RT Book, Section 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. SR Print(0) ID 1161324334 T1 Vitiligo T2 Fitzpatrick's Dermatology, 9e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071837798 LK dermatology.mhmedical.com/content.aspx?aid=1161324334 RD 2024/09/16 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.