SURGICAL MANAGEMENT OF LIP VITILIGO – A REVIEW
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 11
Abstract
Vitiligo is a common, genetic, autoimmune disease in which there is loss of pigment from areas of the skin resulting in irregular white spots or patches. The skin has normal texture. Vitiligo may appear at any age. People with generalized vitiligo are thought to have otherwise healthy immune system except for the specific immune response to the melanocyte. Vitiligo is non-contagious. It is a result of a combination of genetic, immunologic, biochemical and neurogenic factors. The psychological and social effects of vitiligo are well documented. Mucosal vitiligo can occur as a part of generalized vitiligo or as an isolated condition. Lip involvement is a common feature in dark skinned vitiligo patients with a reported incidence to vary between 20 to 50%. Most commonly, vitiligo involves the vermillion and spares the wet labial mucosa. An inverse pattern of involvement also occurs uncommonly. Involvement of only the most lateral part of the lip is also an uncommon presentation. In acrofacial subtype of vitiligo, there is atypical involvement of the lips. Herpes induced isomorphic or Koebnerization can lead to lip vitiligo. Involvement of mucosa is considered to be an indicator of poor prognostic factor. Vitiligo surgery is recommended for selected, resistant vitiligo patches in patients with vitiligo.
Authors and Affiliations
Mariappan N.
Keywords
Related Articles
- EP ID EP225772
- DOI 10.18410/jebmh/2014/205
- Views 79
- Downloads 0
STAB INJURY: RETROSPECTIVE AND PROSPECTIVE STUDY IN TERTIARY CENTRES IN CENTRAL INDIA
AIMS AND OBJECTIVES: The aim of this study was to, 1. Evaluate the incidence of stab injuries admitting in our institute, to know various parameter and its association with injuries such as age group, sex ratio, clinical...
TWO CASES OF TYPE II RESPIRATORY FAILURE IN COPD TREATED IN KATURI MEDICAL COLLEGE HOSPITAL, GUNTUR AND AN OVERVIEW OF TREATMENT OF ACUTE EXACERBATION AND RESPIRATORY FAILURE
Treatment of Type II Respiratory Failure in a COPD patient is a difficult task for the ICU and Pulmonary physician. Multi factorial and multi-disciplinary approach is required. Our experience of two cases treated recentl...
A COMPARATIVE STUDY OF GENDER DIFFERENCES IN AUTONOMIC FUNCTION TESTS IN YOUNG ADULTS
There is much clinical evidence to suggest that the activity of autonomic nervous system varies at adulthood especially in young adults. Recent study was initiated and an attempt was made to bring out the association of...
CLINICAL STUDY ON NON-TRAUMATIC PERFORATIONS OF SMALL INTESTINE
Management of non-traumatic perforation of small intestine has always been a challenge for surgeons as it is associated with high morbidity and mortality. AIM: To study incidence, risk factors, etiopathogenesis, clinical...
A STUDY ON THE ROLE OF MICRO NUCLEI IN ASSESSING THE PROGRESSION OF PRECANCEROUS LESIONS OF CERVIX AND THE DIAGNOSIS OF CARCINOMA OF CERVIX
BACKGROUND: Invasive squamous cell carcinoma of cervix remains the most common malignant neoplasm of the female genital tract in many countries. The Papanicolaou stained cervical smear is an excellent and effective metho...