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Disease Stability in Segmental and Non-Segmental Vitiligo.
Neha Taneja1, V Sreenivas2, Kanika Sahni1
1Department of Dermatology and Venereology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Indian Dermatology Online Journal
|February 24, 2022
Summary
Segmental vitiligo typically becomes inactive after two years of stability, unlike non-segmental vitiligo which may reactivate even after long stable periods. This impacts vitiligo treatment decisions.
Area of Science:
- Dermatology
- Autoimmune Diseases
- Epidemiology
Background:
- Therapeutic decisions for vitiligo are influenced by disease stability.
- Predicting vitiligo inactivity is crucial for patient management.
Purpose of the Study:
- To identify a disease stability period in vitiligo beyond which reactivation is improbable.
- To inform clinical practice regarding vitiligo prognosis.
Main Methods:
- Cross-sectional descriptive study involving 200 vitiligo patients.
- Detailed clinical history of disease activity and stability was recorded.
Main Results:
- Non-segmental vitiligo (83.5%) and segmental vitiligo (16.5%) showed different stability patterns.
- Segmental vitiligo stable for >=2 years was less likely to reactivate (P=0.16).
- No association between stability duration and reactivation risk in non-segmental vitiligo.
Conclusions:
- Segmental vitiligo often achieves inactivity after 2 years of stability.
- Non-segmental vitiligo carries a risk of reactivation irrespective of stability duration.
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