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Vitiligo Differential Diagnosis

Pityriasis alba

Pityriasis alba: Light coloured patches especially on the faces of children. Finely scaling.

Lichen striatus

Lichen striatus: A rash occurring in a somewhat straight line. It may cross over to the opposite side of the body


Idiopathic Guttate Hypomelanosis presents with small white areas with jagged margins. It needs no treatment.

Idiopathic Guttate Hypomelanosis6959

Idiopathic Guttate Hypomelanosis as seen through dermatoscope


Lichen sclerosis et atrophicub - an autoimmune disease which affects the collagen layer of the skin. The skin is smooth and shiny in this condition


An achromatic naevus is a birthmark with no colour.

Discoid lupus erythematosus

Discoid lupus erythematous. There is scarring and redness.

Pityriasis versicolor 1

Pityriasis versicolor


Pityriasis versicolor. Light coloured patches with mild scaling. A skin scrape will reveal fungus

Post inflammatory hypopigmentation

Post inflammatory hypo pigmentation following Psoriasis. Light in colour but not white.


Morphoea: In a localised area, the skin becomes thick and hard. It is a form of localised scleroderma, an autoimmune disease

Other conditions that may mimic vitiligo

  • Post inflammatory hypopigmentaton

  • Hypopigmented sarcoidosis

  • Mycosis fungicides (hypo pigmented variety)

  • Acquired progressive macular hypomelanosis

  • Leprosy (Tuberculoid or indeterminate)

  • Trauma induced hypo or depigmentation

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