Vitiligo is a common acquired disorder of depigmentation caused due to loss of melanocytes. The dark complexion of ethnic skin combined with social stigma and lack of knowledge about the disease in the general population causes a lot of psychological distress to affected patients (Parsad et al., 2003). Treatment in vitiligo is often guided by the disease activity as well as its extent. Though various scoring systems like vitiligo disease activity index (VIDA), vitiligo activity severity index (VASI) and vitiligo extent score (VES) are used to determine
Eyelash poliosis has been described as an atypical manifestation of metastatic melanoma recurrence in one patient who underwent primitive lesion excision three years before; similarly to our case, the primary melanoma was distant from the area of poliosis. 7 The peculiarity of our case is that eyelash poliosis manifested as first clinical sign of an undiagnosed melanoma, not adjacent to the localization of the whitening in contrast to what reported so far, nor a consequence of medication use.Concluding, we want to underline that even if whitening of hair including eyelashes is more often associated with regression during immunotherapy for metastatic melanoma, it could be a relevant manifestation of melanoma development and progression itself.
To the Editor, Juvenile xanthogranuloma (JXG) is a type of non-Langerhans cell histiocytosis characterized by benign proliferation of macrophages and dendritic cells. Reported dermatoscopic features of JXG include orange-yellow background colour, yellow and brown globules, erythematous border, vascular structures, subtle pigment network, erosions and ulceration, white linear streaks and haemorrhagic spots. 1,2 However, there is lack of literature on dermatoscopic features of JXG in patients of skin of colour.We retrospectively reviewed the archived dermatoscopic images and clinical-histopathological details in a cohort of six patients of JXG with skin phototype IV-VI. Multiple lesions Table 1 Clinical, epidemiological, dermatoscopic and histological features of patients with dermatoscopic-histological correlation
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