Black Will, Russell Nicole, Cohen George
Department of Dermatology, University of South Florida, 12901 Bruce B. Downs Blvd, Tampa, FL 33612, USA.
Cutis. 2012 Feb;89(2):57-60.
Vitiligo is a depigmenting disorder characterized by the progressive loss of melanocytes. In cases of extensive vitiligo that is unresponsive to treatment and involves noticeable areas, such as the face and hands, total depigmentation is a clinical option. The choice to depigment is a difficult one for the patient given the irreversible nature of treatment and the psychosocial implications of skin color change. This issue can be particularly complex for black patients. Depigmentation has been practiced for decades and documented in the literature, but the practice in Fitzpatrick skin type VI is not well-documented. We present a case of depigmentation in a patient with Fitzpatrick skin type VI, as well as technical options for depigmentation, the clinical approach, patient preparation, and psychosocial issues involved with this treatment option.
白癜风是一种以黑素细胞进行性丧失为特征的色素脱失性疾病。对于广泛的、对治疗无反应且累及面部和手部等明显部位的白癜风病例，完全脱色是一种临床选择。鉴于治疗的不可逆性以及肤色变化的社会心理影响，对患者来说，选择脱色是一个艰难的决定。对于黑人患者，这个问题可能尤其复杂。脱色疗法已经应用了数十年且有文献记载，但对于 Fitzpatrick 皮肤分型 VI 型患者的这种疗法，文献记载并不充分。我们报告一例 Fitzpatrick 皮肤分型 VI 型患者的脱色病例，以及脱色的技术选择、临床方法、患者准备和与该治疗选择相关的社会心理问题。
