White Spot Disease (Vitiligo): Test and Diagnosis

2nd order laboratory parameters

  • TSH (thyroid-stimulating hormone).
  • Thyrotropin receptor autoantibodies (TRAK, also TSH receptor autoantibodies, TSHR-AK) [Graves’ disease].
  • TPO-Ak (TPO antibodies) [chronic autoimmune thyroiditis (Hashimoto’s thyroiditis): detectable in 90% of cases; active Graves’ disease: detectable in 70% of cases]
  • Total antioxidant capacity
  • Vitamin C
  • 25-OH vitamin D
  • Folic acid
  • Glutathione
  • Selenium
  • Superoxide dismutase
  • Punch biopsy (procedure to obtain a cylinder of tissue from regions of the body suspected of disease for the purpose of histological (fine tissue) examination; in rare cases).