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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher">Проблемы социальной гигиены, здравоохранения и истории медицины</journal-id><journal-title-group><journal-title>Проблемы социальной гигиены, здравоохранения и истории медицины</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1548</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2024-32-5-985-993</article-id><article-categories><subj-group subj-group-type="heading"><subject>Неопределен</subject></subj-group></article-categories><title-group><article-title></article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="eastern" xml:lang="ru"><surname></surname><given-names></given-names></name><email>dr.mohammad68@tu.edu.iq</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1"></aff><pub-date date-type="epub" iso-8601-date="2024-10-27" publication-format="electronic"><day>27</day><month>10</month><year>2024</year></pub-date><volume>32</volume><issue>5</issue><history><pub-date date-type="received" iso-8601-date="2025-04-27"><day>27</day><month>04</month><year>2025</year></pub-date><pub-date date-type="accepted" iso-8601-date="2025-04-27"><day>27</day><month>04</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025, АО "Шико"</copyright-statement><copyright-year>2025</copyright-year></permissions><kwd-group xml:lang="en"><kwd>vitiligo</kwd><kwd>hypo-pigmentation, melanin, melanocyte</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Hann S. K., Nordlund J. J. Definition of vitiligo. In: Hann S. K., Nordlund J. J., eds. Vitiligo. 2nd Edition. New Jersey: Blackwell Science; 2000. P. 3–6.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Grimes P. E. Disorders of pigmentation. In: ACP Medicine, Dale DC, Federman DD, editors. WebMD Scientific American Medicine. 4th Edition. New York: WebMD Prof Pub; 2012. P. 212–74.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Robins A. Biological Perspectives on Human Pigmentation, Volume 7th. Cambridge: Cambridge University Press; 2005. P. 52—85.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Abdalla M. A., Nayaf M. S., Hussein S. Z. Correlation between serum α-MSH and vitamin D levels in vitiligo patients. Iran J. Dermatol. 2020;23(4):163–7.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Mohr N., Petersen J., Kirsten N., Augustin M. Epidemiology of Vitiligo — A Dual Population-Based Approach. Clin. Epidemiol. 2021;13:373–82.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Osinubi O., Grainge M. J., Hong L. The prevalence of psychological co-morbidity in people with vitiligo: a systematic review and meta-analysis. Br. J. Dermatol. 2018;178(4):863–78.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Dahir A. M., Thomsen S. F. Comorbidities in vitiligo: comprehensive review. Int. J. Dermatol. 2018;57(10):1157–64.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Hu M., Chen C., Liu J., Cai L., Shao J., Chen Z., et al. The melanogenic effects and underlying mechanism of paeoniflorin in human melanocytes and vitiligo mice. Fitoterapia. 2020;140:104416.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Kim H. J., Ahn H. S., Kazmi S. Z., Kang T., Kim H. S., Kang M. J., et al. Familial risk of vitiligo among first-degree relatives and spouses: A population-based cohort study in Korea. J. Investig. Dermatol. 2021;141:921–4.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Spritz R. A., Andersen G. H. Genetics of vitiligo. Dermatol. Clin. 2017;35(2):245–55.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Speeckaert R., Dugardin J., Lambert J., Lapeere H., Verhaeghe E., Speeckaert M. M., et al. Critical appraisal of the oxidative stress pathway in vitiligo: a systematic review and meta-analysis. J. Eur. Acad. Dermatol. Venereol. 2018;32(7):1089–98.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Sandru F., Carsote M., Albu S. E., Dumitrascu M. C., Valea A. Vitiligo and chronic autoimmune thyroiditis. J. Med. Life. 2021;14:127–30.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Rija F. F., Hussein S. Z., Abdalla M. A. Physiological and immunological disturbance in rheumatoid arthritis patients. Baghdad Sci. J. 2021;18(2):247–52.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Nayaf M. S., Ahmed A. A., Abdalla M. A. Alopecia areata and serum vitamin D in Iraqi patients: A case-control study. Prensa Med. Argent. 2020;106(3):287.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Huo J., Liu T., Huan Y., Li F., Wang R. Serum level of antioxidant vitamins and minerals in patients with vitiligo, a systematic review and meta-analysis. J. Trace Elem. Med. Biol. 2020;62:126570.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Jin Y., Andersen G., Yorgov D. Genome-wide association studies of autoimmune vitiligo identify 23 new risk loci and highlight key pathways and regulatory variants. Nat. Genet. 2016;48:1418–24.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Rija F. F., Hussein S. Z., Abdalla M. A. Osteoprotegerin, sclerostin, and osteocalcin serum levels in thyroid disorder patients. Ukr. Biochem. J. 2021;93(5):117–21.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Migayron L., Boniface K., Seneschal J. Vitiligo, from physiopathology to emerging treatments: a review. Dermatol. Ther. (Heidelb). 2020;19:12–26.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Boniface K., Jacquemin C., Darrigade A. S., Dessarthe B., Martins C., Boukhedouni N., et al. Vitiligo skin is imprinted with resident memory CD8 T cells expressing CXCR3. J. Invest. Dermatol. 2018;138(2):355–64.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Benzekri L., Gauthier Y. Clinical markers of vitiligo activity. J. Am. Acad Dermatol. 2017;76(5):856–62.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Richmond J. M., Bangari D. S., Essien K. I., Currimbhoy S. D., Groom J. R., Pandya A. G., et al. Keratinocyte-derived chemokines orchestrate T-cell positioning in the epidermis during vitiligo and may serve as biomarkers of disease. J. Invest. Dermatol. 2017;137(2):350–8.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Bergqvist C., Ezzedine K. Vitiligo: a review. Dermatology. 2020;236(6):571–92.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Abdel-Malek Z. A., Jordan C., Ho T. The enigma and challenges of Vitiligo pathophysiology and treatment. Pigment Cell Melanoma Res. 2020;33:778–87.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Saniee S. Zinc, vitamin D and TSH levels in vitiligo patients. Erciyes Med. J. 2019;41:148–52.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Bergqvist C., Ezzedine K. Vitiligo: A focus on pathogenesis and its therapeutic implications. J. Dermatol. 2021;48:252–70.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Chen J., Li S., Li C. Mechanisms of melanocyte death in vitiligo. Med. Res. Rev. 2021;41(2):1138–66.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Abdalla M. A. Melasma clinical features, diagnosis, epidemiology and etiology: an update review. Siriraj Med. J. 2021;73:841–50.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Peeckaert R., Lambert J., Bulat V., Belpaire A., Speeckaert M., van Geel N. Autoimmunity in segmental vitiligo. Front. Immunol. 2020;11:568447.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Harris J. E. Cellular stress and innate inflammation in organ-specific autoimmunity: lessons learned from vitiligo. Immunol. Rev. 2016;269(1):11–25.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Hussein S. Z., Abdalla M. A. Serum levels of alpha-melanocyte stimulating hormone, vitamin d, calcium, phosphorus and magnesium in COVID-19 patients. Ukr. Biochem. J. 2021;93(6):64–9.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Zhu L., Lin X., Zhi L., Fang Y., Lin K., Li K., et al. Mesenchymal stem cells promote human melanocytes proliferation and resistance to apoptosis through PTEN pathway in vitiligo. Stem Cell Res. Ther. 2020;11:26.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Gandhi K., Ezzedine K., Anastassopoulos K. P. Prevalence of vitiligo among adults in the United States. JAMA Dermatol. 2021;1:2351.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Jin Y., Santorico S. A., Spritz A. Pediatric to adult shift in vitiligo onset suggests altered environmental triggering. J. Invest. Dermatol. 2020;140(1):241–3.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Eleftheriadou V. Reliability and validity of the vitiligo signs of activity score. Br. J. Dermatol. 2020;183(5):801–2.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>El-Husseiny R., Abd-Elhaleem A., Salah El-Din W., Abdallah M. Childhood vitiligo in Egypt: Clinico-epidemiologic Profile of 483 patients. J. Cosmet. Dermatol. 2021;20(1):237–42.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Cohen B. E., Manga P., Lin K., Elbuluk N. Vitiligo and melanoma-associated vitiligo: understanding their similarities and differences. Am. J. Clin. Dermatol. 2020;21(5):669–80.