Medical history (history of illness) represents an important component in the diagnosis of vitiligo (white spot disease).
Family history
- Are there any diseases in your family that are common?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- Have you noticed any changes in skin coloration?
- In which parts of the body did you notice these changes?
- Have you noticed any worsening of skin findings after mechanical irritation or stress?
Vegetative anamnesis incl. nutritional anamnesis.
Self anamnesis incl. medication anamnesis
- Pre-existing conditions (skin diseases; autoimmune diseases).
- Operations
- Radiotherapy
- Allergies
- Environmental history
- Medication history
Medication history – mainly hypopigmentation triggered by the following medications:
- Externals containing azelaic acid
- Benzyl peroxide-containing externals
- Hydroquinone derivatives (bleaching agents)
- Externs containing kojic acid
- Topical (local) steroids
- Vitamin A derivatives