Progressive Depigmented Macules on Face and Hands in a Child

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© Springer Nature Switzerland AG 2020
S. Kothiwala et al. (eds.)Clinical Cases in Disorders of MelanocytesClinical Cases in Dermatologyhttps://doi.org/10.1007/978-3-030-22757-9_17



17. Slowly Progressive Depigmented Macules on Face and Hands in a Child



Anup Kumar Tiwary1  


(1)
Department of Dermatology, Subharti Medical College, Meerut, Uttar Pradesh, India

 



 

Anup Kumar Tiwary


Keywords

Vitiligo vulgarisAcrofacialExcimer laser


A 11-year-old child presented to our outpatient department with slowly progressive depigmented patches on face for past 2 years. On examination, loss of pigmentation was noted on forehead, periocular region, bridge of nose, and lips. White hairs of right eyebrow were also noted. Lesions were asymptomatic and non-scaly (Fig. 17.1). There was no history of pre-existing dermatosis or chemical application at the site. Her routine laboratory parameters including thyroid profile were within normal limits. Her mother has similar lesions on her hands. Based on the case description and the photograph, what is your diagnosis?


  1. 1.

    Chemical leukoderma


     

  2. 2.

    Idiopathic guttate hypomelanosis


     

  3. 3.

    Vitiligo


     

  4. 4.

    Pityriasis versicolor


     

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Figure 17.1

Depigmented macules on face predominantly involving forehead, nose, periocular area and lips (Courtesy: Dr. Piyush Kumar)


Diagnosis


Mar 23, 2021 | Posted by in Dermatology | Comments Off on Progressive Depigmented Macules on Face and Hands in a Child

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