Clearly explainedEvidence-based guidance

Assessing activity

When is vitiligo stable?

Stability means that no new patches, clear enlargement or other activity signs have appeared during a defined period.

In brief

Key points

  • Time course is essential
  • Photographs help
  • No absolute guarantee
  • Important before surgery
01

Documenting stability

Comparable photographs, surface measurements and clinical signs are assessed together. A short quiet phase may not be enough for major decisions.

02

Why it matters

Surgical procedures require treatment-resistant areas that have remained stable for at least twelve months under the current AWMF guidance.

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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