Psoriasis in special cases (pregnancy, children, elderly)

Psoriasis needs special care in pregnancy, children and older adults.

Pregnancy and breastfeeding

• Psoriasis may improve, stay the same or worsen in pregnancy
• Moisturisers and mild topical steroids are generally used, as advised by a doctor
• Some medicines must be avoided, such as methotrexate, acitretin and some others. Plan pregnancy with your doctor, as medicines may need to change before conception.
• Some biologics are used under specialist guidance
• Do not use herbal or Ayurvedic preparations without medical advice, as some contain heavy metals or hidden steroids
• Tell your doctor if you are breastfeeding

Children

• Psoriasis can start in childhood, often after a throat infection, and can look like diaper rash, scalp scales or small drop-like spots
• A paediatric dermatologist should guide treatment
• Moisturisers and mild creams are first-line, and strong steroids should be used carefully and for short periods
• Do not use adult medicines, unregulated creams or home remedies on children
• Support children emotionally, as appearance can affect confidence and school life

Older adults

• Skin is thinner, so steroid creams can cause more damage, and need careful use