal joints are affected,
- fingers swell a lot.
Late treatment can lead to disastrous consequences, up to surgical intervention.
How is psoriasis diagnosed, other than outward signs?
Of course, at first, the diagnosis of the disease takes place with an external examination, through which the specialist determines the area of focal lesions and the degree of neglect of the disease. But external examination is not the only method of diagnosis.
The psoriatic triad represents a series of symptoms characteristic of this disease. On their basis, the doctor can make a diagnosis. These symptoms include the following types:
- Stearin stain. This feature is characterized by increased desquamation. This is due to the fact that the dried epidermal cells become loose and cannot linger on the surface of the skin. Exfoliating scales are very similar to dandruff.
- Terminal film. This feature is characterized by coating the papules with a thin film, which, when rubbed, is very easily removed. If you remove all scales from a plaque, you can see this film with the naked eye.
- Acupressure bleeding. This symptom can be detected after removing the film. With the advent of point bleeding, one can observe the beginning of the rapid proliferation of plaques and their fusion.
Based on a number of these signs, you can accurately diagnose psoriasis.
Laboratory tests for differential diagnosis
After the specialist does a visual inspection, he directs the patient to take laboratory tests, which take place in several stages. The patient will need to pass the following test material:
- Scraping from the site of skin lesions. Differential diagnosis is carried out using the results of histological examination. For surface scraping, scaly material is collected from plaques, and for deep scraping, blood drops are taken on papules.
- Blood donation Blood testing is a must in the diagnosis of psoriasis. With a protracted course of the disease, a low level of hemoglobin and an increase in the number of white blood cells can be detected in the material.
- Analysis of urine. Skin disease often occurs with a violation of metabolism, the analysis of the material helps to get an idea of the state of water-salt balance in the body. Detection of sedimentary salts in the urine indicates a severe course of the disease.
Laboratory tests will help to more accurately diagnose and determine the stage of the disease. Based on the results of diagnosis, individual therapy is selected.
How to put a patient into remission?
Psoriasis in children is complicated by the fact that a number of many drugs and procedures are contraindicated in a small body. Therapy for the elimination of the disease should be comprehensive, affecting not only the symptoms, but also the mechanism of action of the disease. So how do you enter psoriasis in a child in remission and maintain it for a long time?
Traditional methods of treatment are the main method in the fight against illness. It is worth paying attention to the fact that not all drugs are well tolerated by the baby, so it is not superfluous to pay attention to contraindications.
Treatment of psoriasis in children takes place with the active use of these funds. They are quite effective and do not harm the small body. Such means include the following types of them:
- zinc pyrithione based ointment,
- Salicylic ointment.
All ointment must be used clearly according to the instructions in order to avoid overdose.
Preparations for oral administration
Since the treatment of psoriasis in children should have a comprehensive approach, the impact on the disease should take place not only externally but also internally. As a rule, a small group of drugs with a different spectrum of action is prescribed to babies, these include the following medications:
- vitamin complexes.
In advanced forms of psoriasis and with complications, hormonal drugs are used. To date, there are corticosteroids, adapted for young patients, so do not be alarmed if the doctor prescribes such means to the baby.
Ultraviolet radiation is widely used in anti-psoriasis therapy. Exposure to ultraviolet rays can take place either throughout the body, or pointwise, depending on the area affected. This procedure has the following effect:
- bactericidal action
- reduction of rash,
- prolonged remission.
The procedure is usually carried out in medical institutions, but there are some types of therapy that can be performed at home.
Another procedure that is widely used in the treatment of psoriasis. Therapy consists of exposure to ultraviolet rays in the form of a thin directional laser. The advantage of therapy is that the effect is strictly on psoriatic plaques, without touching healthy areas of the skin, which reduces the occurrence of adverse reactions. The dosage of radiation is calculated individually depending on the age and stage of the disease. The course of therapy gives the following result:
- plaques disappear completely
- remission lasts more than a year
- all symptoms disappear.
The patient should visit the physiotherapist 2-3 times a week. The course is 11-14 procedures.
It is possible to treat psoriasis in newborns with the help of therapeutic baths, in which sea salt and the curative mud of the Dead Sea are added. Conducting regular therapy sessions contributes to the following result:
- the itch is removed,
- wounds heal,
- gradually plaques brighten and disappear.
