Pediatric Psoriasis in Patient with Obesity

Elin Herlina, Eunice Gunawan, Retno Indar Widayati, Widyawati, Indra Wijaya

2019

Abstract

Psoriasis is an immunologically mediated chronic inflammatory skin disease, characterized by well-defined salmon-pink plaques bearing large adherent silvery centrally attached scales. The prevalence in children aged 10-19 years is about 1.37%. Pediatric psoriasis has been associated with specific comorbidities, such as obesity, hypertension, hyperlipidemia, diabetes mellitus, and rheumatoid arthritis, making early diagnosis and management essential.A 12-year-old boywhose have body weight was 120 kilograms presented with erythematous patches and plaques covered by thick silvery scales on his face, trunk, belly, elbows, lower limbs, and knees. Patient felt itchy onthose lesions. The diagnosis was made based on clinical history, clinical examination, and histopathology examination. Histopathological examination showed tissue covered by keratinized stratified squamous epithelium, hyperkeratotic, parakeratotic, acanthosis, regular rete ridges, the dermis consisted of skin adnexa and fibro collagenous stroma connective tissue with perivascular lymphocytes. The patient was treated with Methotrexate 5mg per 12 hours given on the first and second day of every week, folic acid 1 mg per day is given on the third to seventh day every week, 0.25% desoximetasone cream and 10% urea cream twice daily. Information, education, communication, and psychological support were provided to the patient and his parents.A good response was observed after two months of treatment.

Paper Citation

in Harvard Style

Herlina E., Gunawan E., Widayati R., Widyawati. and Wijaya I. (2019). Pediatric Psoriasis in Patient with Obesity.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 380-383. DOI: 10.5220/0009989503800383

in Bibtex Style

@conference{ictromi19,
author={Elin Herlina and Eunice Gunawan and Retno Indar Widayati and Widyawati and Indra Wijaya},
title={Pediatric Psoriasis in Patient with Obesity},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={380-383},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009989503800383},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Pediatric Psoriasis in Patient with Obesity
SN - 978-989-758-469-5
AU - Herlina E.
AU - Gunawan E.
AU - Widayati R.
AU - Widyawati.
AU - Wijaya I.
PY - 2019
SP - 380
EP - 383
DO - 10.5220/0009989503800383