A Survey of Nigerian Dermatologists on the Management of Vitiligo

Abstract

BACKGROUND: The prevalence of vitiligo varies from 2-6% in different parts of Nigeria. Modalities of
treatment of vitiligo vary and there are concerns that management of vitiligo is not uniform.
AIMS AND OBJECTIVES: To determine attitudes and management practices of vitiligo among Nigerian
dermatologists.
METHODS: A survey was carried out among 43 of the 50 dermatologists who attended the
4th AGM and scientific conference of the NAD in 2010. Data was analyzed using SPSS16.
RESULTS: The response rate was 88.3%. All the dermatologists (42.1% females and 57.9% males)
agreed that vitiligo should be actively treated. Eight-eight ( 88% ) percent agreed that vitiligo is partially a
cosmetic problem and partially a disease and 91.9% educate their patients about vitiligo. Successful
treatment was defined mainly as re-pigmentation by 100% and the most important goal
was stabilization of disease (31.4%) followed by patients satisfaction and acceptance of vitiligo (22.9%).
Topical psolaren and sun exposure was the commonest method of treatment for children and adults.
Vitiligo in non-visible sites is treated by 85.7% of the dermatologists.
CONCLUSION: Nigerian dermatologists agree vitiligo needs to be actively treated, although there
are differences in management strategies. A national guideline is required to harmonize the treatment
strategies.