Brand-Ad-30-6
 IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 2138 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   [PDF Not available] *
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
    Abstract
    Introduction
    Case Report
    Discussion
    References

 Article Access Statistics
    Viewed4919    
    Printed65    
    Emailed1    
    PDF Downloaded0    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 
CASE REPORT
Year : 2002  |  Volume : 68  |  Issue : 5  |  Page : 288-289

Tattooing with electrocauterization: A cosmetically acceptable therapeutic modality for a single halo naevus


Department of Dermatology, Government Medical College & Hospital, Faridkot - 151 203 (Punjab), India

Correspondence Address:
House No:224, Medical Campus, Faridkot - 151 203 (Punjub), India

   Abstract 

Two cases of single lesion halo naevus were treated with tattooing followed by electrocauterization resulting in good cosmetic acceptability. Tattooing with electrocauterization should be tried as a new therapeutic modality in a single lesion halo naevus especially on exposed parts of the body to avoid the unavoidable psychological trauma.

How to cite this article:
Mahajan B B, Garg G. Tattooing with electrocauterization: A cosmetically acceptable therapeutic modality for a single halo naevus . Indian J Dermatol Venereol Leprol 2002;68:288-9


How to cite this URL:
Mahajan B B, Garg G. Tattooing with electrocauterization: A cosmetically acceptable therapeutic modality for a single halo naevus . Indian J Dermatol Venereol Leprol [serial online] 2002 [cited 2020 Aug 3];68:288-9. Available from: http://www.ijdvl.com/text.asp?2002/68/5/288/12497



   Introduction Top

Halo naevus also known as Sutton's naevus or perinaevoid vitiligo or leucoderma acquisitum centrifugum, is characterized by a pigmented naevus with a surrounding depigmented zone. The naevus is usually intradermal with a central area of depigmentation having a regular sharply demarcated border. It may be single or multiple and develops mostly in teenage groups.[1] Usually treatment of halo naevus is not indicated as it is believed that repigmentation will take place eventually. We hereby report two cases of single lesion halo naevus on exposed areas being treated for cosmetic reasons with tattooing in combination with electrocauterization, thereby giving cosmetically acceptable results.

   Case Report Top

Case 1. A 16 - year - old male presented with a halo naevus on right side of cheek in front of tragus. It progressed slowly to the present size of about 2 x 1.5cm in diameter. It was stationary for the last 6 months without any progression or reggression. Examination revealed a single, oval-shaped, depigmented zone of about 2x1.5cm surrounding pigmented naevus of about 0.7x0.6cm was present with a clear demarcation of margins over right cheek in front of tragus
[Figure - 1]. Routine investigations like Hb, TLC, DLC, BT, CT urinalysis FB.S., elisa for H.I.V I and II were done and were found to be within normal limits. As the patient insisted that any
colour other than white is welcome for cosmetic reasons, tattooing was done in depigmented area [Figure - 2] followed by electrocauterization after one month in the naevus part. He was followed up regularly for one year and had shown significant cosmetic acceptance.
Case 2. A 6 - year -old female child presented with a single halo naevus on right side of neck for last one year. It was stationary for the last 6 months without any progression or involution. Examination revealed a single halo naevus with depigmented zone of about 1x0.5 cm surrounding a pigmented naevus of about 0.1 x 0.2 cm. in diameter on anteromedial side of neck in front of right sternocleidomastoid muscle. Routine investigations like Hb, TLC, DLC, BT, CT, FB.S., elisa for H.I.V I and II, urinalysis were done and found to be within normal limits. Here also tattooing in depigmented zone followed by electrocauterization after one month on naevus part was done for cosmetic reasons on parent's insistence. This was followed up regularly for 6 months and had shown significant cosmetic acceptability

   Discussion Top

Tattooing or micropigmentation is one of the surgical methods used to treat stable vitiligo by permanent camouflage. Tattooing is defined as uniform implantation of minute inert pigment granules into dermis, so as to artistically create a permanent cosmetic camouflage.[2] On the medical front, Galena used tattooing to improve defects of colouration as early as the second century. Pauli[3] performed medical tattooing to colour naevi and grafts in1835. Over the years, tattooing has been advocated to camouflage corneal leukomata, naevi and to reconstruct eyebrows,[4] areola and nipple.[5]
In our reporting, both the cases of halo naevus were single, asymptomatic and stationary for the last 6 months. Specific treatment modality is neither available nor indicated because of their spontaneous repigmentation. But in our reporting, these were treated with tattooing followed by electrocauterization for cosmetic reasons only. These results showed significant cosmetic acceptability to the patient. So, these cosmetically acceptable therapeutic modality can be considered as one of the options for treatment in cases of single halo naevus. 

   References Top

1.Domonkos AN, Arnold GHL. Odom RB. Andrew's Diseases of Skin, 1982; 7th Ed; 874 - 875.  Back to cited text no. 1    
2.Zwerling CS, Christensen FH, Goldstein NF History of tattooing - Micropigmentation 1st edn, New Jersy, Stack Inc. 1986; 7-12.  Back to cited text no. 2    
3.Goldberg DJ. Cosmetic tattooing - Cutaneous Surgery, Edited byWheeland RG, Philadelphia, WB Sounders Co. 1994; 410-416.  Back to cited text no. 3    
4.Patipa M. Eyelid tattooing. Dermot Clinic 1987; 5: 335 - 347.  Back to cited text no. 4    
5.Masser MC, Di Meal, Hobbn JA. Tattooing in reconstruction of the nipple and areola - a new method. Plant Reconstr Sung 1989;84: 667-681.  Back to cited text no. 5    

 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow