The Risks of Vitiligo in Young Adults

The typical new vitiligo patient does not for instance need fasting blood sugars on the regular or things to try to decide whether they have blossoming Addison's at the same time. There are all sorts of different like endotypes or phenotypes of presentation we'll see it just in the genital area not infrequently so sometimes there's a long delay in diagnosis because the patients see they're embarrassed and I mean if you're like 14 and you have a deep big bit of genitalia you may not actually bring it up to your parents before that. And then in terms of triggers for it yeah absolutely again the known associations of hypothyroidism where  if someone is actually not euthy