Red flags & when to go in person for Psoriasis (Mild) in Children

Audience: pediatric

Mild psoriasis in children usually causes patches of red, scaly skin that can be itchy or uncomfortable. It often appears on areas like the elbows, knees, or scalp. While mild cases can often be managed at home or through telemedicine visits, it is important to watch for signs that need in-person care. These include sudden worsening, signs of infection, or if the child feels very unwell. Telemedicine can help with routine check-ins, advice on skin care, and managing mild symptoms. However, if there are concerns about more serious symptoms or if treatment is not working, an in-person visit is important. This guide helps families understand when to seek in-person care and what to expect during telemedicine visits for mild pediatric psoriasis.

Red flags — go in person / ER

• Rapidly spreading or worsening rash needing urgent evaluation
• Signs of skin infection such as increased redness, warmth, swelling, pain, or pus
• High fever or child feeling very unwell requiring immediate medical attention

What telemedicine can do

• Routine check-ins for mild psoriasis symptoms
• Advice on skin care and use of moisturizers or mild topical treatments
• Monitoring treatment response and symptom changes

What telemedicine cannot do

• Evaluation of rapidly worsening or spreading rash
• Assessment of suspected skin infections
• Diagnosis or management of joint pain or other systemic symptoms
• Emergency situations such as high fever or severe illness

What is Mild Psoriasis in Children?

Mild psoriasis is a common skin condition that causes patches of red, scaly, and sometimes itchy skin. In children, it often shows up on the elbows, knees, scalp, or torso. It is usually not painful but can cause discomfort or embarrassment. The condition tends to come and go and may improve with treatment and good skin care.

When to Use Telemedicine for Mild Psoriasis

Telemedicine can be a good way to check in with a healthcare provider about mild psoriasis. Through video or phone visits, doctors can look at the skin, discuss symptoms, and suggest treatments like moisturizers or mild creams. Telemedicine is helpful for routine follow-ups or if you have questions about managing the condition at home.

Red Flags That Need In-Person Care

Sometimes, mild psoriasis can get worse or cause other problems. You should seek in-person care if your child has:

If any of these occur, a healthcare provider needs to examine your child in person.

How to Prepare for a Telemedicine Visit

Before your telemedicine appointment:

This preparation helps the provider give the best advice remotely.

After the Telemedicine Visit

After your appointment, follow the provider's instructions carefully. This may include:

Keep a record of treatments and any side effects to discuss at future visits.

How to prepare for your tele-visit

• Choose a quiet, well-lit area for the telemedicine visit
• Have your child's affected skin areas uncovered and ready to show
• Prepare a list of symptoms and any changes since the last visit
• Gather information on current treatments or medications
• Ensure your device has a stable internet connection

After your tele-visit

• Follow the healthcare provider's treatment recommendations carefully
• Monitor your child's skin for any changes or side effects
• Schedule follow-up visits as advised
• Seek in-person care promptly if red flags or worsening symptoms appear

FAQs

Can mild psoriasis in children be treated at home?

Yes, mild psoriasis can often be managed at home with regular use of moisturizers, gentle skin care, and sometimes mild topical medications prescribed by a healthcare provider.

When should I worry about my child's psoriasis?

You should seek in-person medical care if your child's rash spreads quickly, shows signs of infection (like redness, swelling, or pus), if your child develops a fever, or if they feel very unwell.

Is telemedicine a good option for managing my child's psoriasis?

Telemedicine can be very helpful for routine check-ins and managing mild symptoms. It allows you to get advice and treatment without leaving home, but it cannot replace in-person care when symptoms worsen.

Can psoriasis cause joint pain in children?

Sometimes psoriasis is linked to joint pain or swelling, known as psoriatic arthritis. If your child develops joint symptoms, they should be evaluated in person by a healthcare provider.

Sources

1. Psoriasis - MedlinePlus — U.S. National Library of Medicine / National Institutes of Health.
2. Psoriasis - Mayo Clinic — Mayo Clinic.
3. Psoriasis - Centers for Disease Control and Prevention (CDC) — U.S. Department of Health and Human Services.
4. Psoriasis in Children - American Academy of Pediatrics — American Academy of Pediatrics.

This telemedicine guidance is for education only and is not a substitute for in-person medical care. If your child has urgent or severe symptoms, please seek immediate medical attention.