Repigmentation of vitiligo universalis masquerading as pseudo-melasma

Vitiligo is a common depigmentation disorder that affects the melanocytes. We present a case of middle-aged female with complaints of pigmented lesion over both cheeks. Clinical differentials of melasma, pregnancy induced hypertension (PIH) was considered but which on further evaluation turned out to be re-pigmentation in vitiligo universalis that had developed during her postpartum which masqueraded as melasma.