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Expert Insights: Managing Segmental Vitiligo in a College-Age Male Patient


Rocco Serrao, MD, FAAD, a board-certified dermatologist, discusses a case of vitiligo involving a 20-year-old male patient who presents with white patches on his face that have persisted for 6 weeks without any relevant chemical exposures, and emphasizes the importance of providing counseling and support to address the potential impact on the patient's self-esteem and confidence.

  1. What is your impression of this case?
  2. What challenges does this case present with, if any?
  3. What initial counseling and support would you provide to address the patient's embarrassment and self-confidence issues related to the appearance of the white patches?
  4. Considering the patient's active lifestyle and engagement in outdoor activities, how would you approach the conversation about the potential impact of vitiligo on his day-to-day life?
  5. How would you advise him on sun protection and vitiligo management to ensure minimal impact on areas exposed to sunlight?
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