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dermatology

VIDA Score (Vitiligo Disease Activity)

Assesses disease activity in vitiligo using the Vitiligo Disease Activity (VIDA) score. Guides treatment selection (immunosuppression vs phototherapy vs surgical).

Score interpretation

Stable/remission vitiligo

→ Surgical treatment options eligible (melanocyte transplant, blister grafting); phototherapy maintenance; sun protection; psychological support

Mildly active vitiligo

→ Topical calcineurin inhibitors (tacrolimus) or low-potency topical steroids; narrowband UVB phototherapy; avoid surgery until stable; monitor progress

Active to very active vitiligo

→ Oral mini-pulse corticosteroids (dexamethasone 2.5mg alternate days x 3-6 months); NB-UVB; consider ruxolitinib 1.5% cream (JAK inhibitor, NICE approved 2024); dermatology referral

Interpretation bands for the Vitiligo VIDA Score. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.