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Mms and dmso for idiopathic guttate hypomelanosisPosted By Aline (Hoorn, North-holland Netherlands) on 10/03/2012
Hope you can help me! My thanks, Aline
Replied by Claude (Crestview, Fl, Usa) on 10/19/2012
DEFINITION - Idiopathic Guttate Hypomelanosis, or Disseminate Lenticular Leucoderma, comprises small, white irregularly shaped macules occurring mostly on the anterior lower legs.
ETIOLOGY - Actinic damage has been proposed as a cause of IGH in Caucasians. The etiology is poorly understood in black people. Histologically, a decrease in the number of melanocytes is found and women, especially over 40 years of age, represent the majority of cases.
CLINICAL PERSPECTIVE: The discrete, hypopigmented macules range in size from 2-6 mm and possess an irregular border. The disease is more noticeable in black people than Caucasians, and may involve the trunk as the legs.
DIFFERENTIAL DIAGNOSIS - Unlike IGM, Vitiligo tends to be periorificial and not confined to the lower legs.
TREATMENT OPTIONS - Triamcinilone acetonide may be injected intralesionally if the lesions are cosmetically objectionable. Usually, no treatment is required.
Lastly, my dermatologist said that the injections were quite painful. I'm happy to hear that it has a name and that it won't spread to my face. I'm okay with that - on injections for me. My Mom also had the same white spots. I hope this helps anyone who is seeking answers.
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