A CASE OF SEGMENTAL VITILIGO IN 7 YEARS OLD PATIENT TREATED BY NARROWBAND UV B COMBINED TOPICAL STEROID.

Mimin Oktaviana, Ennesta Asri

Abstract


Vitiligo is chronic disorder of pigmentation characterized by the development of white macules on the skin due to progressive loss of epidermal melanocytes, may present anytime in life, including childhood, 25% of  the patients usually occurred before the age of 8 years with a higher rate of segmental vitiligo. Phototherapy using narrowband ultraviolet B (nb UVB) combined topical steroid is considered among the treatment of choise in childhood vitiligo. Vitiligo has a profound impact on the quality of life of children. They often experience stigmatization, isolation, and low self-esteem. We reported a case of 7 years old boy with segmental vitiligo. He complained asymptomatic milky white patches on one dermatome which is face, right inner arm, right hand, right abdomen and right back, expanded within 6 months. There was no history of itchy red patches on the white patches before. There were hypopigmented macules and chalky-white accentuation of the lesions under wood lamp examination. The patient was treated with nb UVB plans for 30 times in the 1st session and mometason furoat cream 0,1. After 3rd week phototherapy there were improvement along with the decrease of CDLQI from 10 to 7.

Key words: segmental vitiligo, childhood, narrowband UV B.

 


Full Text:

PDF

References


Abdel-Megaid, A., Attallah, D., & Hakium Girgis, E. (2021). Childhood vitiligo: the effect of narrow-band ultraviolet B phototherapy. Journal of Current Medical Research and Practice, 6(2), 99. https://doi.org/10.4103/jcmrp.jcmrp_21_19

Ekasari, D., & Pardina, N. (2021). Quality of life in childrren with vitiligo. JDVA, 2(April), 22–31.

Eleftheriadou, V., Atkar, R., Batchelor, J., McDonald, B., Novakovic, L., Patel, J. V., Ravenscroft, J., Rush, E., Shah, D., Shah, R., Shaw, L., Thompson, A. R., Hashme, M., Exton, L. S., Mohd Mustapa, M. F., Manounah, L., Levell, N. J., Chua, S. L., Petrof, G., … Constantin, A. (2022). British Association of Dermatologists guidelines for the management of people with vitiligo 2021*. British Journal of Dermatology, 186(1), 18–29. https://doi.org/10.1111/bjd.20596

Ezzedine, K., & Harris, J. (2019). Vitiligo. In S. Kang, M. Amagai, A. L. Bruckner, A. H. Enk, D. J. Margolis, A. J. McMichael, & J. S. Orrinfer (Eds.), Fitzpatrick’s Dermatology 9th Edition (9th Editio, p. 1330).

Farajzadeh, S., Khalili, M., Mirmohammadkhani, M., Paknazar, F., Rastegarnasab, F., & Abtahi-Naeini, B. (2023). Global clinicoepidemiological pattern of childhood vitiligo: A systematic review and meta-analysis. BMJ Paediatrics Open, 7(1), 1–7. https://doi.org/10.1136/bmjpo-2022-001839

Garza-Mayers, A. C., Paquette, G. M., Harris, J. E., & Wiss, K. (2023). Narrowband ultraviolet B phototherapy in pediatric vitiligo: A retrospective study. Journal of the American Academy of Dermatology, 89(1), 135–136. https://doi.org/10.1016/j.jaad.2023.02.010

Liu, Y., Zhou, J., Cui, Y., Song, Y., & Yao, L. (2022). Clinical efficacy analysis of 110 cases of childhood vitiligo with non-surgical combined therapy. Journal of Dermatological Treatment, 33, 3034–3038.

Nicolaidou, E., Mastraftsi, S., Tzanetakou, V., & Rigopoulos, D. (2019). Childhood Vitiligo. American Journal of Clinical Dermatology, 20(4), 515–526. https://doi.org/10.1007/s40257-019-00430-0

Pereira, C., Hertz, A., Luzio, P., Paludo, P., & Azulay-abulafia, L. (2019). Clinical and epidemiological characteristics of childhood vitiligo : a study of 701 patients from Brazil. 1–9. https://doi.org/10.1111/ijd.14645

Picardo, M., Huggins, R., Jones, H., R, M., Ogubsula, M., & Senechal, J. (2022). The humanistic burden of vitiligo: a systematic review of quality of life outcomes. JEADV, 36, 1507–1523.

Silpa-Archa, N., Weerasubpong, P., Junsuwan, N., Yothachai, P., Supapueng, O., & Wongpraparut, C. (2019). Treatment outcome and persistence of repigmentation from narrow-band ultraviolet B phototherapy in vitiligo. Journal of Dermatological Treatment, 30(7), 691–696. https://doi.org/10.1080/09546634.2018.1544409

Speeckaert, R., Lambert, J., Bulat, V., Belpaire, A., Speeckaert, M., & van Geel, N. (2020). Autoimmunity in Segmental Vitiligo. Frontiers in Immunology, 11(October), 1–8. https://doi.org/10.3389/fimmu.2020.568447




DOI: http://dx.doi.org/10.32883/hcj.v9i2.2954

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 HUMAN CARE JOURNAL
Published by Universitas Fort De Kock, Bukittinggi, Indonesia
© Human Care Journal  e-ISSN : 2528-665X P-ISSN : 2685-5798

View Human Care Journal Stats