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 Table of Contents  
THE CLINICAL PICTURE
Year : 2019  |  Volume : 6  |  Issue : 1  |  Page : 48-49

Severe phototoxic reaction to homemade herbal remedy to treat vitiligo


Department of D.V.L., HIMS, Safedabad, Barabanki, Uttar Pradesh, India

Date of Web Publication4-Jul-2019

Correspondence Address:
Dr. Sunil Kumar Gupta
127, Vinayakpuram Chinhat, Lucknow 226028, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/Pigmentinternational.Pigmentinternational_

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  Abstract 


Vitiligo is a acquired, noninfective disorder of skin affecting the melanocytes. It is clinically present with asymptomatic, milky white patches on the body in generalized or localized pattern. This disease is strongly associated with social stigma that influences the daily quality of life of patients and their family. Sometimes this stigma leads to overtreatment of disease by home remedies which result into a life threatening condition for the patients.

Keywords: Phototoxic, vitiligo, Babchi oil


How to cite this article:
Gupta SK. Severe phototoxic reaction to homemade herbal remedy to treat vitiligo. Pigment Int 2019;6:48-9

How to cite this URL:
Gupta SK. Severe phototoxic reaction to homemade herbal remedy to treat vitiligo. Pigment Int [serial online] 2019 [cited 2019 Aug 18];6:48-9. Available from: http://www.pigmentinternational.com/text.asp?2019/6/1/48/262049



A 12-year-old boy was admitted in hospital with intense erythema present on his face, neck, both upper arms [[Figure 1]] and both feet [[Figure 2]]. The lesions were tender and dysquamated easily. Few tense and ruptured bullae were present on both arms and feet. The patient was hypotensive, dehydrated, and afebrile. History from his parents revealed that he was suffering from vitiligo vulgaris. They applied a mixture of vinegar, Babchi oil, and bitter gourd extract on his entire body. When the patient went out to play, he developed sever phototoxic reaction on the exposed parts of his body. Blood investigation showed eosinophilic leukocytosis. Skin biopsy showed keratinocyte necrosis with interface dermatitis. The patient was treated with intravenous dexamethasone, antibiotic, and fluids. He improved within a week and was discharged.
Figure 1 Intense erythema on face and ruptured bullae on both upper arm.

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Figure 2 Erythema and bullae on both feet.

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Generally, patients with vitiligo are neglected by the society. This social stigma leads to unethical practices by quacks, patients, or their family members. They apply a combination of herbal materials that result in serious medical complications, as mentioned in this case.




    Figures

  [Figure 1], [Figure 2]



 

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