Depigmented patches, mild scaling on newborn • Dx?
The Journal of Family Practice. 2016 September;65(9):620-622
September 1, 2016|The Journal of Family Practice
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► Depigmented patches covering approximately 15% of newborn’s body, surrounded by areas of thickened skin
► Mild scaling and hyperpigmentation
THE TAKEAWAY
The clinical diagnosis of piebaldism is straightforward based on the presence of a white forelock in the frontal region, the appearance of depigmented macules since birth that stay relatively stable, and the presence of a similar pattern of depigmented macules in other family members. Histologic or genetic testing is not necessary to establish the diagnosis. Rarely, cases of piebaldism are associated with hearing loss, necessitating a hearing assessment and an audiology exam. Unfortunately, there are no effective treatments for piebaldism.
