Vitiligo physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Skin=== | ===Skin=== | ||
Irregular pale | Irregular pale nonscaling macules of [[skin]] with different sizes are present. These may be distributed under 5 general patterns:<ref>{{cite book | last = Soutor | first = Carol | title = Clinical dermatology | publisher = McGraw-Hill Education/Lange Medical Books | location = New York | year = 2013 | isbn = 978-0-07-177296-9 }}</ref> | ||
#Bilaterally distributed, in a symmetrical manner, located on the trunk, face and extremities. | |||
#Segmentally distributed, occupying one whole side of the body or simply one single site. | |||
#Acrofacially distributed, located in areas such as: perioral area, lips, hand and feet. | |||
#Universally distributed, when occupying more than half of the body surface area | |||
#Mixed distribution, combining different patterns described above. | |||
In some occasions the borders of these lesions may be erythmatous and the hair and mucous membranes are often affected. | |||
After adequate evaluation of the [[skin]] of [[vitiligo]] patients, the hypopigmented lesions should also be evaluated in a dark room, under the ''Wood's light''. This is a source of [[UVA]] light that allows the evaluation of the [[skin]] areas with [[depigmentation]], enhancing the details and tones of these areas. Areas such as [[axillae]] and [[genitalia]] should be evaluated carefully, since these are frequently involved regions that may be missed without the test.<ref>{{cite book | last = Habif | first = Thomas | title = Clinical dermatology a color guide to diagnosis and therapy | publisher = Mosby Elsevier | location = Edinburgh | year = 2010 | isbn = 978-0-7234-3541-9 }}</ref> | |||
Revision as of 22:21, 25 June 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Vitiligo is a chronic skin condition that causes loss of pigment, resulting in irregular pale patches of skin.
Physical Examination
Skin
Irregular pale nonscaling macules of skin with different sizes are present. These may be distributed under 5 general patterns:[1]
- Bilaterally distributed, in a symmetrical manner, located on the trunk, face and extremities.
- Segmentally distributed, occupying one whole side of the body or simply one single site.
- Acrofacially distributed, located in areas such as: perioral area, lips, hand and feet.
- Universally distributed, when occupying more than half of the body surface area
- Mixed distribution, combining different patterns described above.
In some occasions the borders of these lesions may be erythmatous and the hair and mucous membranes are often affected.
After adequate evaluation of the skin of vitiligo patients, the hypopigmented lesions should also be evaluated in a dark room, under the Wood's light. This is a source of UVA light that allows the evaluation of the skin areas with depigmentation, enhancing the details and tones of these areas. Areas such as axillae and genitalia should be evaluated carefully, since these are frequently involved regions that may be missed without the test.[2]
References
- ↑ Soutor, Carol (2013). Clinical dermatology. New York: McGraw-Hill Education/Lange Medical Books. ISBN 978-0-07-177296-9.
- ↑ Habif, Thomas (2010). Clinical dermatology a color guide to diagnosis and therapy. Edinburgh: Mosby Elsevier. ISBN 978-0-7234-3541-9.
- ↑ http://picasaweb.google.com/mcmumbi/USMLEIIImages