ABSTRACT. Psoriasis has been associated with an abnormal plasma lipid metabolism, and changes of erythrocyte membrane lipid composition and fluidity have been shown in adult patients. To investigate whether the alterations of plasma lipids appear also in pediatric patients, we have studied plasma lipids and lipoproteins in 15 prepubertal children affected by mild-to-moderate psoriasis with respect to healthy controls. The patients showed higher levels of plasma total cholesterol (4.44 + 0.78 versus 4.03 f 0.58 mmol/L), a significant increase of cholesterol associated with HDL (1.39 +. 0.26 versus 1.13 +. 0.28 mmol/ L, p = 0.02), and a significant decrease of the ratio LDL cholesterol to HDL cholesterol (1.73 + 0.6 versus 2.46 2 0.8, p = 0.02). By using fluorescence polarization of 1,6-diphenyl-1,3,5-hexatriene, we have shown a significant increase in fluidity in erythrocyte membrane of psoriatic children that was associated with a slight, but not significant, decrease in the cholesterol to protein ratio (422 + 127 versus 503 f 117 nmol/mg). No significant changes of phospholipid fatty acid composition have been shown, in disagreement with previous studies in adult patients. Our results support the relation between childhood psoriasis and plasma lipid changes, which are likely related to the slight compositional changes in erythrocytes. However, the observed abnormalities are expressed differently in children than in adults. (Pediatr Res 33: 506-509, 1993) Abbreviations DPH, 1,6-diphenyl-1,3,5-hexatriene HDL-C, cholesterol associated with high-density lipoprotein LDL-C, cholesterol associated with low-density lipoprotein Pf, fluorescence polarization TC, total cholesterol TG, triglyceride VLDL-C, cholesterol associated with very low-density lipoprotein Psoriasis is a chronic inflammatory skin disease characterized by an accelerated turnover of epidermal cells and an incomplete differentiation in lesional epidermidis. The etiology of psoriasis is unknown, but genetic, metabolic, and immunologic mechanisms have been proposed (1). Various disorders of the plasma lipid and lipoprotein pattern that include an increase in TG in VLDL and a decrease in HDL-C have been shown in adult