Vitiligo physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Vitiligo is a chronic skin condition that causes loss of pigment, resulting in irregular pale patches of skin.

Physical Examination

Skin

Irregular pale patches of skin are present. After adequate evaluation of the skin of vitiligo patients, the hypopigmented lesions should also be evaluated in a dark room, under the Wood's light. This is a source of UVA light that allows for the evaluation of the skin areas of depigmentation, enhancing the details and tones of these areas. Areas such as axillae and genitalia should be evaluated carefully, since there are frequently involved regions, that may be missed without the Wood's light.

Vitiligo