It is a white skin lesion with a clear border and no three-dimensional change, caused by lack of pigment production, depigmentation, or local anemia. The most common disease in which vitiligo is the only lesion is vitiligo vulgaris, commonly known as white catfish. There are two types of this disease: one in which the lesion is localized unilaterally in a certain nerve distribution area, and one in which white spots of various sizes occur in no particular location on the contralateral side. The most likely causes of the former are autonomic nervous system disorders, and the latter are autoimmune. The shapes of the vitiligo vary, and hair often turns gray in the vitiligo area. In extremely rare cases, redness and itching are observed in the affected area. Vitiligo |
立体的変化を欠き,境界鮮明な白色の皮膚病変で,色素の産生を欠くとか色素脱失,または局所性貧血に起因する。白斑を唯一の病変とする疾患で最もしばしばみられるものが,俗に白なまずといわれる尋常性白斑である。本症は,一定の神経支配領域に限局して片側性に生じる型と,大小種々の白斑が特に部位を定めずに対側性に多発する型とがある。原因として前者は自律神経障害説,後者は自己免疫説が有力視されている。白斑の形状は種々で,白斑部では毛髪もしばしば白毛化する。きわめてまれに,病変部に一致して発赤やかゆみが認められる。
白斑
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