{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:11:27Z","timestamp":1790993487612,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The stability of vitiligo is mainly assessed using clinical criteria. Wood\u2019s lamp and dermoscopy have been proposed as valuable alternatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of the study was to compare the utility of dermoscopy and Wood\u2019s lamp examination in the assessment of stability in vitiligo compared with clinical criteria and to define the best cutoff score using BPLeFoSK criteria in determining vitiligo stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>The study was conducted among patients with vitiligo attending a tertiary care center. The study design was a diagnostic test evaluation. One hundred and ten patients with vitiligo were recruited over 18 months. The most recent lesion in each patient was assessed for its stability using the clinical evaluation, Vitiligo Disease Activity (VIDA) score, Wood\u2019s lamp, and dermoscopy with the BPLeFoSK score, where a score \u22651.5 indicated stable vitiligo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study revealed moderate agreement between Wood\u2019s lamp and dermoscopy (\u03ba=0.55) and a fair agreement between clinical evaluation and both Wood\u2019s lamp (\u03ba=0.33) and dermoscopy (\u03ba=0.40). Wood\u2019s lamp showed 72.3% sensitivity and 66.7% specificity, while dermoscopy had 74.1% sensitivity and 73.5% specificity. Wood\u2019s lamp had 87% accuracy in identifying stable vitiligo but only 43.9% accuracy in ruling it out compared to clinical criteria. Dermoscopy demonstrated slightly higher effectiveness. The area under the receiver operating characteristic curve for dermoscopy versus clinical criteria was 0.826, while Wood\u2019s lamp scored 0.695. A BPLeFoSK cutoff score of \u22653.5 was specific (97.6%) for identifying stable vitiligo, but sensitivity was low (25.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations:<\/jats:title>\n                    <jats:p>The study\u2019s limitations included the cross-sectional study design, examination of only one lesion per patient, lack of blinding, absence of follow-up, absence of histopathologic examination of the lesions, lack of sequential observation through a combination of clinical, dermoscopic, or Wood\u2019s lamp examination, and utilization of VIDA scoring system which itself has recall bias. Use of a non-validated scoring system (BPLeFoSK) is also a limitation of this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study shows that dermoscopy and Wood\u2019s lamp are equally helpful in clinical assessment. We propose a cutoff score of more than or equal to 3.5 in BPLeFoSK score.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/idoj.idoj_728_24","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T14:00:24Z","timestamp":1755093624000},"page":"910-915","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Dermoscopy and Wood\u2019s Lamp in the Assessment of Stability of Vitiligo"],"prefix":"10.4103","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2252-6208","authenticated-orcid":false,"given":"Alaka J.","family":"Mohan","sequence":"first","affiliation":[{"name":"Department of Dermatology Venereology and Leprosy, Dr. Moopen\u2019s Medical College, Wayanad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3433-8256","authenticated-orcid":false,"given":"Abdulsalam","family":"Sarin","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Government Medical College, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9019-0941","authenticated-orcid":false,"given":"Ajithkumar","family":"Kidangazhiathmana","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Leprosy, Government Medical College, Kottayam, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-1415","authenticated-orcid":false,"given":"Neelakandhan","family":"Asokan","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Government Medical College, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"R1-20251030","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1046\/j.1468-3083.2003.00718.x","article-title":"Surgical treatment of vitiligo:Why, when and how","volume":"17","author":"Falabella","year":"2003","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"R2-20251030","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/0190-9622(92)70032-B","article-title":"Treatment of refractory and stable vitiligo by transplantation of in vitro cultured epidermal autografts bearing melanocytes","volume":"26","author":"Falabella","year":"1992","journal-title":"J Am Acad Dermatol"},{"key":"R3-20251030","first-page":"315","article-title":"Punch grafting as a treatment for residual lesions of vitiligo","volume":"58","author":"Das","year":"1992","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R4-20251030","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/0190-9622(95)90131-0","article-title":"The minigrafting test for vitiligo:Detection of stable lesions for melanocyte transplantation","volume":"32","author":"Falabella","year":"1995","journal-title":"J Am Acad Dermatol"},{"key":"R5-20251030","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/0190-9622(95)90292-9","article-title":"Repigmentation in vitiligo vulgaris by autologous minigrafting:Results in nineteen patients","volume":"33","author":"Boersma","year":"1995","journal-title":"J Am Acad Dermatol"},{"key":"R6-20251030","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1001\/archderm.140.10.1211","article-title":"Long-term follow-up study of segmental and focal vitiligo treated by autologous, noncultured melanocyte-keratinocyte cell transplantation","volume":"140","author":"Mulekar","year":"2004","journal-title":"Arch Dermatol"},{"key":"R7-20251030","first-page":"77","article-title":"Autologous miniature skin punch grafting in vitiligo","volume":"61","author":"Singh","year":"1995","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R8-20251030","first-page":"37","article-title":"Standard guidelines of care for vitiligo surgery","volume":"74","author":"Parsad","year":"2008","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R9-20251030","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1111\/j.1755-148X.2012.00997.x","article-title":"Vitiligo global issue consensus conference panelists. 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