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Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
Published on: February 9, 2024
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.
Introduction:
The association between vitiligo and thyroid disease is not fully investigated especially in paediatric patients.
Aim:
To determine the incidence of vitiligo and thyroid disorders in children. This is the first report from middle Anatolia and the second report from Turkey.
Material And Methods:
A retrospective chart review was performed to examine the presence of thyroid abnormalities in paediatric patients who had been admitted to the dermatology department with vitiligo.
Results:
A total of 155 paediatric patients, including 80 (52%) male and 75 (48%) female patients were included. The mean age was 8.6 years. Non segmental vitiligo was the most common type of the disease in 140 (90%) reviewed patients, while segmental vitiligo appeared only in 15 (10%) patients. The mean onset of vitiligo was 5.6 ±0.9 years. A family history of vitiligo was found in 14 (9%) children. Thirty-four (22%) patients had thyroid function tests and/or thyroid autoantibody abnormality. All of these patients had non segmental vitiligo. It was statistically significant (p < 0.05) in types of vitiligo and thyroid disease parameters.
Conclusions:
Our results show that it may be useful to screen thyroid in children with non segmental vitiligo.
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