case_images: PMC8488421_01
case_images: Photographic images of vitiligo with isolated areas of pigmentation on the upper limbs (a) and trunk (b), highlighted by dermatoscopic examination (c).
case_images: cde-0013-0209-g01.jpg
case_images: PMC8488421_01_cde-0013-0209-g01.jpg
case_images: F1
case_images: Clinical and dermatoscopic examination revealed vitiligo covering > 85% of the skin, with small areas of repigmentation (Fig. 1).
case_images: Reflectance confocal microscopy images of apparently normal skin with low pigmentation in the dermal layer (a) and vitiligo lesions (b), showing disappearance of the normal ring structures at the dermo-epidermal junction level with only a shadow of the pre-existing dermal papillary rings and no bright structures detected in the upper epidermal layers.
case_images: cde-0013-0209-g02.jpg
case_images: PMC8488421_01_cde-0013-0209-g02.jpg
case_images: F2
case_images: Examination by RCM (VivaScope 1500; Maving GmbH, Munich, Germany) revealed disappearance of the bright dermal papillary rings normally seen at the dermo-epidermal junction in depigmented vitiligo lesions (Fig. 2) and activated dendritic melanocytes in repigmented lesions (Fig. 3).