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Children with vitiligo: Three Key Considerations for Parents

February 24, 2025 Publisher:

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First, do children with vitiligo need to avoid certain foods? 

Children with vitiligo should maintain a balanced and nutritious diet rather than restricting food intake. Given that children are in a critical period of growth and development, their nutritional requirements are high. Blind dietary restrictions at this stage may adversely affect both the child's overall development and the progression of the disease. Traditional beliefs suggest that children with vitiligo should avoid "hair" foods such as beef and mutton, as well as high vitamin C foods like tomatoes and oranges. However, there is no scientific evidence confirming that these foods have adverse effects on vitiligo. As long as the patient is not allergic to these foods and can tolerate them, they can consume them reasonably according to the "Dietary Guidelines for Chinese Residents." Professor Zhang Chengfeng from the Department of Dermatology at Huashan Hospital has stated that patients with vitiligo do not need to specifically avoid any foods and should maintain a balanced diet to ensure adequate intake of trace elements and vitamins (such as copper, zinc, selenium, vitamin B, E, etc.) required for pigment metabolism. Proper nutrition is essential for the recovery of the condition.

Second, children with vitiligo are prone to vitamin D deficiency, which may impact development. 

Vitamin D plays a crucial role in children's growth and development, influencing bone health, cell growth, and nerve development. Additionally, it has antioxidant and immune-regulating functions, which are particularly beneficial for children with vitiligo by reducing inflammation levels and protecting melanocytes from damage. Due to factors such as dietary habits and excessive sun protection, vitamin D deficiency is common among children, especially those with vitiligo. Studies show that 75% of children with vitiligo have insufficient serum vitamin D levels. Timely supplementation of vitamin D can effectively improve skin pigmentation and enhance treatment outcomes. Therefore, parents should monitor their children's vitamin D levels, ensuring early detection and supplementation.

Third, key considerations for treating vitiligo in children.

Vitiligo in children is often considered a distinct form of the condition, requiring personalized treatment plans tailored to individual needs. Treatment should be conducted under medical supervision. For recoloration therapy, parents should understand that single-drug treatments may control the spread of white spots but may not achieve ideal repigmentation results. In clinical practice, phototherapy and combination therapies involving phototherapy are preferred for treating vitiligo in children, as they can be applied throughout the entire treatment process. Phototherapy is widely recognized for its significant efficacy and minimal side effects, making it a viable option for parents concerned about the potential impact of drug treatments on their children's growth and development. Ultraviolet light therapy offers rapid and effective results with minimal adverse reactions, providing a healthy treatment approach for children.