Signs and Symptoms
Psoriasis can look different in kids than it does in adults. Common symptoms include:
- Red patches of skin: These areas often have thick, silvery scales and appear on the elbows, knees, scalp and lower back.
- Itching and discomfort: Psoriasis can be itchy and painful, which might mess with your child’s sleep and overall mood.
- Nail changes: Kids with psoriasis may get nail pits, ridges or discoloration.
- Joint issues: Some kids may develop psoriatic arthritis, leading to swollen joints and discomfort.
What Causes Psoriasis?
“We don’t know the exact cause of pediatric psoriasis yet, but it’s thought to result from a combination of genetic and environmental factors,” says Carilion Clinic Pediatric Dermatologist Howard Pride, MD.
“A family history of psoriasis or other autoimmune conditions can increase the likelihood of developing the disease. Infections like strep throat, skin injuries, stress and certain medications can also trigger or worsen symptoms.”
During diagnosis, a dermatologist will check your child’s skin, medical history and family history. Sometimes, they might do a skin biopsy to rule out other skin conditions.
How to Help Manage Your Child’s Psoriasis
There‘s currently no cure for psoriasis, but there are plenty of ways to help manage it and improve quality of life:
- Topical treatments: Corticosteroids, retinoids and other topical medications are often prescribed to reduce inflammation and scaling.
- Phototherapy: Controlled exposure to UV light can help slow skin cell growth and reduce inflammation. This is often used for moderate to severe cases.
- Medications: For more serious cases, oral or injectable medications that target the immune system may be considered. These include methotrexate, cyclosporine and biologics.
- Lifestyle changes: A healthy diet, regular exercise and managing stress can help. Keeping your child’s skin moisturized is also key to preventing flare-ups.
Supporting Your Child Emotionally
Psoriasis isn’t just about the physical symptoms. Kids with visible skin conditions can feel self-conscious or be teased, which can take a toll on self-esteem. It’s important to talk openly with your child about their feelings and experiences. Support groups and counseling can also be helpful for both kids and their families.
While pediatric psoriasis can be tough to deal with, the right management and support can help your child live a happy, active life. Early diagnosis and treatment are crucial. If you suspect your child may have psoriasis, consult a healthcare professional to discuss the best course of action.
Learn more about Carilion Clinic Dermatology and Mohs Surgery care team and locations.
