Autologous punch grafting for vitiligo of the palm.

BACKGROUND

Vitiligo of the palm can be resistant to conventional treatments, and grafting is not routinely attempted because of some difficulties.

OBJECTIVE

To do a autologous minigraft test on a vitiligo patch on the palm using skin of the instep as the donor.

METHODS

Under local anesthesia, two 2 mm minigrafts were transplanted into the vitiliginous skin of the palm of a 28-year-old female. Psolaren with ultraviolet A therapy followed the surgery for 12 weeks.

RESULTS

Excellent repigmentation was seen around the grafts at the end of 12 weeks. There were no complications.

CONCLUSION

The skin of the instep is an ideal donor site for palmar vitiligo.