Psoriasis inversa en lactantes: Presentación de caso y revisión de la literatura.
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| Title: | Psoriasis inversa en lactantes: Presentación de caso y revisión de la literatura. |
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| Alternate Title: | Inverse psoriasis in infants: Case presentation and literature review. |
| Authors: | Lizardo Castro, Gustavo Adolfo1 glizardoc@yahoo.com, Méndez Varela, Belkis Elizabeth2 |
| Source: | Acta Pediatrica de Mexico. may/jun2025, Vol. 46 Issue 3, p321-327. 7p. |
| Subjects: | SEBORRHEIC dermatitis, DISEASE relapse, EARLY diagnosis, PSORIASIS, QUALITY of life |
| Abstract (English): | BACKGROUND: Inverse psoriasis is a chronic, relapsing inflammatory disease, a clinical variant of psoriasis, characterized by well-defined erythematous lesions, with little or no scale, involving the body folds, most often the axillary, anogenital and inframammary folds. The prevalence is highly variable from 3 to 36%, due to the lack of diagnostic criteria, consensus, and whether genital involvement is considered part of the disease. The diagnosis is clinical, but in cases of doubt, histopathology is confirmatory. The affected areas (folds) are more sensitive and prone to the adverse effects of topical corticosteroids, which are the first line of treatment. CLINICAL CASE: 10-month-old female with dermatosis of one month's duration, with lesions in the armpits, inguinal and retroauricular folds, consisting of erythematous, moist, shiny lesions with few scales. Laboratory analyzes were normal, and the biopsy confirmed the diagnosis of inverse psoriasis, the management of which with low- and medium-potency topical corticosteroids was satisfactory. CONCLUSIONS: Inverse psoriasis is a rare clinical variant of psoriasis, whose diagnosis can be challenging, due to its similarity to other skin disorders that affect the folds, such as candidal intertrigo or seborrheic dermatitis. The chronic course, with exacerbations and remissions, as well as the potential associated comorbidities, have a strong impact on quality of life. Early diagnosis and timely management, with the best current and future therapeutic options, must be considered for the benefit of the patient and her environment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: La psoriasis inversa es una enfermedad inflamatoria crónica y recidivante, variante clínica de la psoriasis, caracterizada por lesiones eritematosas bien delimitadas, con poca o ninguna escama, que involucra los pliegues corporales, más a menudo los axilares, anogenitales e inframamarios. La prevalencia es altamente variable de 3 a 36%, por la falta de criterios diagnósticos, de consenso, y de si la afectación genital es considerada parte de la enfermedad. El diagnóstico es clínico, pero en casos de duda, la histopatología es confirmatoria. Las áreas afectadas (pliegues), son más sensibles y propensos a los efectos adversos de los corticosteroides tópicos, que son la primera línea de tratamiento. CASO CLÍNICO: Paciente femenina de 10 meses de edad con dermatosis de un mes de evolución, con lesiones en pliegues de axilas, inguinales y retroauriculares, constituidas por lesiones eritematosas, húmedas, brillantes y con escasa escama. Los análisis de laboratorio resultaron normales, y la biopsia confirmó el diagnóstico de psoriasis inversa, cuyo manejo con corticosteroides tópicos, de baja y mediana potencia fue satisfactorio. CONCLUSIONES: La psoriasis inversa es una variante clínica rara de psoriasis, cuyo diagnóstico puede ser desafiante, por la semejanza con otros trastornos de la piel que afectan los pliegues, como el intertrigo candidiásico o la dermatitis seborreica. El curso crónico, con exacerbaciones y remisiones así, como las potenciales comorbilidades asociadas, tienen un fuerte impacto en la calidad de vida. El diagnóstico temprano y manejo oportuno, con las mejores opciones terapéuticas actuales y futuras, deben ser consideradas en beneficio del paciente y su entorno. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 186322226 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Psoriasis inversa en lactantes: Presentación de caso y revisión de la literatura. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Inverse psoriasis in infants: Case presentation and literature review. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Lizardo+Castro%2C+Gustavo+Adolfo%22">Lizardo Castro, Gustavo Adolfo</searchLink><relatesTo>1</relatesTo><i> glizardoc@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Méndez+Varela%2C+Belkis+Elizabeth%22">Méndez Varela, Belkis Elizabeth</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Pediatrica+de+Mexico%22">Acta Pediatrica de Mexico</searchLink>. may/jun2025, Vol. 46 Issue 3, p321-327. