Does Childhood Vitiligo Differ When Halo Nevi Are Present?

HN are much more common in vitiligo patients, especially children, but they do not significantly alter treatment response or risk for disease progression.

Vitiligo, characterized by depigmented patches due to loss of melanocytes, affects up to 4% of individuals worldwide. Childhood vitiligo differs from adult vitiligo regarding higher prevalence of segmental disease, history of atopy, and family history of autoimmune disease. Halo nevi (HN) — nevi with an acquired depigmented peripheral zone (see NEJM JW Dermatol Nov 2012 and Am Acad Dermatol 2012; 67:582) that occur in 1% of the general population, usually on the trunk — are more common in vitiligo patients than in the general population and are considerably more common in children with vitiligo than in adults.

These authors retrospectively reviewed charts at an academic pediatric dermatology unit to characterize childhood vitiligo with and w…

Reviewing Author

Mary Wu Chang, MD

Disclosures

Consultant / Advisory board Pierre Fabre; Valeant

Speaker’s bureauPierre Fabre

Mary Wu Chang, MD

Disclosures

Consultant / Advisory board Pierre Fabre; Valeant

Speaker’s bureauPierre Fabre

Does Childhood Vitiligo Differ When Halo Nevi Are Present?

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Reviewing Author