Abstract :
Vitiligo is a chronic, multifactorial skin depigmentation disorder that often occurs in childhood. Although not fatal or contagious, vitiligo can have a significant impact on a child's psychological and quality of life aspects. In general, vitiligo lesions in children are the same as in adults, but there are some clinical variations. Genetic factors, autoimmune, oxidative stress, and nervous system disorders interact in a complex way and reinforce each other in the pathogenesis of vitiligo. The diagnosis of pediatric vitiligo is generally clinical, supported by Wood's lamp, dermatoscopy, and clinical scoring. Management of vitiligo in children includes topical, systemic therapy, phototherapy, and surgical therapy in certain cases. Combination therapy, especially if started early, gives the best results. However, there is no complete cure and long-term treatment is often needed. Individual therapy and attention to psychological aspects are very important in the management of pediatric vitiligo.