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Narayan V. S., Uitentuis S. E., Luiten R. M., Bekkenk M. W., Wolkerstorfer A. Patients’ perspective on current treatments and demand for novel treatments in vitiligo. J. Eur. Acad. Dermatol. Venereol. 2021;35(3):744–8.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Rodrigues M., Ezzedine K., Hamzavi I., Pandya A. G., Harris J. E. Vitiligo working group, new discoveries in the pathogenesis and classification of vitiligo. J. Am. Acad. Dermatol. 2017;77(1):1–13.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Zhang Y., Cai Y., Shi M., Jiang S., Cui S., Wu Y., et al. The prevalence of vitiligo: A meta-analysis. PLoS One. 2016;11(9):e0163806.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Attili V. R., Attili S. K. Segmental and generalized vitiligo: Both forms demonstrate inflammatory histopathological features and clinical mosaicism. Indian J. Dermatol 2013;58:433–8.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Osinubi O., Grainge M. J., Hong L., Ahmed A., Batchelor J. M., Grindlay D., et al. The prevalence of psychological comorbidity in people with vitiligo: a systematic review and meta-analysis. Br. J. Dermatol. 2018;178(4):863–78.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Wolkerstorfer A. The long road to valid outcomes in vitiligo. Br. J. Dermatol. 2019;180(3):454–5.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Eleftheriadou V., Hamzavi I., Pandya A. G., Grimes P., Harris J. E., Huggins R. H., et al. International Initiative for Outcomes (INFO) for vitiligo: workshops with patients with vitiligo on repigmentation. Br. J. Dermatol. 2019;180(3):574–9.</mixed-citation></ref><ref id="B44"><label>44.</label><mixed-citation>Karaosmanoğlu N., Özdemir Ç. P., Göğem İ. I., Kıratlı N. E., Karaaslan E. Childhood and adolescence vitiligo: clinicoepidemiological profile and its impact on quality of life. Cyprus J. Med. Sci. 2020;5:41–6.</mixed-citation></ref><ref id="B45"><label>45.</label><mixed-citation>Okamura K., Suzuki T. Current landscape of oculocutaneous albinism in Japan. Pigment Cell Melanoma Res. 2021;34(2):190–203.</mixed-citation></ref><ref id="B46"><label>46.</label><mixed-citation>Bowman S. L., Bi‐Karchin J., Le L., Marks M. S. The road to lysosome‐related organelles: Insights from Hermansky‐Pudlak syndrome and other rare diseases. Traffic. 2019;20(6):404–35.</mixed-citation></ref><ref id="B47"><label>47.</label><mixed-citation>Wu J. H., Cohen B. A. The stigma of skin disease. Curr. Opin. Pediatr. 2019;31(4):509–14.</mixed-citation></ref><ref id="B48"><label>48.</label><mixed-citation>Masood S., Jalil P., Ahmed Jan N., Sadique M. Waardenburg syndrome type-II in twin siblings: an unusual audio-pigmentary disorder. Cureus. 2020;12(10):e10889.</mixed-citation></ref><ref id="B49"><label>49.</label><mixed-citation>Phan C., Ezzedine K., Lai C. Agreement between self-reported inflammatory skin disorders and dermatologists’ diagnosis: a cross-sectional diagnostic study. Acta Dermatol. Venereol. 2017;97(10):1243–4.</mixed-citation></ref><ref id="B50"><label>50.</label><mixed-citation>Smijs T. G., Pavel S. Titanium dioxide and zinc oxide nanoparticles in sunscreens: focus on their safety and effectiveness. Nanotechnol. Sci. Appl. 2011;4:95–112.</mixed-citation></ref><ref id="B51"><label>51.</label><mixed-citation>Chang H. C., Hsu Y. P., Huang Y. C. The effectiveness of topical calcineurin inhibitors compared with topical corticosteroids in the treatment of vitiligo: a systematic review and meta-analysis. J. Am. Acad. Dermatol. 2020;82(1):243–5.</mixed-citation></ref><ref id="B52"><label>52.</label><mixed-citation>Lee J. H., Kwon H. S., Jung H. M., Lee H., Kim G. M., Yim H. W., et al. Treatment outcomes of topical calcineurin inhibitor therapy for patients with vitiligo: A systematic review and meta-analysis. JAMA Dermatol. 2019;155(8):929.</mixed-citation></ref><ref id="B53"><label>53.</label><mixed-citation>Li R., Qiao M., Wang X., Zhao X., Sun Q. Effect of narrow band ultraviolet B phototherapy as monotherapy or combination therapy for vitiligo: a meta-analysis. Photodermatol. Photoimmunol. Photomed. 2017;33(1):22–31.</mixed-citation></ref><ref id="B54"><label>54.</label><mixed-citation>Mina M., Elgarhy L., Al-Saeid H., Ibrahim Z. Comparison between the efficacy of microneedling combined with 5-fluorouracil vs microneedling with tacrolimus in the treatment of vitiligo. J. Cosmet. Dermatol. 2018;17(5):744–51.