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. 2024 Aug 30;44(1):16–25. doi: 10.12938/bmfh.2024-051

Table 2. Evidence for and against the gut microbiome being associated with vitiligo.

Microbiome Reference Study sample Conclusion
Gut microbiome Ni et al. [23] 30 vitiligo patients and 30 matched healthy controls There was a characteristic lower Bacteroidetes: Firmicutes ratio in individuals with vitiligo compared with healthy controls.
Dellacecca et al. [58] 10 mice untreated, 10 mice treated with ampicillin, 8 mice treated with neomycin Ampicillin treatment was associated with accelerated depigmentation and reduced bacteria in fecal pellets.
Luan et al. [59] 25 patients with non-segmental vitiligo and 25 matched healthy controls Compared with healthy controls, the alpha diversity of intestinal microbiome in vitiligo patients was significantly reduced.
Mao et al. [60] Number of single-nucleotide polymorphisms (SNPs) = 16,380,442; ncase = 131; ncontrol = 207,482 There was an association between disease duration and Ruminococcus in vitiligo.

Helicobacter pylori(H. pylori) Doğan et al. [68] 68 patients with vitiligo and 65 patients with telogen effluvium (TE) The rates of H. pylori positivity, H. pylori CagA, and IgG in serum in the vitiligo group were significantly higher than in the TE group.
Bakry et al. [69] 75 patients with non-segmental vitiligo and 75 healthy people as a control group H. pylori infection was positive in 49 (65.3%) vitiligo cases compared with 18 (24%) in the control group (***p=0.001).
Rifaioğlu et al. [70] 34 patients with vitiligo and 30 matched healthy controls The frequency of H. pylori infection was higher in the patient with vitiligo than in the control (*p=0.012).