Presentations, Signs of Activity, and Differential Diagnosis of Vitiligo.
Vitiligo has a variety of presentations, including focal, acrofacial, segmental, and generalized forms. Thorough knowledge of these presentations is important to make the correct diagnosis. Signs of activity are important to recognize so that treatment is optimized. Clinical findings of confettilike depigmentation, trichrome and inflammatory vitiligo, and the Koebner phenomenon should alert the clinician that a patient's disease is likely to worsen. These patients may require systemic treatment to stabilize their disease. Many other skin disorders present with hypopigmentation or depigmentation and must be distinguished to determine the right diagnosis, advise the patient on prognosis, and prescribe the correct treatment.
Skin Physicians Pte Ltd, 3 Mount Elizabeth, Suite 11-08 Mount Elizabeth Medical Centre, Singapore 228510, Singapore.
Boon-Kee
BK
Goh
Department of Dermatology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9069, USA. Electronic address: amit.pandya@utsouthwestern.edu.
Amit G
AG
Pandya
D003937:Diagnosis, Differential; D006086:Graft vs Host Disease / Q000150:complications; D006801:Humans; D017496:Hypopigmentation / Q000175:diagnosis* / Q000209:etiology; D015441:Leprosy, Tuberculoid / Q000150:complications; D018459:Lichen Sclerosus et Atrophicus / Q000150:complications; D008179:Lupus Erythematosus, Discoid / Q000150:complications; D016116:Piebaldism / Q000175:diagnosis; D010915:Pityriasis / Q000150:complications; D014010:Tinea Versicolor / Q000150:complications; D014820:Vitiligo / Q000175:diagnosis*
Clinical activity; Confetti; Differential diagnosis; Koebner; Presentations; Trichrome; Vitiligo