The Potential Effect of Smart devices and other stressful factors on vitiligo in Nassiriah city/ Iraq

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Alaa Naif
Kadhim Ahmed Kadhim
Emad R. Shwail
Sabah Hasan Rhadi


Vitiligo, smart devices, you tube, school performance, order in family


Background: Vitiligo is a disease that occurs due to dysfunction in the autoimmune system that attacks the skin pigment cells(melanocytes) leading to appearance of light colored spots on the skin. Objective: the study was carried out to investigate the effect of smart devices on the children inflicted with vitiligo, and correlation of vitiligo with other factors such as performance in the school,  the marital status of their parents, type of smart devices (games, you tune), and others. Materials and methods: the study was carried out on 49 children diagnosed with vitiligo in Nassiriah City, Iraq, the data of all the variables factors were collected and classified according to the types of smart application (you tube and/or games), status of their parents, and hours spent on using these applications. Results: the collected data were analyzed into five figures; according to the children's performance in the school and the highest percentage were in no failure category, nor in high achiever category constituting 38.77% to each one. The percentage of children who lives with both parents are 79.5%. Most of the affected children are the 2nd in order in their families representing 40.8% of children under study. The numbers of diseased children that uses you tube are 23, their percentage is the highest constituting 46.94%. Conclusions: seven conclusions were drawn in this novel study, among them are; most of the affected children are 2nd in order in their families; and the highest percent of the affected children with vitiligo are those who use you tube.

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1. Yaghoobi R, Omidian M, Bagherani N. Vitiligo: a review of the published work. J Dermatol. 2011; 38 (5): 419–431.
2. Ezzedine K, Lim HW, Suzuki T, Katayama I, Hamzavi I, Lan CC, et al.; Vitiligo Global Issue Consensus Conference Panelists. Revised classification/ nomenclature of vitiligo and related issues: the Vitiligo Global Issues Consensus Conference. Pigment Cell Melanoma Res. 2012; 25(3): E1–13
3. Picardo M, Dell’Anna ML, Ezzedine K, Hamzavi I, Harris JE, Parsad D, et al. Vitiligo. Nat Rev Dis Primers. 2015 Jun; 1(1):15011.
4. Bergqvist C, Ezzedine K: Vitiligo: A Review. Dermatology 2020; 236: 571-592. doi: 10.1159/000506103
5. Picardo M, Dell'Anna ML, Ezzedine K, Hamzavi I, Harris JE, Parsad D, Taieb A. Vitiligo. Nat Rev Dis Primers. 2015 Jun 4; 1: 15011. doi: 10.1038/nrdp.2015.11.
6. Gianfaldoni S, Tchernev G, Wollina U, et al. Vitiligo in Children: What's New in Treatment?. Open Access Maced J Med Sci. 2018; 6(1): 221-225. Published 2018 Jan 21. doi:10.3889/oamjms.2018.060
7. Grimes PE, Halder RM, Jones C, Chakrabarti SG, Enterline J, Minus HR, Kenney JA Jr. Autoantibodies and their clinical significance in a black vitiligo population. Arch Dermatol. 1983 Apr; 119(4): 300-303.
8. Manga P, Elbuluk N, Orlow SJ. Recent advances in understanding vitiligo. F1000Res. 2016; 5: F1000 Faculty Rev-2234. Published 2016 Sep 6. doi:10.12688/f1000research.8976.1
9. Hercogová J, Schwartz RA, Lotti TM. Classification of vitiligo: a challenging endeavor. Dermatol Ther. 2012 Nov-Dec; 25 Suppl 1: S10-16. doi: 10.1111/dth.12010. PMID: 23237033.
10. Kovacs D, Abdel-Raouf H, Al-Khayyat M, Abdel-Azeem E, Hanna MR, Cota C, Picardo M, Anbar TS. Vitiligo: characterization of melanocytes in repigmented skin after punch grafting. J Eur Acad Dermatol Venereol. 2015 Mar; 29(3): 581-590. doi: 10.1111/jdv.12647.
11. Katz Erica L., Harris John E. Translational Research in Vitiligo. Frontiers in Immunology. 2021; 12: 1-175. DOI=10.3389/fimmu.2021.624517
12. Ahmed jan N, Masood S. Vitiligo. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from:
13. Moss K, Johnston SA, Thompson AR. The parent and child experience of childhood vitiligo: An interpretative phenomenological analysis. Clin Child Psychol Psychiatry. 2020 Oct; 25(4): 740-753. doi: 10.1177/1359104520905052.
14. Ablett KL, Thompson AR. Parental, child, and adolescent experience of chronic skin conditions: A meta-ethnography and review of the qualitative literature. Body Image. 2016; 19: 175–185.
15. Erdoğan, SS, Gür, TF, Doğan, B. Anxiety and depression in pediatric patients with vitiligo and alopecia areata and their parents: A cross-sectional controlled study. Journal of Cosmetic Dermatology. 2021; 20: 2232– 2239.
16. Ezzedine K, Silverberg N. A Practical Approach to the Diagnosis and Treatment of Vitiligo in Children. Pediatrics July 2016, 138 (1) e20154126; DOI:
17. Mohammed ZI, Qasim MT. Hormonal profile of men during infertility. Biochem Cell Arch 2021;21:2895–8. Available from:
18. Dmitry Olegovich Bokov, Abduladheem Turki Jalil, Forat H. Alsultany, Mustafa Z. Mahmoud, Wanich Suksatan, Supat Chupradit, Maytham T. Qasim & Parvaneh Delir Kheirollahi Nezhad. Ir-decorated gallium nitride nanotubes as a chemical sensor for recognition of mesalamine drug: a DFT study, Molecular Simulation, 2022. DOI: 10.1080/08927022.2021.2025234
19. Ansari, M.J., Jasim, S.A., Taban, T.Z. et al. Anticancer Drug-Loading Capacity of Green Synthesized Porous Magnetic Iron Nanocarrier and Cytotoxic Effects Against Human Cancer Cell Line. J Clust Sci (2022).
20. Martins CPDS, Hertz A, Luzio P, Paludo P, Azulay-Abulafia L. Clinical and epidemiological characteristics of childhood vitiligo: a study of 701 patients from Brazil. Int J Dermatol. 2020 Feb;59(2):236-244. doi: 10.1111/ijd.14645.