Clearly explainedEvidence-based guidance

Following response

Early signs of repigmentation

The first return of colour may be subtle. Small pigmented dots, inward movement from the edge or a diffuse change can all represent response.

In brief

Key points

  • Dots around hairs
  • Colour from the edge
  • Diffuse patterns
  • Compare photographs
01

Three common patterns

Perifollicular, marginal and diffuse repigmentation can occur separately or together. Lighting and temporary redness can imitate colour change.

02

Confirm over time

Use standardised photographs and scheduled clinical review. A single image rarely proves a durable response.

Editorial basis

Editorial basis: current AWMF S2k guideline on the diagnosis and treatment of vitiligo, register 013-093, version 2.0 dated 27 July 2026. Reviewed on 2 September 2026.

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