Are there any differences in treatment options for small vitiligo patches versus large vitiligo patches?
For the treatment of vitiligo, topical treatment with steroids or calcineurin inhibitors is the first-line treatment. For small areas of vitiligo, topical treatment is a good option. If the area of involvement is larger, it is much more difficult to apply the creams.
Phototherapy is also a good option for vitiligo. It can be delivered to a small area i.e. localized phototherapy or to the whole body. For extensive vitiligo, full-body phototherapy will be a good option.
Other options include cellular grafting, where the pigment cells are harvested from skin from an uninvolved area and grafted to the affected area. This can be considered for smaller vitiligo patches and is less practical for large areas of vitiligo.
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