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Fongers A et al. – Two–millimetre punch grafting in vitiligo is an effective surgical procedure with long–lasting effect. To prevent a cobblestone–like effect, the authors advise the use of smaller grafts (1–1·2 mm). Disease activity after grafting, localization and type of vitiligo, prior ultraviolet B treatment and a Koebnerized donor site influence the long–term outcome of punch grafting and should be taken into account in the selection of patients eligible for this treatment.

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