Setting Expectations
This image is for illustrative purposes only.
The following checklist may help with setting patient expectations.
Repigmentation takes time.
Time to repigmentation varies depending on body location, and from patient to patient.
Twice daily application to the affected areas.
After successful re-pigmentation discuss maintenance strategies with patients.
Repigmentation Develops Best in the Hair-bearing Regions.9
Multiple Patterns May be Observed in Repigmentation, Including:9,18
Perifollicular Pattern
The most common pattern is the perifollicular pattern, which appears as small, round, repigmented areas around the hair follicles.
Marginal Pattern
The marginal pattern appears as a repigmented rim at the lesion borders.
Diffuse Pattern
The depigmented areas showed a diffuse pattern of repigmentation.
Combined Pattern
Including perifollicular pattern (blue arrow) and marginal pattern (white arrow).
Medium-spotted Pattern
Repigmentation of palmar surface presents as round brown macules.
References
- Birlea SA, Goldstein NB, Norris DA. Repigmentation through Melanocyte Regeneration in Vitiligo. Dermatol Clin. 2017 Apr;35(2):205-218.
- Yang K, Xiong X, Pallavi G, Ling Y, Ding F, Duan W, Sun W, Ding G, Gong Q, Zhu W, Lu Y. The early repigmentation pattern of vitiligo is related to the source of melanocytes and by the choice of therapy: a retrospective cohort study. Int J Dermatol. 2018 Mar;57(3):324-331.
