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The progression of vitiligo is unpredictable, emphasizing the need to identify periods of activity early for tailored treatment. Confetti-like depigmentation, hypochromic areas/borders and Koebner's phenomenon are clinical visible signs associated with disease activity in vitiligo. However, their true clinical significance requires further investigation using standardized scoring systems.

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Article Synopsis
  • Diagnosis of cutaneous hypopigmentation can be challenging, but dermoscopy shows promise in distinguishing between various conditions like vitiligo and pityriasis alba.
  • The study evaluated 168 patients to identify dermoscopic features unique to different hypopigmented conditions and assessed their diagnostic accuracy.
  • Key findings included that certain patterns like starburst and micro-koebnerization are specific to vitiligo, while other conditions exhibited different patterns; overall, dermoscopy was most effective for conditions such as nevus depigmentosus and pityriasis alba, showing high sensitivity rates.
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