Dermabrasion may repigment vitiligo through stimulation of melanocyte precursors and elimination of hyperkeratosis
Article first published online: 23 NOV 2012
© 2012 Wiley Periodicals, Inc.
Journal of Cosmetic Dermatology
Volume 11, Issue 4, pages 318–322, December 2012
How to Cite
Awad, S. S. (2012), Dermabrasion may repigment vitiligo through stimulation of melanocyte precursors and elimination of hyperkeratosis. Journal of Cosmetic Dermatology, 11: 318–322. doi: 10.1111/jocd.12010
- Issue published online: 23 NOV 2012
- Article first published online: 23 NOV 2012
- Manuscript Accepted: 15 JUN 2012
The observation of successful repigmentation of recalcitrant vitiligo patches in spite of rejection of epithelial grafts from the dermabraded skin presented a query about possible efficiency of dermabrasion itself in the repigmentation process.
The aim of this work is to investigate the possible effectiveness of dermabrasion alone in managing stable vitiligo.
Ten patients with vitiligo were candidates in this study. Superficial dermabrasion was carried out using proper diamond fraises. Biopsy was obtained after 10 days of the procedure and examined pathologically. The patients were followed up for 3 months.
Dermabrasion was able to repigment vitiliginous patches completely in six patients and partially in two patients, while two cases failed to repigment at all. Spindle melanocyte precursors were demonstrated in the epidermis 10 days after abrasion with regaining normal thickness of keratin layers.
Dermabrasion can repigment vitiligo through stimulation of melanocyte stem cells and elimination of hyperkeratosis.