Abstract
AbstractVitiligo exerts a significant negative effect on patients quality of life. Patients with skin of colour have a more negative attitude towards vitiligo than those with fairer skin. Many myths and misconceptions about vitiligo are prevalent in certain societies in South‐east Asia and the middle east. Confusion with leprosy further adds to the stigma. Vitiligo impacts several spheres of life due to the cosmetic disfigurement as well as the prevailing socio‐cultural factors. Patients with vitiligo suffer from low self‐esteem, and often face discrimination, and difficulties in social life and relationships. Quality‐of‐life measures such as Dermatology Life Quality Index and Vitiligo Impact Scale‐22 indicate that vitiligo has a moderate‐to‐large effect on patients life. Psychiatric comorbidities such as anxiety and depression are more prevalent among patients with vitiligo as compared to general population. The psychosocial burden of vitiligo should be evaluated separately from the clinical severity separately because it may not correlate with the extent of depigmentation, and may not improve in proportion to the repigmentation. Apart from the treatment of vitiligo patches, patients may benefit from measures specifically aimed at reducing the psychosocial distress.
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