Psoriasisli çocuk hastaların klinik ve demografik özelliklerinin retrospektif olarak değerlendirilmesi

Year 2019, Volume: 16 Issue: 2, 321 - 325, 29.08.2019

Mahmut Demir , Mustafa Aksoy

https://doi.org/10.35440/hutfd.491500

Abstract

 

Amaç:
Psoriasis immün aracılı inflamatuar bir dermatoz olup, pediatrik dermatozların
%4’ünü oluşturur. Çalışmamızda, psoriasisli çocuklarda klinik ve demografik
özelliklerin değerlendirilmesi amaçlanmıştır.

Materyal ve Metot:
Çalışmaya, 70 psoriasisli çocuk hasta alındı. Yaş, cinsiyet, hastalık başlangıç
yaşı, eklem veya tırnak tutulumu, klinik tip, lezyon dağılımı, hastalık
şiddeti, aile öyküsü, eşlik eden hastalık, alınmış/alınmakta olan tedaviler,
sigara kullanımıyla beden kitle indeksi parametreleri kaydedildi. Veriler
istatistiksel olarak analiz edildi.

Bulgular:
Hastaların 36’sı kız (%51.4), 34’ü erkekti (%48.5). Kız/erkek oranı 1.058/1
idi. Ortalama başlangıç yaşı 8.01±4.56 idi. En sık başlangıç yaş aralığı 0-5
idi (%34.28). Aile öyküsü %31.40’ünde, eşlik eden hastalık %8.57’sinde, eklem
tutulumu %10’unda, tırnak tutulumu %18.57’sinde ve sigara kullanımı %8.57’sinde
mevcuttu. En sık klinik tip plak tip (%68.57), en sık yerleşim yeri saçlı
deri/yüz bölgesi (%74.28) ve en sık kullanılan sistemik ajan metotreksat idi
(%18.57).

Sonuç:
Sonuçlarımız, önceki çalışma sonuçlarıyla çoğunlukla uyumluydu. Klinik tipler
sırasıyla plak, guttat, palmoplantar ve püstüler olup, hiçbir hastada
eritrodermik forma rastlanmadı. Kız hastalarda palmoplantar tutulum gözlenmedi.
Hastaların %45.71’inde hafif, %24.28’inde orta şiddetli ve %30’unda şiddetli
psoriasis mevcuttu. İki hastada vitiligo mevcuttu.

Literatürde
çocukluk çağı psoriasis hastalarının klinik ve sosyodemografik özelliklerini
değerlendiren çalışma sayısı az olup, veriler oldukça değişkendir. Çalışma
sonuçlarımızı daha iyi değerlendirebilmek için, ileri çalışmalara ihtiyaç
olduğu kanaatindeyiz.

 

Keywords

Psoriasis, çocuk, demografi, retrospektif çalışma

The retrospective evaluation of clinical and demographic features of children with psoriasis

Abstract

Background:
Psoriasis is an immune-mediated inflammatory dermatosis and constitutes 4% of
the pediatric dermatosises. In our study, evaluation of the clinical and
demographic characteristics of children with psoriasis has been aimed.

Methods: 70 children with
psoriasis were included to the study. Parameters such as age, gender, disease,
age of onset, joint or nail involvement, clinical type, distribution of
lesions, severity of the disease, family history, accompanying disease,
received/receiving treatments, smoking habits and body mass index were
recorded. The data were statistically analyzed.

Results: 36 of the patients
were girls (51.4%) and girl/boy ratio was: 1.058/1. Average age of onset was
8.01±4.56. The most frequent age of onset was 0-5 (%34.28). 31.40% of the
patients had family history, 8.57% of them had accompanying disease, 10% of
them had joint involvement, 18.57% of them had nail involvement and 8.57% of
them were smoking. The most frequent clinical type was plaque type (68.57%),
the most frequent parts that the disease was observed were hairy skin/face
areas (74.28%), and the most frequently used systemic agent was methotrexate
(18.57%).

Conclusion:
Our results were mostly compatible with previous study results. In literature,
the amounts of studies that evaluate the clinic and sociodemographic
characteristics of the children with psoriasis are few and data are quite
variational.

 

Keywords

Psoriasis, child, demography, retrospective study

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