Pediatric Psoriasis: Clinical Aspects and Comorbidities: A Study of 50 Patients in Morocco
I. Boubnane *
Department of Dermatology and Venereology, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco.
Z. Mehsas
Department of Dermatology and Venereology, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco.
S. Sektaoui
Department of Dermatology and Venereology, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco.
K. Senouci
Department of Dermatology and Venereology, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco.
N. Ismaili
Department of Dermatology and Venereology, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Aims: The objective of our study was to describe the epidemiological and clinical characteristics of pediatric psoriasis, as well as metabolic comorbidities and cardiovascular diseases.
Study Design: Retrospective descriptive study.
Place and Duration of Study: Dermatology department of the CHU of Rabat Morocco over a two- and half-year period.
Methodology: We conducted a retrospective descriptive study collecting the cases of psoriasis in children followed in the pediatric dermatology consultation of Ibn Sina University Hospital of Rabat Morocco over a two- and half-year period.
Results: We collected 50 patients. A female predominance was notedwith a sex ratio of 0.58. Concerning the antecedents; Parental consanguinity was identified in 8 % of cases, family history of psoriasis in only 6% and the atopy in 16%. The triggering factors were an infection in 12% of cases and psychological trauma in 6 % of cases. Concerning the metabolic comorbidity, one case of diabetes (2%), one case of obesity (2%) and three cases of overweight (6%) were noted. however, no cases of dyslipidaemia were reported.Psoriasis vulgaris was the most frequent clinical presentation (48 %), followed by guttate psoriasis (34%), inverted psoriasis (10%), napkin psoriasis (4 %) and blaskoline psoriasis (2 %). Palmoplantar involvement was observed in 10 % of cases, nail involvement in 22% and scalp involvement in 40 %. Oral mucosal involvement was noted in only one patient.
Keywords: Psoriasis;, comorbidities;, cardiovascular diseases