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The Koebner Phenomenon: Key Takeaways The Koebner Phenomenon triggers new vitiligo patches at sites of skin trauma even from minor friction Protection from trauma must be part of your treatment plan not an afterthought Pairing skin protection with consistent treatment (topical + internal + UVB) gives the best chance of halting spread and achieving repigmentation The Koebner Phenomenon is not inevitable and knowing about it gives you real power to protect your skin