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

Abstract

itiligo is chronic disorder of pigmentation characterized by the development of white macules on the skin
due to progressive loss of epidermal melanocytes, it may present anytime in life, including childhood,
25% of the patients usually occured before the age of 8 years with a higher rate of segmental vitiligo.
Phototherapy using narrowband ultraviolet B (nb UVB) combined topical steroids is considered among
the treatments of choice for 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
yearold 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.