Managing Non-Segmental Vitiligo in Sensitive Facial Areas

A 24-year-old woman presents with newly diagnosed non-segmental vitiligo localized to her periorbital region. She reports gradual development, without associated itching, redness, or scaling. She is otherwise healthy and has no history of autoimmune disease. She reports the cosmetic change has been distressing for her. Physical examination confirms well-demarcated depigmented macules around the eyes without erythema or atrophy. She is concerned about long-term side effects from steroid use on facial skin.