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22SEBORRHEIC+dermatitis%22">SEBORRHEIC dermatitis</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+relapse%22">DISEASE relapse</searchLink><br /><searchLink fieldCode="DE" term="%22EARLY+diagnosis%22">EARLY diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22PSORIASIS%22">PSORIASIS</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITY+of+life%22">QUALITY of life</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Inverse psoriasis is a chronic, relapsing inflammatory disease, a clinical variant of psoriasis, characterized by well-defined erythematous lesions, with little or no scale, involving the body folds, most often the axillary, anogenital and inframammary folds. The prevalence is highly variable from 3 to 36%, due to the lack of diagnostic criteria, consensus, and whether genital involvement is considered part of the disease. The diagnosis is clinical, but in cases of doubt, histopathology is confirmatory. The affected areas (folds) are more sensitive and prone to the adverse effects of topical corticosteroids, which are the first line of treatment. CLINICAL CASE: 10-month-old female with dermatosis of one month's duration, with lesions in the armpits, inguinal and retroauricular folds, consisting of erythematous, moist, shiny lesions with few scales. Laboratory analyzes were normal, and the biopsy confirmed the diagnosis of inverse psoriasis, the management of which with low- and medium-potency topical corticosteroids was satisfactory. CONCLUSIONS: Inverse psoriasis is a rare clinical variant of psoriasis, whose diagnosis can be challenging, due to its similarity to other skin disorders that affect the folds, such as candidal intertrigo or seborrheic dermatitis. The chronic course, with exacerbations and remissions, as well as the potential associated comorbidities, have a strong impact on quality of life. Early diagnosis and timely management, with the best current and future therapeutic options, must be considered for the benefit of the patient and her environment. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: La psoriasis inversa es una enfermedad inflamatoria crónica y recidivante, variante clínica de la psoriasis, caracterizada por lesiones eritematosas bien delimitadas, con poca o ninguna escama, que involucra los pliegues corporales, más a menudo los axilares, anogenitales e inframamarios. La prevalencia es altamente variable de 3 a 36%, por la falta de criterios diagnósticos, de consenso, y de si la afectación genital es considerada parte de la enfermedad. El diagnóstico es clínico, pero en casos de duda, la histopatología es confirmatoria. Las áreas afectadas (pliegues), son más sensibles y propensos a los efectos adversos de los corticosteroides tópicos, que son la primera línea de tratamiento. CASO CLÍNICO: Paciente femenina de 10 meses de edad con dermatosis de un mes de evolución, con lesiones en pliegues de axilas, inguinales y retroauriculares, constituidas por lesiones eritematosas, húmedas, brillantes y con escasa escama. Los análisis de laboratorio resultaron normales, y la biopsia confirmó el diagnóstico de psoriasis inversa, cuyo manejo con corticosteroides tópicos, de baja y mediana potencia fue satisfactorio. CONCLUSIONES: La psoriasis inversa es una variante clínica rara de psoriasis, cuyo diagnóstico puede ser desafiante, por la semejanza con otros trastornos de la piel que afectan los pliegues, como el intertrigo candidiásico o la dermatitis seborreica. El curso crónico, con exacerbaciones y remisiones así, como las potenciales comorbilidades asociadas, tienen un fuerte impacto en la calidad de vida. El diagnóstico temprano y manejo oportuno, con las mejores opciones terapéuticas actuales y futuras, deben ser consideradas en beneficio del paciente y su entorno. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.18233/apm.v46i3.2862 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 321 Subjects: – SubjectFull: SEBORRHEIC dermatitis Type: general – SubjectFull: DISEASE relapse Type: general – SubjectFull: EARLY diagnosis Type: general – SubjectFull: PSORIASIS Type: general – SubjectFull: QUALITY of life Type: general Titles: – TitleFull: Psoriasis inversa en lactantes: Presentación de caso y revisión de la literatura. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Lizardo Castro, Gustavo Adolfo – PersonEntity: Name: NameFull: Méndez Varela, Belkis Elizabeth IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: may/jun2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01862391 Numbering: – Type: volume Value: 46 – Type: issue Value: 3 Titles: – TitleFull: Acta Pediatrica de Mexico Type: main |
| ResultId | 1 |
