Vitiligo – An Indian Perspective

Abstract

The prevalence of vitiligo in India is high. It affects DLQI. Exact aetiology is not clear. Melanocytorrhagy hypothesis is important. Classification into segmental and non segmental vitiligo is satisfactory from prognosis and treatment point of view. Onset of vitiligo after the age of 30 years is defined as late onset vitiligo: separate subset with strong genetic background and presence of precipitating environmental factors. Mucosal vitiligo is a distinct subset. Koebner type 2A phenomenon needs redefining. Oral minipulse and minocycline are effective in progressive unstable vitiligo. Narrowband UVB phototherapy is effective in both children and adults: it has an edge over PUVA. NCECS is the most common surgical technique used in treatment. Suspension in patient's serum gives better results. NCECS is better than SEBG. Camouflaging and depigmentation are required in some cases.