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Mohammed Saiful Islam Bhuiyan

Mohammed Saiful Islam Bhuiyan

Bangabandhu Sheikh Mujib Medical University, Bangladesh

Title: Pattern of childhood psoriasis in Bangladesh

Biography

Biography: Mohammed Saiful Islam Bhuiyan

Abstract

Approximately one third cases of psoriasis start before age 16 and their presentation is remarkably variable in children. In Bangladesh very few clinical and epidemiological studies have been done on pediatric psoriasis. This multi-center observational study was conducted in Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital between July 2011 and June 2015. Pattern of presentation of psoriasis including family history, age, sex, preceding streptococcal infection, pruritus, site of involvement, type, severity, nail involvement and psoriatic arthritis were observed over 138 children (1 day to 18 years). Among them 51.45% were girls and 48.55% were boys, mean age of onset of psoriasis were 7.54±2.73 years, peak age of onset was 6-9 years and positive family history was found in 11.59%. Pruritus was present in 81.16% cases and history of streptococcal sore throat was found in 39.86% cases. Most of the children presented with classic plaque 69.57% and guttate variety were the next common type (18.84%). Erythrodermic, acropustulosis, pustular, psoriasis-eczema overlap, sebopsoriasis, linear and flexural are the other types of pediatric psoriasis. Most of the kids (75.36%) give history of scalp involvement at some point of their sickness. Other commonly involved sites were extensor extremities (41.30%) and trunk (37.68%). Nail and joint involvement were found in 20.29% and 2.90% of children with psoriasis respectively. Knowing these variable presentations of childhood psoriasis is crucial for diagnosis, management and monitoring of this chronic disfiguring disease.