Grau Carmen, Silverberg Nanette B
Department of Dermatology, St. Luke's-Roosevelt Hospital Center, 1090 Amsterdam Ave, Ste 11D, New York, NY 10025, USA.
Cutis. 2013 May;91(5):248-52.
Vitiligo is characterized by a loss of cutaneous and mucosal pigmentation and often is associated with psychological distress. Depigmentation therapy can be used to eliminate residual pigment, thereby creating an evenly depigmented skin tone. Patients often seek depigmentation therapy to even their skin tone when a large body surface area is affected by vitiligo or when exposed areas (eg, face, hands) are affected and do not respond to repigmentation therapy. Psychological screening of patients is recommended when considering depigmentation therapy for vitiligo. We report the case of a 24-year-old man with vitiligo who sought depigmentation therapy and withheld crucial information regarding his psychiatric and medication history. We also provide guidelines for a rational approach to psychocutaneous screening of patients with vitiligo seeking depigmentation therapy.
白癜风的特征是皮肤和黏膜色素脱失，常伴有心理困扰。脱色疗法可用于消除残留色素，从而形成均匀的脱色肤色。当大面积身体表面受白癜风影响或暴露部位（如面部、手部）受影响且对复色疗法无反应时，患者常寻求脱色疗法以使肤色均匀。考虑对白癜风患者进行脱色治疗时，建议对患者进行心理筛查。我们报告了一例24岁白癜风男性患者，他寻求脱色治疗，但隐瞒了有关其精神病史和用药史的关键信息。我们还提供了对寻求脱色治疗的白癜风患者进行心理皮肤筛查的合理方法指南。
