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Vitiligo: A comprehensive overview Part II: Treatment options and approach to treatment

Journal

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
Volume 65, Issue 3, Pages 493-514

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.jaad.2010.10.043

Keywords

antioxidants; autoimmune; autologous melanocyte suspension graft; biologic agents; camouflage; corticosteroids; chemophototherapy; depigmentation; depigmented; hypopigmentation; hypopigmented; laser; leukoderma; macule; melanocyte; melanosome; phototherapy; psychotherapy; punch graft; split thickness skin graft; suction blister graft; topical calcineurin inhibitors; vitamin D3 analogs; vitiligo

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Vitiligo is a common skin disorder that results in depigmentation. With the appropriate management, many patients can minimize disease progression, attain repigmentation, and achieve cosmetically pleasing results. There are numerous medical and surgical treatments aimed at repigmentation; therapies for depigmentation are available for patients with recalcitrant or advanced disease. The use of cosmetics at all stages of treatment may be vital to the patient's quality of life. Understanding all the available options helps choose the appropriate treatment plan and tailor it to your patient. Part II of this two-part series on vitiligo discusses the indications for, evidence behind, and adverse effects associated with many of the therapies used for vitiligo. Both conventional medical and surgical options are discussed in addition to several alternative and promising new therapies. (J Am Acad Dermatol 2011;65:493-514.)

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