Crutchfield Dermatology Case-of-the-month header image

Case of the Month

face differenbt color skin
after treatment

This 5 year old girl presented with an enlarging white spot on her face and chest/neck for the past 10 months

What's Your Diagnosis?

Diagnosis: Vitiligo

I treated her vitiligo treated with nbUVB (x62 treatments), tofacitinib cream, class 6 steroid cream, Dovonex cream, and Pimecrolimus.
5 month treatment period. (PWPP). Specifically: Morning: tofacitinib + Dovonex, After dinner: Class VI steroid, Bedtime: tofacitinib and pimecrolimus.
My nbUVB schedule is 2-3x/week.

You can treat without the narrow band UVB, but it takes longer and does not always fill in completely.
I had the tofacitinib compounded at: Custon Scripts Pharmacy 1 800 226 7094,
Since it is off label I have had patients sign a consent.

Since everyone is different I will start a gentle taper off of lights and topicals to see how she does. Some do fine and others need minimal or regular treatment to stay clear. I find it varies based on the patient.
I also acknowledge that not everyone can afford the treatments. If that is the case I offer the nbUVB at no charge or at a nominal rate ($1-2/tx - so the patients feel good about participation).

I am happy to report a protocol that works to treat vitiligo. Now we must fight for coverage!

I would encourage my colleagues to keep pressure on insurance companies and our professional organizations to have adequate coverage for this disturbingly difficult disease.

Here is another example of a boy treated with the same protocol. His mother asked for help with tears in her eyes because he was being bullied and did not want to go to school.

face differenbt color skin
after treatment

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Charles Crutchfield III M.D. Eagan Dermatologist

For more dermatology cases-of-the-month visit Dr. Crutchfield's Case of the Month Archive

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1185 Town Centre Drive, Suite 101
Eagan, MN 55123 USA

Phone: (651) 209-3600 Fax: (651) 209-3601

Hours: Monday-Friday 8am-5pm

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