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
• Other conditions and medicines, such as heart, kidney or liver disease, affect treatment choice
• Keep skin moisturised and avoid falls from slippery creams in the bath

People with other conditions

Psoriasis is linked with diabetes, heart disease, obesity and depression, so check blood pressure, sugar and cholesterol regularly.

Ayurvedic view (interpretive)

Traditional practitioners advise caution with strong herbs and purification in pregnancy, childhood and old age. Evidence is limited.

When to get help

See a doctor for widespread peeling skin with fever, pustules, or joint swelling.

Remember

Pregnancy, children and older adults need medical guidance before any treatment, including herbal products.