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Description
Estrogen and progesterone levels are at their lowest , and the hypothalamus responds by increasing secretion of gonadotropin releasing hormone (GnRH), which triggers pituitary production of gonadotropinsfollicle stimulating hormone (FSH) and luteinizing hormone (LH)

Clinical management aims to halt depigmentation, and to either repigment or depigment the skin, depending on the extent of disease
30.Rasa S., et al

Sources and references: The American Academy of Dermatology ( The U.S National Library of Medicine: Genetics Home Reference ( Almohanna, HM., Ahmed, AA., Tsatalis, JP., Tosti, Antonella
