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10.1016/j.diabet.2018.09.002 [DOI] [PubMed] [Google Scholar] Mokgalaboni K., Lebelo S

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Adaptive immunity The activation of innate immunity triggered by damage to melanocytes affected by oxidative stress promotes cytokine secretion and antigen presentation, resulting in the adaptive immune system activation, in which autoreactive T-cells amplify damage to melanocytes in vitiligo-affected skin

No clear evidence defines the ideal level within the normal range