The positive effect of the procedure is due to the high content of beneficial minerals and salts in the components, which have a beneficial effect on the skin.
Important! This method is suitable for maintaining remission, in the period of exacerbation of this method should be abandoned, because salt can eat wounds.
If the wound on the body quite a bit, then before the procedure, you can smear them with a small layer of vaseline, which forms a protective film on the surface of the skin.
Diet in anti-psoriasis therapy
Since psoriasis in infants requires an integrated approach, compliance with the diet, which includes the following nuances, becomes essential in therapy:
- exclusion of allergen products,
- the presence of fiber in the diet,
- compliance with the diet.
Balanced nutrition will help maintain remission for a long time. If the baby is breastfed, nutritional restrictions are imposed on the mother’s diet.
Symptoms of psoriasis depending on the type of pathology
Psoriasis has several types. Each of them has distinctive symptoms and severity. The types of diseases include:
To severe forms of pathology include:
- Psoriatic arthritis.
- Psoriatric erythroderma.
Depending on the location of the rash on the body there are:
According to the severity of the disease:
Next, we consider how the initial stage of the disease looks like, depending on each species.
Первые проявления точечного псориаза – это образование на различных участках тела пятен небольшого диаметра, напоминающих точки. This type of disease is the only one in which the desquamation of the dermis may be mild or absent altogether.
Spots occur on the body, face, legs and hands. Often the rash is localized in the folds of the skin and places most prone to friction.
Photo of psoriasis.
What does psoriasis look like? (Photo)
How does psoriasis begin (photo)
Psoriasis at an early stage (photo)
Baby papule (photo)
Psoriasis and its treatment in adults and children
Finding out what psoriasis is and seeing the photo of the disease, you should pay special attention to the treatment of pathology. Uncomplicated forms of the disease are treated at home. Therapy consists in the use of topical preparations in the form of gels, ointments, creams, shampoos, soaps. In addition, you must follow a diet, give up bad habits, exclude other factors that provoke the disease.
In the case of complicated forms, the therapy is more serious; here, drug treatment in the form of ointments, tablets is used, and methods of physiotherapy treatment are also used.
Funds in the form of ointments can be hormonal and non-hormonal. Non-hormonal drugs are used in milder forms of pathology. These include:
These drugs rarely cause side effects, are well tolerated by patients.
Among the hormonal drugs for the external treatment of wounds used corticosteroids (hormones). The most popular are:
- prednisolone ointment.
The disadvantage of such funds is a high risk of side effects. With prolonged use, dry skin, stretch marks, and redness may occur. The negative side of treatment with hormonal agents is the addictive effect. Despite all this, in many cases it is impossible to do without steroid drugs, especially in such severe forms as pustular psoriasis and erythroderma.
Therapy of the disease will be successful only if the treatment will have a competent integrated approach using all necessary medications. In addition to ointments, the following groups of drugs are used to get rid of rashes:
- Antiallergic means - they help eliminate itching, redness, swelling (Diazolin, Zyrtec, Loratadin).
- Hepatoprotectors - support the normal functioning of the liver (Allohol, Kars).
- Enzyme preparations - contribute to the development of the necessary enzymes (Mezim, Pancreatin).
- Nonsteroidal anti-inflammatory drugs - eliminate the inflammatory process (Meloxicam, Ketoprofen).
- Soothing - normalize the patient's psychosomatic condition (Persen, Tonorma, Sedavit).
An important role in the treatment of the disease is played by drugs that normalize the work of the immune system. Immunomodulators for psoriasis are Methotrexate, Remicade, Timodepress and others.
All funds are used under the supervision of a physician with a clear adherence to the dosage and schedule of administration.
Diet for psoriasis
Nutrition during the disease should consist in the maximum limitation of allergen products, spicy, sour, salty foods. The patient should abandon smoked meat, marinades, citrus. It is necessary to exclude chocolate, honey, eggs, nuts, red fruits.
Preference should be given to cereals, vegetable soups, low-fat dairy products, fish and meat low-fat varieties. You can not drink alcohol and a large amount of caffeine.
Compliance with proper nutrition, the fulfillment of all doctor's orders and attentive attitude to your health will allow you to get rid of the disease and prevent its recurrence for many years.