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Sanjeev V. Mulekar, MD; Marwan Asaad, MD; Bassel Ghwish, MD; Ahmed Al Issa, MD; Abdullah Al Eisa, MD

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The development of vitiligo at the site of physical injury such as cuts, abrasions, or surgical wounds is referred to as isomorphic Koebner phenomenon (IKP). The exact mechanism of IKP is not known. Surgical interventions are still considered useful only when lesions become refractory to medical treatment and are clinically stable. A positive finding on a minigraft test is an indication of future recovery after surgery.¹ At the same time, it is important to note the absence of new koebnerization, including at the donor site for the minigrafting test. Koebnerization at the donor site is a warning sign about possible repigmentation failure after a surgical procedure.

We report herein a rare observation of repigmentation of recipient lesions in spite of koebnerization at the donor site in 12 patients treated by noncultured melanocyte-keratinocyte . . . [Full Text of this Article]

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