Post Punch Graft Appearance of Repigmentation Time in Stable Vitiligo: A Retrospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Vitiligo, characterized by depigmented macules is a common disorder with a high psychosocial impact, particularly in darker skins. Surgical methods become important in cases where medical therapy fails to cause repigmentation. The basic principle of surgical treatment is autologous grafting of viable melanocytes from pigmented donor skin to recipient vitiliginous areas. Punch skin graft it is a simple, safe, inexpensive, and quickly responding technique. Materials and Methods: A retrospective study was conducted in 25 cases of punch skin grafts in stable vitiligo. Age, sex, type of vitiligo, distribution of lesions in various regions of body, and appearance of repigmentation (AOR) time in weeks were analyzed. The study was conducted in the Department of Dermatology, Theni Medical College, Theni, from the data collected from the records of the patients. Results: A total number of 272 grafts were placed over 15 various regions of body in 25 cases of stable vitiligo patients. The AOR time was quicker in mucosal followed by segmental, focal, and acrofacial vitiligo and was quicker in lips, infraclavicular, and parasternal areas followed by other areas. Discussion: In our study, we noticed the AOR time is 3.9 weeks (29 days), in parallel with the national and international studies. The sun exposed and highly vascular areas such as lips, nose, scalp, cheek, maxillary area, mandibular, upper interscapular area, and infraclavicular area got the onset pigments very quick when compared to sun hidden and less vascular areas.
Authors and Affiliations
Muthukumaran Rajaram, Sudha Alagarsamy, Subashini Sundarapandiyan
Keywords
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