Christensen Theresa, Yang Jessica S, Castelo-Soccio Leslie
University of Pennsylvania, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Case Western Reserve, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Skin Appendage Disord. 2017 Aug;3(3):115-118. doi: 10.1159/000466704. Epub 2017 Mar 24.
Alopecia areata (AA) is a clinically heterogeneous disease that is characterized by nonscarring hair loss, nail changes, and increased risk of other autoimmune disease. During clinical visits, children with AA often report bullying. We report survey results that highlight the prevalence of bullying and surrounding emotional impact of AA in pediatric patients. We found that bullying was common overall and additional psychological impact, including impairment of social and home life, was even more common. Children of all ages experienced bullying. Boys reported increased physical bullying. Interestingly, those with more severe disease and longer duration of disease experienced less bullying than those with less severe disease.
斑秃（AA）是一种临床异质性疾病，其特征为非瘢痕性脱发、指甲改变以及患其他自身免疫性疾病的风险增加。在临床就诊期间，患有斑秃的儿童经常报告遭受欺凌。我们报告的调查结果突出了儿科患者中斑秃相关欺凌行为的普遍性及其带来的情感影响。我们发现欺凌行为总体上很常见，而包括社交和家庭生活受损在内的额外心理影响甚至更为常见。各个年龄段的儿童都遭受过欺凌。男孩报告身体欺凌行为增多。有趣的是，病情较重和病程较长的患者比病情较轻的患者遭受的欺凌更少。
