Snapshot A 45-year-old woman presents to her dermatologist for further management of her vitiligo. In the past few months she has been very stressed with trouble at work, home, and recent deaths in the family. Her vitiligo has spread from her hands to her arms, face, chest, back, and legs. Given the widespread nature of her disease, she is started on phototherapy with pulses of oral steroids. Introduction Clinical definition login to view 1 more bullet Associated conditions login to view 3 more bullets Epidemiology Demographics login to view 1 more bullet Risk factors login to view 1 more bullet ETIOLOGY Pathogenesis login to view 5 more bullets Presentation Symptoms login to view 1 more bullet Physical exam login to view 4 more bullets Studies Biopsy login to view 2 more bullets Histology login to view 2 more bullets Differential Tinea versicolor Pityriasis alba Treatment Conservative login to view 10 more bullets Medical login to view 16 more bullets Complications Poor quality of life and psychologic burden Prognosis Chronic disease that waxes and wanes