Top Clinical Insights: New Updates in the Management of Vitiligo
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Clinical Practice
- There are three classifications of vitiligo: nonsegmental, segmental, and mixed type. Segmental is considered the most refractory.
- Vitiligo is associated with autoimmune comorbidities, with thyroid disease being the most prevalent comorbidity.
- Treatment response in vitiligo is best on the face and neck and least effective on the hands and feet.
- The goal of vitiligo treatment is 75% improvement.
- The presence of a hair follicle is needed for vitiligo to repigment. Patches with majority white hairs and glabrous skin (lips, wrists, fingertips) do not repigment.