Vitiligo in children may signal hidden risks of hearing loss

Emerging research highlights a surprising link between vitiligo in children and an increased risk of hearing loss. Though vitiligo is widely recognised for its impact on skin pigmentation, this new evidence suggests its effects may reach deeper—extending to the auditory system.

The findings indicate that children with vitiligo may be more vulnerable to certain types of hearing impairment, particularly those affecting the inner ear. While these children often show no outward signs of ear problems, subtle damage within the auditory pathways could lead to gradual or unnoticed hearing loss over time.

Experts believe that the same cells affected by vitiligo in the skin—melanocytes—also play a role in the inner ear. When these cells are compromised, it may interfere with normal hearing function. Although this connection has been suspected in adults, it is the first time such a strong association has been observed in children.

Importantly, the research does not suggest that every child with vitiligo will experience hearing problems. However, it does raise awareness of the need for early screening and monitoring. Hearing loss in childhood can have lasting consequences, especially in language development, learning, and social engagement.

Clinicians are now encouraged to take a more holistic view of vitiligo, not just as a cosmetic or dermatological issue but as a condition that may require broader medical attention. Regular hearing checks could make a significant difference, ensuring children with vitiligo receive timely support to thrive both in and outside the classroom.

Source: JAMA Network Open