The authors report 2 cases of atypical vitiligo in which they observed 1) "cockade-like" lesions resembling those of "trichrome" vitiligo (from the centre to the periphery, achromic area, hypochromic ring, normal or hyperchromic border), 2) numerous linear achromic lesions corresponding to former excoriations (Koebner's phenomenon, isomorphic phenomenon). Related affections are discussed with reference to these cases; the trichrome vitiligo described by Lerner and Fitzpatrick, and the primary leukomelanodermas described in black patients by Basset and by Sarrat and Nouhouayi.

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http://dx.doi.org/10.1007/BF00455391DOI Listing

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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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Introduction: Previously laid down criteria for lesional stability of vitiligo are inconsistent. Longitudinal data on correlation between dermoscopic features of vitiligo and disease activity is limited.

Objectives: To sequentially determine the dermoscopic features of vitiligo and to assess their association with the dynamic nature of the vitiligo patch.

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Introduction: The diagnosis of vitiligo is mainly based on clinical findings. However, dermoscopy or reflectance confocal microscopy (RCM) could be useful for assessing its progression (stability, pigmen-tation, or depigmentation).

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