Vitiligo Protocol

1
Vitiligo Protocol

• Dr Aisha Sohail
• Dr Babar Vaqas

2
Vitiligo Protocol

1. Add patient details to database. Date of birth
   (DOB), patient number (or other unique patient
   identifier). (pt list.doc)
2. Fill out patient questionnaire (questionnaire
   template.doc) edit body diagrams by copying and
   pasting into windows paint. Paste diagrams back
   into the document
3. Take standardised photos of body areas affected
   by vitiligo (protocol for study.doc) document in
   patient photo details.doc
4. Draw out control and test vitiligo lesions for
   area calculation
5. Upload Questionnaire, photographs and scanned
   control and test patches of skin
6. Repeat every 3, 6, 9 and 12 month intervals for
   all patients with Vitiligo.

3
Add patient details to database. Patient name,
date of birth (DOB), patient number. (pt list.doc)
Pt Name Patient
1 Winston Churchill DOB20.08.65 T573D
2 Michael Smith DOB 25.01.95 T1070
3 James Johnson DOB 19.12.97 T763C
4
Take standardised photos of body areas affected
by vitiligo (protocol for study.doc)

• Prepare patient ensure no makeup jewelry off,
  gown on.
• Camera settings
• Flash on
• Red eye on
• Remote on - usage
• Automatic mode
• No zoom, macro mode ON
• Camera angle Camera should always be at right
  angles to the skin area being photographed.
  Ensure camera is horizontal, and NOT angled at
  the body but pointing straight ahead.
• Distance Should always be 30cm unless otherwise
  recorded as different on grid (Chest, abdomen,
  legs and feet)
• Labeling Right and left should be clearly
  labeled on patient
• Centimetre scale Each image should have a cm
  scale
• Background Blue background always
• Body regions Front, back and side views of the
  area of the body with the patch of vitiligo must
  be taken for every patch, even if some views do
  not include the patch.

5
Patient Photo Details
All photographs must be recorded in the document
patient photo details.doc as below
Patient Code Date
Picture Number Distance photo taken Description of body region
1 30cm Face, front
2 55cm Lower leg (knee to ankle), front
6
Body Regions

• Head Distance 30cm

Forehead
Bottom of chin
Right
Front
Top
Back
Left
Ears bent forward
7
Body Regions

• Neck Distance 30cm

Bottom of jaw
Collar bone
Front
Left
Right
Back
8
Body Regions

• Chest, Shoulder Armpit Distance whatever is
  required for the field

Front
Right
Left
Back
Collar bone
Bottom of ribs
Bottom of ribs
9
Body Regions

• Upper Arm Distance 30cm

shoulder
Elbow crease
Right Front
Right Back
Left Front
Left Back
10
Body Regions

• Elbow Distance 30cm

Right Front
Right Back
Left Front
Left Back
11
Body Regions

• Forearm Distance 30cm

Right Front
Right Back
Left Front
Left Back
12
Body Regions

• Hand Distance 30cm

Right Front
Right Back
Left Front
Left Back
13
Body Regions

• Abdomen and groin Distance whatever is
  required for the field

14
Body Regions

• Upper leg (thigh) Distance whatever is
  required for the field

15
Body Regions

• Lower leg Distance whatever is required for
  the field

Front
Back
Right inside
Right outside
Left outside
Left inside
16
Body Regions

• Feet ankles Distance whatever is required for
  the field

Right outside
Top
Left outside
Right inside
Back
Left inside
Left sole
Right sole
17
Control and Test Patches

• Select 2 patches of vitiligo 1 where treatment
  has been applied (TEST) 1 where treatment has not
  (CONTROL). Document where these patches are on
  the body to aid future re-assessment of the same
  patch.
• Draw around these patches on top of transparent
  paper. Label with patient code, date, body
  region.
• Place the transparent paper on a sheet with a
  grid printed on it and photograph this.

Test Lesion right face
Test Lesion outline
18
Control and Test Patches

• Tricky ones only outline pure areas of white.
  Islands of darker skin can be outlined and shaded.

19
Emailing

• Naming Photos patient code-bodyregion(including
  side)-date e.g. 23Routsidelowerleg29-09-06
• Naming control and test outlines patient
  code-body region- control/test lesion- date e.g.
  23LbackhandTEST29-09-06
• Questionnaire should be named by patient code
  and date e.g. 23-29-09-06.doc
• All photographs and outlines of control and test
  patches of skin together with questionnaire forms
  with SF-12 score can be emailed to
  contact_at_healthyskinforall.com