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Repigmentation of leucodermic defects in piebaldism by dermabrasion and thin split‐thickness skin grafting in combination with minigrafting
Author(s) -
M. D. Njoo,
L. Nieuweboer-Krobotová,
W. Westerhof
Publication year - 1998
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1046/j.1365-2133.1998.02508.x
Subject(s) - dermabrasion , medicine , dermatology , skin grafting , surgery
The depigmented skin areas in piebaldism are unresponsive to medical or light treatment. In 12 adult patients (eight women and four men), a method using dermabrasion and thin split‐skin grafts was applied initially. Residual leucodermic areas were subsequently treated using a minigrafting method. Additional irradiation with ultraviolet A (10 J/cm 2 ) was performed to enhance melanocyte migration. This combined surgical therapy led to 95–100% repigmentation of the leucodermic defects. A perfect colour match with the surrounding non‐lesional skin was achieved in all cases. Complications were minor and easy to correct. Dermabrasion and split‐skin grafting followed by minigrafting should be considered as the first choice of therapy in piebaldism.