BackgroundThe onset of vitiligo during childhood is common. Limited data exist that
compare the clinical associations of prepubertal and postpubertal vitiligo
in Arabs.ObjectiveTo compare the clinical profile of pre and postpubertal onset vitiligo.MethodsA cross-sectional observational study was conducted. The Vitiligo European
Task Force questionnaire was completed for each patient.ResultsA total of 375 patients were included; 199 had postpubertal vitiligo (>12
years), and 176 had prepubertal onset vitiligo (<12years). There were
more females in the prepubertal group (49%) than in the postpubertal group
(29%), p-value <0.001. The prepubertal group has had more involvement
than the postpubertal group (45% vs 30%, p=0.004). Only 8 cases of segmental
vitiligo were observed; five were observed in the prepubertal group of
patients. Female gender (OR=2.3; 95% CI:1.5, 3.5), presence of halo nevus
(OR=2.2; 95% CI:1.1, 4.4) and face involvement (OR=1.9; 95% CI:1.2, 2.9)
were positively associated with prepubertal vitiligo. Stress, as an onset
factor, was positively associated (OR=0.51; 95% CI:0.3, 0.8) with
postpubertal onset vitiligo.Study limitationsA possible selection bias toward more severe vitiligo cases can be a
limitation, because the study was conducted in a clinic specialized in
vitiligo. Moreover, a likelihood of false recall bias cannot be
excluded.ConclusionsOur data present clinical evidence that vitiligo behaves mostly the same way
in the prepubertal group as in the postpubertal group. However, female
over-representation, more face involvement and more halo nevi were observed
in prepubertal vitiligo, while stress was more prevalent as an aggravating
factor in postpubertal vitiligo patients.