White Spot Disease (Vitiligo): Medical History

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