The management of psoriasis in children and adolescents.

The onset of psoriasis in childhood is common. As many as forty percent of adult patients with psoriasis have reported manifestations of this condition in childhood, with at least one-third of patients demonstrating features of psoriasis before the age of 16.1 The psychosocial impairment, in addition to the physical affliction that can result from psoriasis is a reminder that early recognition and management of psoriasis in children and adolescents is crucial. Several recent studies have investigated the use of standard psoriasis therapies in children with psoriasis, including topical treatments, phototherapy, and systemic therapies. The inflammatory nature of psoriasis has also prompted further study of the use of biologic therapeutics in children, where targeted treatments may offer a safer option. This review will discuss current options available for the management of childhood and adolescent psoriasis.