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Autologous punch grafting for vitiligo of the palm
1Department of Dermatology, Kasturba Medical College, Mangalore, India. pkderm@hotmail.com
Background:
Vitiligo of the palm can be resistant to conventional treatments, and grafting is not routinely attempted because of some difficulties.
Objective:
To do a autologous minigraft test on a vitiligo patch on the palm using skin of the instep as the donor.
Methods:
Under local anesthesia, two 2 mm minigrafts were transplanted into the vitiliginous skin of the palm of a 28-year-old female. Psolaren with ultraviolet A therapy followed the surgery for 12 weeks.
Results:
Excellent repigmentation was seen around the grafts at the end of 12 weeks. There were no complications.
Conclusion:
The skin of the instep is an ideal donor site for palmar vitiligo.
