eNewsletter Dermatology Sign Up
Look good, feel great with Beautiful Skin
Crutchfield
Crutchfield Dermatology Home Patient Reviews Patient Portal Make a Payment Leading Doctors Best Doctors in America Consumer’s Research Council of America Top Dermatologist for Women Mpls St. Paul Top Doctors Crutchfield Dermatology Awarded 2008 Best of St. Paul for their Excellence in Skin Care Mpls St. Paul Top Doctors Physcian Health Care Heros America's Top Doctors Request Appointment eNewsletter Sign Up
spacer
Medical Education Sectionspacer
spacer
spacer
Does this woman have Vitiligo?

64 year old woman presents for the evaluation of multiple white spots on her legs and arms that have been developing over the "past few years". They are increasing in number, but not size. She is very worried that she's developing "the skin disease Michael Jackson had". Mild medically controlled hypertension. She is otherwise healthy..


What is your diagnosis?


Case of the Month
Diagnosis:

Idiopathic Guttate Hypomelanosis

(also known as Leukopathia Symmetrica Progressiva)

Idiopathic Guttate Hypomelanosis is a very common acquired disorder that affects women more frequently than men; it usually occurs most notably after age 40. Many patients present for evaluation because they are very concerned that they are developing Vitiligo. It probably affects about 50% of all people to some extent in their 40's and 70% of people in their 60's+. The darker the skin hue, the more noticeable it is. The lesions occur chiefly on the shins and forearms but I have seen them on all areas of the body. They range in size from approximately 2-6+mm. They rarely become very numerous (a dozen or two at most) but some patients will develop more than that. The lesions are usually round to oval in shape and are very sharply defined, like depigmented ephelides. Aside from assuring the patient that they do not have Vitiligo, they are of only minor cosmetic significance. Histopathologically, the melanocytes appear to be present (but may be at reduced numbers), are less dendritic and are producing melanin at a greatly decreased or absent rate.

There are reports that very light liquid nitrogen freezing has successfully treated the lesions.

Reference:

  1. Falabella R, et al: On the pathogenesis of Idiopathic Guttate Hypomelanosis. J Am Acad Dermatol 1987, 16:35
  2. Andrews Diseases of the Skin and Clinical Dermatology
  3. Dover's Pocket Guide to Cutaneous Medicine and Surgery



 


Charles E. Crutchfield III, MD
Clinical Adjunct Associate Professor of Dermatology
At the
University of Minnesota Medical School
Medical Director, Crutchfield Dermatology
www.CrutchfieldDermatology.com

spacer
Articles/links
Case of the Month
spacer

Cases of the Month Archives


 
spacer spacer

Crutchfield Dermatology





651-209-3600       Look Good, Feel Great with Beautiful Skin ™


Prestigious Organizations
MetroDoctors ASDS-Net.org ASCDAS.org NMANET.org aestheticmd.com Better Business Bureua
expert injectorMayo Clinic American Board Dermatology American Medical Med.UMN.edu cosmeticsurgery.org ASNA Top Dermatologist

AAD Fellow Alpha Omega Alpha
Crutchfield Dermatology All Photographs are copyright protected. Unauthorized use is prohibited 651-209-3600


Crutchfield Dermatology
1185 Town Centre Drive Suite 101 Eagan, MN 55123
Call for appointment: 651-209-3600 Fax: 651-209-3601

top 100 places to work

Proudly serving: The greater Twin Cities area, Minneapolis, St. Paul, Edina, Eden Prairie, Eagan, Richfield, Bloomington, Hopkins, Savage, Mendota Heights, St. Louis Park, Wayzata, Plymouth, Maple Grove, Crystal, Roseville, West St. Paul, Apple Valley, Burnsville



Web Design Arbor Bay Marketing

 

Crutchfield
Alpha Omega Alpha Honor Medical Society