Topical steroids come as a cream or ointment you apply to your skin. They can sometimes stop the spread of the white patches and may restore some of your original skin colour. A topical steroid may be prescribed to adults if: you have non-segmental vitiligo on less than 10% of your body.
Potential triggers include sunburn, exposure to certain chemicals, and trauma or injury to the skin, according to the article in F1000 Research. These triggers can also prompt vitiligo to spread in people who already have the condition.
Sometimes an event – such as a sunburn, emotional distress, or exposure to a chemical – can trigger vitiligo or make it worse.
To the best of our knowledge, vitamin D significantly affects melanocytes and keratinocytes. Studies suggest that vitamin D3 increases tyrosinase activity and melanogenesis in vitro [12], which may lead to repigmentation in vitiligo skin lesions.
Some food items like juicy fruits rich in vitamin C or ascorbic acid such as oranges and lemon, other fermented food items as curd, alcohol, Fish, red meat are to be avoided as they have harmful effect on vitiligo and can give rise to spreading of patches.
Many people who have vitiligo are often otherwise healthy. Even so, it's important to find a doctor like a dermatologist who knows about vitiligo. People who have vitiligo have a higher risk of getting some other medical conditions. You can also get painful sunburns on the skin that has lost color.
Vitiligo is an autoimmune disease of the skin, which means that someone with vitiligo has an immune system that is malfunctioning in a small way. The normal role of the immune system is to protect you from infections and cancer.
Research suggests that most people who develop vitiligo do so during childhood. As you age, Dr. Mohta says untreated vitiligo often progresses to involve the surrounding skin or create new patches of discoloration.
After 6 to 12 months, segmental vitiligo tends to stabilize, meaning that the color loss stops. Once it stops, most people with segmental vitiligo don't develop new patches or spots.
Vitiligo often starts as a pale patch of skin that gradually turns completely white. The centre of a patch may be white, with paler skin around it. If there are blood vessels under the skin, the patch may be slightly pink, rather than white. The edges of the patch may be smooth or irregular.
About 10% to 20% of people who have vitiligo fully regain their skin color. This is most common among people who: Receive an early diagnosis before age 20. Experience the peak of the condition spreading within six months or less.
Ruxolitinib (Opzelura™) is the only medication approved by the U.S. Food and Drug Administration (FDA) to restore lost skin color in people who have vitiligo. This JAK inhibitor is a cream that's approved to treat people 12 years of age and older who have non-segmental vitiligo.
Moreover, people with vitiligo lack melanin, which is the body's natural protection from the sun, so sun exposure can be particularly dangerous. That's why it's vital that people with vitiligo use broad-spectrum sun protection with an SPF (sun protection factor) of 30 and above.
Vitiligo is generally considered to be an autoimmune disorder. Autoimmune disorders occur when the immune system attacks the body's own tissues and organs. In people with vitiligo the immune system appears to attack the pigment cells (melanocytes) in the skin .
As non-segmental vitiligo is closely associated with other autoimmune conditions, you may be assessed to see whether you have any symptoms that could suggest an autoimmune condition, such as: being tired and lacking energy (signs of Addison's disease) being thirsty and needing to urinate often (signs of diabetes)
Vitiligo and Vitamins
To treat vitiligo, doctors generally prescribe vitamins, such as vitamins C, E, B12, D, and folic acid, in combination with other treatment regimens.
Vitiligo — like many skin conditions — can be challenging to live with, mainly because of the way the skin looks. However, people with vitiligo are usually in good health and live normal lives. If it is not associated with symptoms that cause physical discomfort or complications, the condition may be left untreated.
Significant number of vitiligo patients have diverse psychological problems. Hormonal response to psychological stress such as cortisol has a role in the development of vitiligo.
Avoid junk foods: Studies have shown that children who have a habit of eating a lot of junk are at a high risk of developing vitiligo. Also a lot of intake of chocolates, cheese, and coffee is also not good for patients with vitiligo.
According to Healthline, foods like bananas, apples, radish, carrots, chickpeas, figs and dates can be helpful in preventing vitiligo. People with celiac disease who eat gluten-free diet can benefit from it and reduce the symptoms of vitiligo.
Protein – Beef, pork, and fish. Beverages – Carbonated and sweetened drinks, packaged fruit juices, coffee, vitamin C-rich fresh fruit juices, and alcohol. Others – Avoid oily, spicy, processed, packaged, and canned foods. Avoid consuming wafers, pickles, and chocolates.
Vitamin C is not used and is contraindicated in treating vitiligo as it disrupts the melanin production pathways [21]. Vitamin D is a fat-soluble vitamin that absorbs substances like calcium and magnesium.