Table 1.
Monitoring guidelines for comorbidities in pediatric psoriasis
Comorbidity | Guidelines |
---|---|
Obesity | Screen for overweight and obesity using BMI criteria at two years of age |
Type 2 diabetes | Screen obese children or overweight using fasting serum glucose with risk factors every three years starting at age ten years or puberty onset |
Dyslipidemia | Screen children ages 9-11 years and aged 17-21 years using fasting lipid panel |
Otherwise: screen children with cardiovascular risk factors | |
Hypertension | Screen yearly starting at age three years (age/sex/height reference charts) |
Nonalcoholic fatty liver disease | Screen obese children overweight with risk factors using ALT starting at age 9-11 years, consider repeating in two to three years |
Mood changes | Screen yearly for depression and anxiety regardless of age. |
Screen yearly for substance abuse starting at age 11 years. |