For the clinical assessment of vitiligo stage, determine the doctor to judge your condition status and provide a basis for the treatment plan developed by the doctor. The Chinese vitiligo diagnosis and treatment consensus (2014 version) proposes reference indicators to determine the progressive stage: vitiligo disease activity score (VIDA), Wood lamp examination and the appearance of white spots after trauma, 1 of the 3 indicators can be considered vitiligo disease progression, laser confocal scanning microscopy (skin CT) and dermoscopic image examination also help. the VIDA score is determined by how long the patient complains of New lesions or enlargement of the original lesions within the last 6 weeks + 4 points, new lesions or enlargement of the original lesions within the last 3 months + 3 points, new lesions or enlargement of the original lesions within the last 6 months + 2 points, new lesions or enlargement of the original lesions within the last 1 year + 1 point, stable for at least 1 year 0 points, stable for at least 1 year with spontaneous pigment regeneration – 1 point. A total score > 1 is considered progressive, ≥ 4 is rapidly progressive. Vitiligo is mainly based on history and clinical observation, and lacks more objective quantitative indicators.
The Wood lamp examination is often used in the examination and judgment of vitiligo, because the doctor’s naked eye observation, with a certain subjectivity, the lesions are gray-white, the border is not clear, Wood lamp lesion area is greater than the visual area, suggesting the progressive stage; lesions white, clear border, Wood lamp lesion area ≤ visual area, suggesting the stable stage.
The doctors often assess the clinical performance of vitiligo lesions to effectively predict the progress and efficacy of the disease. If vitiligo is in the progressive stage, it can often show local inflammation, pruritus, tricolor lesions and white spots after trauma as the main clinical features. The main manifestation of inflammatory vitiligo is the appearance of erythema, scaling and itching in hypopigmented or depigmented lesions without treatment, especially at the borders of the lesions. Erythema and itching after topical medication may be irritation and allergic reactions to topical medication.
If you are progressive vitiligo you need active treatment, controlling the progression of the disease is the main means of treatment.