Vitiligo-Like Depigmentation With Perifollicular Pigment Retention in Systemic Sclerosis Treated Successfully With Suplatast Tosilate

A 26-year-old woman with systemic sclerosis presented with swollen fingers, digital ulcers, and depigmentation on her chest and back. Physical examination revealed sclerodactyly, moderate skin sclerosis, and Raynaud's phenomenon. Depigmented macules with perifollicular pigment retention were noted on her chest, back, and face. Treatment with suplatast tosilate successfully improved her condition, highlighting its potential efficacy in managing vitiligo-like depigmentation associated with systemic sclerosis.