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Furthermore, oxidative stress influences immune pathways in vitiligo by promoting the release of melanocyte autoantigens that are detected by local dendritic cells

UK red flags warranting prompt medical review include sudden patchy hair loss, signs of scalp scarring or persistent inflammation, hair loss in children, and hair loss accompanied by systemic symptoms such as fatigue, weight change, or skin changes

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Other intralesional options include verapamil and interferon alpha-2b injections