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Clinical epidemiological profile of vitiligo in children and adolescents

Flauberto de Sousa Marinho1, Pablo Vitoriano Cirino2, Nurimar C Fernandes3

  • 1Department of Dermatology, Clementino Fraga Filho University Hospital, Rio de Janeiro Federal University, Rio de JaneiroRJ, Brazil, MD - Resident in Dermatology - Department of Dermatology - Clementino Fraga Filho University Hospital - Rio de Janeiro Federal University (HUCFF - UFRJ) - Rio de Janeiro (RJ), Brazil.

Anais Brasileiros De Dermatologia
|January 30, 2014
PubMed

Insights

This study on pediatric vitiligo found the generalized type most common. Topical steroids showed similar clinical responses, with psychological factors noted in many young patients.

Area of Science:

  • Pediatric Dermatology
  • Dermatology
  • Clinical Medicine

Background:

  • Vitiligo is a chronic skin condition affecting children and adolescents.
  • Understanding the epidemiology and clinical presentation of pediatric vitiligo is crucial for effective management.
  • Psychological impact is a significant concern in pediatric dermatological conditions.

Purpose of the Study:

  • To describe the clinical characteristics and treatment outcomes of pediatric vitiligo.
  • To investigate the prevalence of associated conditions like halo nevi.
  • To assess the psychological impact of vitiligo in young patients.

Main Methods:

  • Retrospective analysis of 119 pediatric patients with vitiligo.
  • Data collected from 2005-2011 at Martagão Gesteira Childcare and Pediatrics Institute.
  • Evaluation of clinical forms, treatment response to topical steroids, and psychological assessments.

Main Results:

  • Generalized vitiligo was the most prevalent clinical form (34%).
  • Topical steroids (low and high potency) were utilized with similar clinical responses.
  • Halo nevi observed in 5.9% of cases; 25% of patients had specialized evaluations, with 60% reporting psychological issues.

Conclusions:

  • Pediatric vitiligo, particularly the generalized type, requires attention.
  • Topical steroids are effective, with comparable outcomes between different potencies.
  • The high prevalence of psychological distress highlights the need for integrated care in pediatric vitiligo management.

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