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Vitiligo, from Pathogenesis to Therapeutic Advances: State of the Art.


ABSTRACT: Vitiligo is an acquired hypopigmentation of the skin due to a progressive selective loss of melanocytes; it has a prevalence of 1-2% and appears as rounded, well-demarcated white macules. The etiopathology of the disease has not been well defined, but multiple factors contribute to melanocyte loss: metabolic abnormalities, oxidative stress, inflammation, and autoimmunity. Therefore, a convergence theory was proposed that combines all existing theories into a comprehensive one in which several mechanisms contribute to the reduction of melanocyte viability. In addition, increasingly in-depth knowledge about the disease's pathogenetic processes has enabled the development of increasingly targeted therapeutic strategies with high efficacy and fewer side effects. The aim of this paper is, by conducting a narrative review of the literature, to analyze the pathogenesis of vitiligo and the most recent treatments available for this condition.

SUBMITTER: Diotallevi F 

PROVIDER: S-EPMC10003418 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Vitiligo, from Pathogenesis to Therapeutic Advances: State of the Art.

Diotallevi Federico F   Gioacchini Helena H   De Simoni Edoardo E   Marani Andrea A   Candelora Matteo M   Paolinelli Matteo M   Molinelli Elisa E   Offidani Annamaria A   Simonetti Oriana O  

International journal of molecular sciences 20230303 5


Vitiligo is an acquired hypopigmentation of the skin due to a progressive selective loss of melanocytes; it has a prevalence of 1-2% and appears as rounded, well-demarcated white macules. The etiopathology of the disease has not been well defined, but multiple factors contribute to melanocyte loss: metabolic abnormalities, oxidative stress, inflammation, and autoimmunity. Therefore, a convergence theory was proposed that combines all existing theories into a comprehensive one in which several me  ...[more]

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