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A child with hypopigmented patches on the trunk: Is it vitiligo?

Source: www.apfmj.com
Topic: Vitiligo
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Sort Desciption: The parents of a 3-year-old boy are extremely worried by the appearance, over the preceding 34 months, of multiple irregularly shaped hypopigmented patches, predominantly over the anterior and posterior trunk (Fig. 1). ...

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DERMATOLOGY SERIES A child with hypopigmented patches on the trunk: Is it vitiligo? Annette CALLAN Case history The parents of a 3-year-old boy are extremely worried by the appearance, over the preceding 34 months, of multiple irregularly shaped hypopigmented patches, predominantly over the anterior and posterior trunk (Fig. 1). Itch does not seem to be a feature and the child is otherwise healthy. The mother is concerned as her own brother developed similar areas of pigment loss as an adult and has been diagnosed with vitiligo. Your further questioning of the parents reveals that the father of the patient is an asthmatic and suffered with eczema as a child. Is this likely to be vitiligo? In view of the family history of vitiligo, that diagnosis needs to be considered. However, on closer inspection some of the lesions show mild erythema and scaling. Further questioning of the parents elicits a history of a number of erythematous dry and mildly pruritic lesions occurring in approximately the same distribution 5 months previously while the family were visiting relatives in Europe during the cold Northern winter. At the time the parents applied sorbolene cream and used some water-dispersible bath oil, which seemed to stop the pruritus and on return from their overseas trip the problem had apparently resolved. Although itching can occur in the early stages of vitiligo it is unusual. Vitiligo usually starts on sun exposed areas (e.g. face, backs of hands), but the ...

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