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Tobias has depigmentation of his eyelashes (leukotrichia). Leukotrichia can affect between 10% and >60% of patients with vitiligo.The presence of leukotrichia decreases the chance of repigmentation. This is thought to be secondary to the loss of the melanocyte stem cell reservoir in the epithelium of the folliculosebaceous unit. #leukotrichia
Vitiligo can be linked to high levels of social anxiety.Perceived stigma is significantly related to the extent to which vitiligo has an impact on social activities and distress.The high levels of depression and anxiety associated with vitiligo can be successfully addressed with cognitive behavioural therapy.Patient Health Questionnaire-9 is a useful tool for screening for depression in the primary care setting. #Vitiligo_Psychological_Support
