Thyroid abnormalities in paediatric patients with vitiligo: retrospective study

Demet Kartal1, Murat Borlu1, Salih Levent Çınar1

  • 1Department of Dermatology and Venereology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Insights

Screening for thyroid disorders is recommended in children diagnosed with nonsegmental vitiligo, as a significant association was found. This study highlights the importance of early detection in pediatric patients with vitiligo.

Area of Science:

  • Pediatric Dermatology
  • Endocrinology
  • Autoimmune Diseases

Background:

  • The link between vitiligo and thyroid disease requires further investigation, particularly in pediatric populations.
  • Vitiligo, a condition causing skin depigmentation, can be associated with underlying autoimmune disorders.

Purpose of the Study:

  • To determine the incidence of vitiligo and associated thyroid disorders in children.
  • This study provides the first data from Middle Anatolia and the second from Turkey on this pediatric cohort.

Main Methods:

  • A retrospective chart review was conducted.
  • Paediatric patients admitted to the dermatology department with vitiligo were assessed for thyroid abnormalities.

Main Results:

  • 155 pediatric patients (mean age 8.6 years) were included; 90% had nonsegmental vitiligo.
  • Thyroid abnormalities were detected in 22% of patients, all of whom had nonsegmental vitiligo.
  • A statistically significant association (p < 0.05) was observed between vitiligo type and thyroid disease parameters.

Conclusions:

  • Screening for thyroid dysfunction in children with nonsegmental vitiligo is advisable.
  • Early detection and management of thyroid disorders can improve outcomes for pediatric patients with vitiligo.
Abstract

Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
8.4K
Functions of Thyroid Hormones01:18

Functions of Thyroid Hormones

The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
6.4K
Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
8.7K
Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
4.1K
Adrenal Gland Disorders01:27

Adrenal Gland Disorders

Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
3.7K
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
6.5K