Published Jul 24, 2016



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Dr Bibeka Nand Jha

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Abstract

Vitiligo is a common pigmentary disorder of the skin, with a worldwide incidence of 1%. The present study is an effort to learn more about precipitating factors and the clinical features of vitiligo patients in Janakpur, Nepal. A total of 365 patients were included in the study, out of which females (68.4%) were found to be more affected than males (31.6%), in a ratio of 2.1:1. The majority (32.82%) of the patients were in their second decade of life, and 58.63% of the patients were unmarried . A positive family history was present in 50 (13.7%) patients. Trauma (3.84%) was the most common precipitating factor, followed by emotional upset (2.19%) and physical pressure (0.82%). History of progressive vitiligo was obtained in 65.59% of the patients. Vitiligo vulgaris (64.9%) was the most common morphological pattern; other patterns seen were focal vitiligo (18.6%), acrofacial vitiligo (0.8%), mucosal vitiligo (14.8%), segmental vitiligo (1.4%), and universal vitiligo (8.2%). Leucotrichia was seen in 9% of the patients, and Koebner.s phenomenon was noted in 6% of the patients. The associated cutaneous diseases noted in our study were alopecia areata (0.55%), chronic urticaria (0.27%), and premature canitis (0.55%). Diabetes mellitus was found in 2(0.55%) patients; hypertension, 5(1.37%); hypothyroidism, 1(0.27%); epilepsy, 4(1%); and deafness, 5(1.37%). In result,vitiligo was common in younger age groups in our study settings, with females of marriageable age forming the major group.

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Research Articles