TY - CHAP M1 - Book, Section TI - Vitiligo A1 - Ezzedine, Khaled A1 - Harris, John E. A2 - Kang, Sewon A2 - Amagai, Masayuki A2 - Bruckner, Anna L. A2 - Enk, Alexander H. A2 - Margolis, David J. A2 - McMichael, Amy J. A2 - Orringer, Jeffrey S. PY - 2019 T2 - Fitzpatrick's Dermatology, 9e AB - AT-A-GLANCEVitiligo is a common autoimmune disease of the skin that causes depigmentation through T-cell–mediated destruction of melanocytes.Pathogenesis is multifactorial, including genetic predisposition, autoimmunity, and environmental factors.Vitiligo can cause significant social stigma, with serious implications for mental health.Correlates with increased risk of other autoimmune diseases, but decreased risk of skin cancer.Clinical signs of lesional activity include confetti, trichrome, and inflammatory lesions, as well as koebnerization.Reversible with treatment, but only in areas with normally pigmented hair.Effective treatments include topical and oral immunosuppressants, phototherapy, and chemical depigmenting agents.Emerging treatments include targeted immunotherapy and melanocyte-stimulating hormones. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1161324334 ER -