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Clinico-epidemiology vitiligo profile in childhood at Mangusada General Hospital Badung

Abstract

Introduction: Vitiligo is a depigmentation disorder characterized by well-demarcated white macules and patches on the skin. Vitiligo commonly occurs in children or young adults. Vitiligo can be classified into segmental, non-segmental and mixed type. Childhood vitiligo is often associated with many negative consequences, especially marked psychosocial and long-lasting effects on the self-esteem of the affected children. This study investigated characteristics and risk factors associated with vitiligo in childhood.

Method: This was a retrospective descriptive study of patient aged 0-18 years old that was diagnosed with vitiligo derived from interview and medical records of Dermatovenereology Outpatient Clinic in Mangusada Hospital, Badung, Bali, from January to September 2023. This study included profiling data such as gender, the onset of vitiligo, clinical distribution, risk factors, and family history that suggested influencing the development of vitiligo. This study used a total sampling method, and 21 patients were participating.

Results: Vitiligo in childhood was found in 11 patients female (52%) and 10 male (48%) patients in this study. A third of the patients were in elementary school, and only one (5,5%) was in preschool. The age of vitiligo patients was 13-15 (23,81%). The site of onset vitiligo was mostly in the face (21,42%), lower limb (17,85%), scalp, lumbar, and foot (10,71%). The distribution type focal distribution was predominant (38,09%), followed by segmental and generalized distribution (23,8%) and acrofacial (14,28%).

Conclusions: Vitiligo was predominantly affected in a female patient. Idiopathic was the most common risk factor for vitiligo, and focal distribution was the most common type of lesion. Since vitiligo is a cosmetic skin problem and is not contagious or threatening the patient’s life, the available treatment is sufficient.

References

  1. Weiss MEM. Vitiligo: To biopsy or not to biopsy? Vol. 105, Cutis. 2020.
  2. Ezzedine K, Harris JE. Fitzpatrick’s Dermatology. Acces Med. 2021;Chapter 76.
  3. Bergqvist C, Ezzedine K. Vitiligo: A Review. Vol. 236, Dermatology. 2020. doi:10.1159/000506103
  4. Suseno LS, Sukma PMG, Rihatmadja R, Agustin T, Rahmayunita G, Novianto E. Profile of vitiligo patients and distribution of narrowband-UVB therapy at dr. Cipto Mangunkusumo General Hospital. J Gen Dermatology Venereol Indones. 2018;3(2). doi:10.19100/jdvi.v3i1.132
  5. Halder RM, Grimes PE, Cowan CA, Enterline JA, Chakrabarti SG, Kenney, JA. Childhood vitiligo. J Am Acad Dermatol. 1987;16(5). doi:10.1016/S0190-9622(87)70119-4
  6. Pajvani U, Ahmad N, Wiley A, Levy RM, Kundu R, Mancini AJ, et al. The relationship between family medical history and childhood vitiligo. J Am Acad Dermatol. 2006;55(2). doi:10.1016/j.jaad.2006.02.027
  7. Kanwar AJ, Kumaran MS. Childhood vitiligo: Treatment paradigms. In: Indian Journal of Dermatology. 2012. doi:10.4103/0019-5154.103067
  8. Silverberg JI, Silverberg NB. Quality of life impairment in children and adolescents with vitiligo. Pediatr Dermatol. 2014;31(3). doi:10.1111/pde.12226
  9. Andrade G, Rangu S, Provini L, Putterman E, Gauthier A, Castelo-Soccio L. Childhood vitiligo impacts emotional health of parents: a prospective, cross-sectional study of quality of life for primary caregivers. J Patient-Reported Outcomes. 2020;4(1). doi:10.1186/s41687-020-0186-2
  10. Rahmayanti ND, Rahmadewi. Studi Retrospektif: Profil Pasien Baru Vitiligo (A Retrospective Study: The Profile of New Patient with Vitiligo). Berk Ilmu Kesehat Kulit dan Kelamin. 2016;28(2).
  11. Bellet JS, Prose NS. Vitiligo in children: A review of classification, hypotheses of pathogenesis and treatment. Vol. 80, Anais Brasileiros de Dermatologia. 2005. doi:10.1590/s0365-05962005000700009
  12. Marchioro HZ, Silva de Castro CC, Fava VM, Sakiyama PH, Dellatorre G, Miot HA. Update on the pathogenesis of vitiligo. Vol. 97, Anais Brasileiros de Dermatologia. 2022. doi:10.1016/j.abd.2021.09.008
  13. Dégboé B, Atadokpèdé F, Saka B, Adégbidi H, Koudoukpo C, Yédomon H, et al. Vitiligo on black skin: epidemiological and clinical aspects in dermatology, Cotonou (Benin). Int J Dermatol. 2017;56(1). doi:10.1111/ijd.13366
  14. Listiawan MY, Astari L, Wardhani PH. Comparison amount of microphthalmia-associated transcription factor in vitiligo before and after narrowband-ultraviolet B therapy. Dermatology Reports. 2019;11(S1). doi:10.4081/dr.2019.8030

How to Cite

Adnyasitarini, M. S., Tjokorda Istri Amrita Rosvanti, Anak Agung Ari Agung Kayika Silayukti, & Anak Agung Istri Saraswati Dewi. (2023). Clinico-epidemiology vitiligo profile in childhood at Mangusada General Hospital Badung. Intisari Sains Medis, 14(3), 1049–1052. https://doi.org/10.15562/ism.v14i3.1864

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Made Sri Adnyasitarini
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Tjokorda Istri Amrita Rosvanti
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Anak Agung Ari Agung Kayika Silayukti
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Anak Agung Istri Saraswati Dewi
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