Autologous punch grafting for vitiligo of the palm

BACKGROUND. Vitiligo of the palm can be resistant to conventional treatments, and grafting is not routinely attempted because of some difficulties. OBJECTIVE. To do a autologous minigraft test on a vitiligo patch on the palm using skin of the instep as the donor. METHODS. Under local anesthesia, two 2 mm minigrafts were transplanted into the vitiliginous skin of the palm of a 28-year-old female. Psolaren with ultraviolet A therapy followed the surgery for 12 weeks. RESULTS. Excellent repigmentation was seen around the grafts at the end of 12 weeks. There were no complications. CONCLUSION. The skin of the instep is an ideal donor site for palmar vitiligo.