What is it about?

Vitiligo ponctue is a rare, unusual variant of vitiligo that presents as discrete, confetti‑like amelanotic macules that occur on normal or hyperpigmented skin.

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Why is it important?

When punctate vitiligo coexists with classical vitiligo macules, it is best classified as nonsegmental vitiligo. Confetti‑like depigmentation has also been reported after psoralen plus ultraviolet A (PUVA) therapy in patients with more classic vitiligo as an adverse effect of PUVA therapy.

Perspectives

A differential diagnoses of idiopathic guttate hypomelanosis and lichen sclerosus et atrophicus was considered. There was no history of any preceding skin lesion ruling out the possibility of postinflammatory hypopigmentation. HPE of one of the depigmented macule from the right shoulder revealed the absence of melanocytes in the basal layer. Based on the clinical features and histopathology, a diagnosis of vitiligo ponctue was entertained.

Dr Arunprasath Palanisamy

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This page is a summary of: Vitiligo ponctue, Pigment International, January 2015, Medknow,
DOI: 10.4103/2349-5847.172778.
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