Steroids have anti-inflammatory properties and also decrease the number of T cells in the body. These are the cells that are responsible for destroying the pigment producing cells, or melanocytes. Often, oral steroids are used to help prevent disease progression and are either used with pulse dosing, where they are only taken on a few days of the week, or with daily dosing. Often, they are prescribed in combination with other treatments, such as light therapy. For more information of the use of oral steroids in vitiligo, please click the links below:
http://www.ncbi.nlm.nih.gov/pubmed/23815959
http://www.ncbi.nlm.nih.gov/pubmed/18797057
http://www.ncbi.nlm.nih.gov/pubmed/16681662
http://www.ncbi.nlm.nih.gov/pubmed/8225724
http://www.ncbi.nlm.nih.gov/pubmed/10440289