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Stability Issues in Vitiligo

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Dr Koushik Lahiri, Kolkata    21 January 2019

  • When ultrastructural investigation facilities are available, an attempt should be made to clearly fathom stability, not merely on clinical grounds but along with electron microscopy and histoenzymological analysis of the perilesional and non-lesional skin of vitiligo patients.
  • Growth factors responsible for both mitogenic and melanogenic stimulation of melanocyte should also be taken into account.
  • The understanding of the area based variable status and limited period of inertia or activity might necessitate test grafting at various sites at different time interval.

Practice sutra: Till the unexplored areas are chartered, we should not refrain from choosing the surgical option. Judging every patient as a unique one and logical application of clinical knowledge may be very important.

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