</mixed-citation></ref><ref id="B55"><label>55.</label><mixed-citation>Parsad D., Godse K., Shah B., Grandhi S., Teli C. Basic Fibroblast Growth Factor (bFGF) related decapeptide 0.1% Solution, with Tacrolimus 0.1% ointment combination therapy compared with Tacrolimus 0.1% ointment monotherapy in the treatment of stable vitiligo: A Phase IV, randomized 12 months Study. Indian J. Clin. Exp. Dermatol. 2020;6(3):249–53.</mixed-citation></ref><ref id="B56"><label>56.</label><mixed-citation>Abdalla M. A., Nayaf M. S. Evaluation of serum α-MSH level in melasma. WJPMR. 2018;4(5):29–32.</mixed-citation></ref><ref id="B57"><label>57.</label><mixed-citation>Dillon A. B., Sideris A., Hadi A., Elbuluk N. Advances in vitiligo: an update on medical and surgical treatments. J. Clin. Aesthet. Dermatol. 2017;10(1):15–28.</mixed-citation></ref><ref id="B58"><label>58.</label><mixed-citation>Bae J. M., Jung H. M., Hong B. Y., Lee J. H., Choi W. J., Lee J. H., et al. Phototherapy for vitiligo: a systematic review and meta-analysis. JAMA Dermatol. 2017;153(7):666–74.</mixed-citation></ref><ref id="B59"><label>59.</label><mixed-citation>Sharquie K. E., Al-Hamamy H., Noaimi A., Al-Marsomy M., Salman H. A. Direct electrical current is a new therapeutic option for vitiligo. Am. J. Dermatol. Venereol. 2014;3(1):9–12.</mixed-citation></ref><ref id="B60"><label>60.</label><mixed-citation>Sharquie K. E., Noaimi A., Adnan S., Al-Niddawi A. M., Aljanabi W. K. Intralesional therapy of vitiligo by 1% lactic acid solution versus triamcinolone acetonide injection. Am. J. Dermatol. Venereol. 2020;10(1):6–10.</mixed-citation></ref><ref id="B61"><label>61.</label><mixed-citation>Shenoi S. D., Prabhu S. Photochemotherapy (PUVA) in psoriasis and vitiligo. Indian J. Dermatol. Venereol. Leprol. 2014;80:497–504.</mixed-citation></ref><ref id="B62"><label>62.</label><mixed-citation>Lei T. C., Hearing V. J. Deciphering skin re-pigmentation patterns in vitiligo: an update on the cellular and molecular events involved. Chin. Med. J. 2020;133(10):1231–8 (In Engl.).</mixed-citation></ref><ref id="B63"><label>63.</label><mixed-citation>Bishnoi A., Parsad D. Clinical and molecular aspects of vitiligo treatments. Int. J. Mol. Sci. 2018;19:1509.</mixed-citation></ref><ref id="B64"><label>64.</label><mixed-citation>Wu Y., Sun Y., Qiu L. A multicentre, randomized, split face and/or neck comparison of 308-nm excimer laser and 0.1% tacrolimus ointment for stable vitiligo plus intramuscular slow-releasing betamethasone for active vitiligo. Br. J. Dermatol. 2019;181:210–1.</mixed-citation></ref><ref id="B65"><label>65.</label><mixed-citation>Gupta M. Levamisole: A multi-faceted drug in dermatology. Indian J. Dermatol. Venereol. Leprol. 2016;82:230–6</mixed-citation></ref><ref id="B66"><label>66.</label><mixed-citation>Guarneri F., Bertino L., Pioggia G., Casciaro M., Gangemi S. Therapies with antioxidant potential in psoriasis, vitiligo, and lichen planus. Antioxidants. 2021;10:1087.</mixed-citation></ref><ref id="B67"><label>67.</label><mixed-citation>Bae J. M., Lee J. H., Kwon H. S., Kim J., Kim D. S. Motorized 0.8 mm micro-punch grafting for refractory vitiligo: A retrospective study of 230 cases. J. Am. Acad. Dermatol. 2018;15:57–66.</mixed-citation></ref><ref id="B68"><label>68.</label><mixed-citation>Gupta S., Relhan V., Garg V. K., Sahoo B. Autologous noncultured melanocyte-keratinocyte transplantation in stable vitiligo: A randomized comparative study of recipient site preparation by two techniques. Indian J. Dermatol. Venereol. Leprol. 2018;9:25–40.</mixed-citation></ref><ref id="B69"><label>69.</label><mixed-citation>Ju H. J., Bae J. M., Lee R. W. Surgical interventions for patients with vitiligo: a systematic review and meta-analysis. JAMA Dermatol. 2021;2(8):56–70.</mixed-citation></ref><ref id="B70"><label>70.</label><mixed-citation>El Mofty M., Mostafa W. Z., Esmat S., Samir N., El-Samanoudy S. I., El-Mesidy M. S., et al. Monobenzyl ether of hydroquinone 20 and 40% cream in depigmentation of patients with vitiligo: a randomized controlled trial. J. Egypt Womens Dermatol. Soc. 2020;17:130–7.</mixed-citation></ref><ref id="B71"><label>71.</label><mixed-citation>Mohammad T. F., Al-Jamal M., Hamzavi I. H., Harris J. E., Leone G., Cabrera R., et al. The Vitiligo Working Group recommendations for narrowband ultraviolet B light phototherapy treatment of vitiligo. J. Am. Acad. Dermatol. 2017;76(5):879–88.</mixed-citation></ref></ref-list></back></article>
