Repigmentation of vitiligo universalis masquerading as pseudo-melasma
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20231831Keywords:
Vitiligo, Melasma, PigmentationAbstract
Vitiligo is a common depigmentation disorder that affects the melanocytes. We present a case of middle-aged female with complaints of pigmented lesion over both cheeks. Clinical differentials of melasma, pregnancy induced hypertension (PIH) was considered but which on further evaluation turned out to be re-pigmentation in vitiligo universalis that had developed during her postpartum which masqueraded as melasma.
References
Bergqvist C, Ezzedine K. Vitiligo: A Review. Dermatology. 2020;236:571-92.
Gopinath H, Manjula B, Karthikeyan K. Fragrance, sunscreens, botanicals, and potential allergens in bestseller 'fairness' creams in the indian market: A consumer exposure study. Indian J Dermatol. 2021;66:279-83.
Ezzedine K, Lim HW, Suzuki T, Katayama I, Hamzavi I, Lan CC, et al. Revised classification/nomenclature of vitiligo and related issues: the Vitiligo Global Issues Consensus Conference. Pigment Cell Melanoma Res. 2012;25(3):E1-13.
Grønskov K, Ek J, Brondum-Nielsen K. Oculocutaneous albinism. Orphanet J Rare Dis. 2007;2:43.
Dave S, Thappa DM, DSouza M. Clinical predictors of outcome in vitiligo. Indian J Dermatol Venereol Leprol. 2002;68:323-5.
Jørgensen KT, Pedersen BV, Nielsen NM, Jacobsen S, Frisch M. Childbirths and risk of female predominant and other autoimmune diseases in a population-based Danish cohort. J Autoimmun. 2012;38(2-3):J81-7.
Abdelhafez MMA, Ahmed KAM, Ping Pang NT, Pg Baharuddin DM, Than WW, Kadir F, et al. Vitiligo and pregnancy: How do each affect the other? Ann Med Surg (Lond). 2021;70:102833.
Kaliyadan F, Ashique KT. Optimizing the efficacy of targeted phototherapy by marking early vitiligo lesions after visualizing under a Wood's lamp. J Am Acad Dermatol. 2014;71(3):e69.
Farahbakhsh N, Nielson C, Gillihan R. Repigmentation in vitiligo universalis after starting dialysis—could they be related? Clin Kidney J. 2019;12(5):735-6.
Birlea SA, Spritz RA, Norris DA. Vitiligo. In: Goldsmith LA, Katz SI, Gilchrest BA, Palier AS, Leffell DJ, Wolff K, editors. Fitzpatrick's dermatology in general medicine. 8th edition. New York: MeGraw-Hill. 2012;792-5.
Tobin DJ, Swanson NN, Pittelkow MR, Peters EM, Schallreuter KU. Melanocytes are not absent in lesional skin of long duration vitiligo. J Pathol. 2000;191:407-16.
