Vitiligo in children
Introduction
Introduction to children's white spots Children's leukoplakia, a child's vitiligo, refers to patches on the skin and mucous membranes that are lighter than normal skin, mainly due to skin hypopigmentation or pigmentation. White spots can be congenital or acquired. White spots can occur in any part of the body, but are more common in the face, neck, back of the hand and other exposed parts and external genital wrinkles. Most of them are limited, isolated, and can also be symmetrically distributed, or distributed along the nerves, and can also spread throughout the body. basic knowledge Proportion of disease: about 15% of the total number of people suffering from vitiligo Susceptible people: multiple children Mode of infection: non-infectious Complications: Diabetes Anemia
Cause
Child leukoplakia
1. Genetic factors, which are also important factors in the formation of leukoplakia.
2, the lack of trace elements: leukoplakia patients in the body tyrosine, copper ions and other trace elements are relatively lacking, trace elements directly involved in the metabolism of melanocytes, the lack of patients in the body will cause melanocytes to reduce, which causes white spot disease.
3. Environmental factors: including industrial pollution and agricultural pollution. Environmental pollution caused by industrial sewage is one of the reasons for the increased incidence in recent years. Excessive use of chemicals such as insecticides, fungicides and ripening agents in crops, excessive residues of meat and poultry after feeding growth hormones in the body, will have adverse effects on human health.
4, nerve and chemical elements, many white spot patients with white spots will be produced or enlarged under extremely tight conditions, because mental stress can lead to increased catecholamines, can directly affect skin discoloration, which is an important cause of leukoplakia formation.
5, autoimmune factors, many white spot disease patients are caused by immune factors. Therefore, in the treatment of leukoplakia, doctors recommend that patients improve their immunity in a variety of ways.
6, traumatic factors, many patients with leukoplakia burns, burns, burns and burns after trauma, white spots appear in the traumatic site. And there is also the possibility of a homomorphic reaction. Therefore, doctors will advise patients to pay more attention to their daily lives. Avoid injuries and increase the spread of white spots.
Prevention
White spot prevention in children
1. Reasonable diet and strengthen nutrition.
2, timely diagnosis and treatment, strengthen care, rational use of drugs, to avoid injury.
Complication
White spot complications in children Complications, diabetes anemia
In addition to a small number of children with leukoplakia can be self-healing, other if left to develop, often complicated by diabetes, pernicious anemia, autoimmune disease, thyroid disease, primary adrenal insufficiency and so on.
Symptom
Symptoms of leukoplakia in children. Common symptoms of leukoplakia pigmentation on children's face. Pigmentation and hypopigmentation of leukoplakia pigmentation lesions
Skin lesions are localized loss spots of varying sizes, such as porcelain white, clear, marginal pigments are thicker than normal skin color, and there are often temporary inflammatory halos around new hair lesions. The number of lesions can be single or multiple, and can be melted into pieces. White spots vary in size and shape. The affected area can be white. Generally no consciousness. All parts of the body can occur, usually in the back of the finger, wrist, forearm, face, neck and perineum, around the external genitalia. It can be symmetrically distributed or distributed along the nerve side, in segments or bands.
The disease occurs on the day after tomorrow, and it can be diagnosed at all ages. There are reports of neonatal morbidity. After a slow period, sexual development can also be carried out, and early childhood illnesses can heal themselves.
Examine
Child white spot examination
Laboratory inspection:
1, blood test
Vitiligo is necessary to do some blood tests before or during treatment. It can be found abnormal or find potential visceral lesions. Identifying the cause can improve the cure rate and help the recovery of vitiligo.
2, blood gas analysis: pH value determination, 100 cases of vitiligo patients compared with 100 normal people, vitiligo patients average 7.3650, the average person is 7.3888, vitiligo patients blood pH is slightly lower than normal people.
3, blood routine: most patients with vitiligo blood test routine anemia, white blood cells and thrombocytopenia.
4, trace elements
5, histopathology and immunopathological examination
Other checks:
1, Wood light inspection
2, physical examination of skin diseases
Diagnosis
Diagnosis of leukoplakia in children
diagnosis
Children's white spots have the following characteristics:
1. Age of onset: The shortest occurs 3 days after birth, and the average age of onset is 4 to 5 years old.
2, more common girls.
3, more common in the segment type, the second limitation.
4, the eyes are susceptible.
5, the incidence of syncope is as high as 8.5 percent.
6, easy to cause a homomorphic reaction after trauma.
7, gastrointestinal dysfunction is obvious.
It is not difficult to diagnose according to the above contents combined with the inspection items.
Identification
For early incomplete decolorization, edge blurred damage needs to be identified with the following diseases:
1. Anemia
Since childhood, it is more common in the face, light spots, irritating friction, local redness, and redness around the skin.
2, white pityriasis
It is caused by fungal infection. White spots can appear after treatment, but the number is small, small in shape and not pure white.
3, body rubella
Mostly scaly decoloration spots, no halo around the pigmentation.
4, leprosy white spot
It is irregular and is an incomplete hypopigmentation spot. The border is unclear, the feeling disappears, and there are other symptoms of leprosy.
