Psoriasis most often occurs in young adults,
However, if there is a family history, the age of onset may be earlier in some cases. It is not uncommon to see patients with psoriasis in outpatient clinics, ranging from preschoolers to adolescents in their early teens. It is often triggered by illnesses such as colds and tonsillitis. Note that the etiology of psoriasis is unknown, so the cold is only a triggering factor for psoriasis, not its direct cause. The favorable factors for the treatment of pediatric psoriasis are that it is mostly of first onset and has not undergone indiscriminate treatment; therefore, it is easier to cure and the remission period is usually longer after cure. Psoriasis is a disease that has a tendency to heal itself, which means that even without treatment, some patients can gradually get better. The disadvantage of pediatric psoriasis treatment is not really the disease itself, but the improper treatment. It can be responsibly said that pediatric psoriasis is best treated with Chinese medicine. All western medicines for psoriasis have side effects. Psoriasis vulgaris is a benign skin disease that does not affect other organs of the body or the growth and development of children. Therefore, oral western medicine for psoriasis is completely unnecessary; moreover, it will relapse more quickly after stopping the medicine, and the side effects of the medicine will also cause harm to the child. Topical western preparations for the treatment of psoriasis, tacalcitol or carbotriol that do not contain hormones can be used. Another is the hormone-containing topical drugs, wipe on a week or so, the rash will subside, but after stopping the drug will soon relapse, relapse again, stop using and relapse, so repeatedly, the side effects of hormones will appear over time, and the therapeutic effect will be weakened, that is, drug resistance. At this time, the topical hormone will be upgraded from weak to medium to strong. However, no matter how long you use them, you will eventually relapse soon after you stop using them, and the rash will become more and more frequent. Pediatric psoriasis is recommended to be treated by Chinese medicine, but first of all, the use of shoddy medicine under the banner of Chinese medicine cannot be considered Chinese medicine treatment, and it is recommended not to take capsules, pills, or powder of unknown composition to prevent counterfeiting. Children are not a smaller version of adults, and treatment is not a reduction of adult medication. According to Chinese medicine, children are “pure yang” and “infantile yin and yang”. What does this mean? Children are in the vigorous stage of growth and development, Yang is bound to flourish, so it is said to be the body of pure Yang; childish Yin and childish Yang means that children’s internal organs are delicate, the form of gas is not yet full, Yin and Yang are tender, Yang is easily damaged, Yin is easily depleted. Pediatric medicine has its own characteristics. On the other hand, children’s dirty qi is clear and easy to recover. As long as the treatment is proper, the effect is fast, and the improvement can be seen in 2 weeks, and the rash can subside or mostly subside in one course of treatment, i.e. 2 months. There are not many allopathic Chinese medicines available, so it is best to prescribe a soup for the specific condition and constitution of the child. It is possible to substitute decoction or use granule form. If the child’s condition is not serious and the rash is sparse (you can count them), you can use topical Chinese medicine alone to observe for a period of time. It may also subside naturally. It is better not to treat than to treat indiscriminately. As for the use of topical medication, if the rash is not itchy and scales are not too much, you can do without topical medication. If you have scales and itch, use pure Chinese medicine preparations or use emollients. It should be noted that some of the so-called herbal creams sold in pharmacies actually have hormonal ingredients. There is a simple way to identify them. If you use topical medication for a few days, you can see a significant improvement, and then you relapse a few days after stopping the medication, you should use this medicine with caution. Talking about the recurrence of psoriasis again, psoriasis is a recurrent skin disease. The possibility of recurrence after the lesions have subsided is certain. But I think there are various reasons and circumstances for recurrence. This issue will be discussed in detail in another article. Some people have a bad constitution and catch a cold every year; some people catch a cold once every few years and get well more easily, or they don’t take any medicine and get well in a few days; some people rarely catch a cold. So it seems that as long as the relapse is not a rebound caused by indiscriminate treatment, the relapse of psoriasis is not so terrible.