There are many differences in white patches in children and adults. The childhood white patches are usually of the segmental type. Childhood white patches are more common in females than in males. Koebnerization is the development of white patches at sites of injury or trauma. Children experience frequent skin trauma during normal play. A family history of white patches is observed in 8% of adults. In contrast 12-35% is observed in children. Further adults with white patches are associated with a number of autoimmune diseases like diabetes, thyroiditis and alopecia areata. However children with white patches are usually healthy.

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