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- W2019469505 abstract "V itiligo is a disorder of pigmentation characterized by the presence of milk-white skin macules. The term vitiligo may have evolved from either the Latin word vitium, meaning fault, or vitelius meaning spotted calf (Kovacs, 1998). Pigment-producing cells (melanocytes) are absent from vitiligo lesions (Le Poole et al, 1993b); their loss represents a key event in the pathogenesis of the disease. Vitiligo lesions can change in size and shape over time and can develop at any age, but in approximately half of all cases the disease onset is before the age of twenty (Lerner, 1959). Clinical presentations include (a) segmental vitiligo, characterized by lesions that occur in a dermatomal, asymmetric distribution (of limited clinical significance); (b) focal vitiligo, characterized by a limited number of small lesions; (c) generalized vitiligo, the most common type of vitiligo, where lesions occur with bilateral, symmetrical distribution; and (d) universal vitiligo, indicating complete or almost complete depigmentation (Mosher et al, 1993). The incidence of this disease varies greatly between populations (from 0.14% to 8.8%), but the worldwide incidence is considered to be between 1% and 2% (Mosher et al, 1993). As well as the enhanced ultraviolet (UV) sensitivity of depigmented spots, vitiligo also is a cosmetically disabling disorder that often leads to psychologic stress (Porter et al, 1979). In addition, due to the occurrence of similar hypopigmented skin lesions in the early phase of leprosy, vitiligo is a true social stigma in countries in which leprosy is endemic. This problem is probably best emphasized by the terminology used in southern India, where vitiligo is known as ven kushtam, meaning “white leprosy” (Mosher et al, 1993). There are three main hypotheses for the pathogenesis of vitiligo: self destruction, neural, and autoimmune (Kovacs, 1998). In a number of recent studies, strong evidence in favor of the autoimmune hypothesis has been obtained. This review will discuss the relevant new evidence for autoimmune melanocyte destruction in vitiligo." @default.
- W2019469505 created "2016-06-24" @default.
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- W2019469505 date "2001-08-01" @default.
- W2019469505 modified "2023-10-18" @default.
- W2019469505 title "Autoimmune Melanocyte Destruction in Vitiligo" @default.
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- W2019469505 doi "https://doi.org/10.1038/labinvest.3780318" @default.
- W2019469505 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/11502857" @default.
- W2019469505 hasPublicationYear "2001" @default.
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