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Triggering Factors Against a genetically predisposed background, certain triggering events can precipitate the onset or worsening of vitiligo: Intense emotional stress (grief, separation, psychological shock) particularly frequent Skin trauma : phenomenon of Koebner (appearance of spots on friction areas, cuts, burns, tattoos) Severe sunburn Pregnancy, childbirth, menopause (hormonal fluctuations) Viral or bacterial infections Certain medications (rare cases of induction by interferons, cancer immunotherapies) Key takeaway: vitiligo is never "the patient's fault"

The profile of 17-estradiol displays maximal levels around the mid-to-late 20s in women [10] (Fig

Allergic reactions to Mucinex can happen even if youve taken it before without problems

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Pevec et al