18 yr old male, with maternal family history of vitiligo. First occurrence when he was 16 , attributed to stress of 10th board exams. 3 tiny patches increased to 5 involving one half of scalp. Treated with minoxidil , oral steroids, azothopirine, n local steroid injections.
Fortunately did not recur during 12th board exams- ?? Risk factor stress present Now second episode, isolated small patch on the same side. What is the right modality of treatment n what is the prevention. Financially sound and well educated family, willing to explore any options.
