中华皮肤科杂志 ›› 2008, Vol. 41 ›› Issue (4): 234-236.

• 论著 • 上一篇    下一篇

儿童白癜风396例临床分析

黄博 许爱娥 卢良君 等   

  1. 杭州市第三人民医院皮肤科 杭州市第三人民医院皮肤科 杭州市第三人民医院皮肤科
  • 收稿日期:2007-06-11 修回日期:2007-10-12 发布日期:2008-04-15
  • 通讯作者: 黄博 E-mail:huangbo1562@163.com

  

  • Received:2007-06-11 Revised:2007-10-12 Published:2008-04-15

摘要: 目的 探讨汉族儿童白癜风的临床特点。方法 采用问卷调查方式对浙江省396例儿童白癜风及825例成人白癜风患者进行临床分析,用SPSS 10.0软件包对资料进行分析。结果 396例儿童白癜风患者中男183例占46.2%,女213例占53.8%,与成年患者相比,男女之间无性别差异。儿童患者中节段型的比例为33.3%,明显高于成人患者的13.5%,泛发型比例为4.3%,显著低于成人患者的11.6%。儿童患者家族史阳性比例为12.4%,成人患者家族史阳性比例为12.7%,两组间差异无统计学意义。有家族史患者一级亲属的发病率均明显高于二级亲属。儿童患者的诱发因素以外伤为主,伴发晕痣的比例明显高于成人患者;成人患者伴发甲状腺疾病的比例显著高于儿童患者。结论 儿童白癜风临床特点与成人相比有一定差异。

Abstract: Objective To determine the clinical features of childhood vitiligo in Han nationality. Methods A standardized questionnaire was used to clinically investigate 396 cases of vitiligo in patients aged less than 12 years; 825 adult patients with vitiligo served as controls. Data analysis was done by SPSS 10.0. Results In child patients with vitiligo, 46.2% were males, and 53.8% females; there was no statistically significant difference in gender ratio between the childhood and adult groups(P < 0.05). The incidence of segmental vitiligo was 33.3% in children, significantly higher than that in adult patients(13.5%). On the contrary, the incidence of generalized vitiligo was significantly lower in children than in adult patients (4.3% vs 11.6%). A family history of vitiligo was observed in 12.4% of children, and in 12.7% of adults, without significant difference between the two groups. For both childhood and adult vitiligo patients, the incidence of vitiligo was significantly higher in first-degree relatives than in second-degree relatives. The most common precipitating factor of childhood vitiligo was trauma. The incidence of halo nevi was higher in patients with childhood vitiligo compared to patients with adult vitiligo, while thyroid disease was seen more frequently in adult patients. Conclusion There are some differences in clinical characteristics of vitiligo between children and adults.