En resumen
Puntos clave
- ✓Small dots can be an early sign
- ✓The face often responds better
- ✓Hands and feet are more difficult
- ✓Comparable photos help
- ✓Response is never guaranteed
Typical early patterns
Perifollicular dots arise around hairs. Marginal repigmentation progresses from the border, while diffuse colour may appear more evenly within a patch.
Why areas differ
Hair-follicle density, duration, activity, white hairs and treatment influence response. The face and neck often respond more readily than fingers, toes, hands and feet.
Documenting progress
Photographs should use similar lighting, distance and position. Monthly comparisons are usually more informative than checking the skin every day.
Editorial basis: AWMF S2k guideline on the diagnosis and treatment of vitiligo, register 013-093, version 2.0 dated 27 July 2026, valid until June 2031. Sources reviewed on 2 September 2026.
Las fuentes se citan en el texto; los enlaces comerciales solo llevan a páginas IDEALDERM aprobadas.