If you suspect you may have vitiligo, visit your primary care doctor or a dermatologist. At your appointment, your doctor will likely ask about risk factors such as: Whether a close relative has been diagnosed with vitiligo. Whether you have been diagnosed with an autoimmune disorder.
Use of light (phototherapy) to help return color to the skin. There are several different forms of light therapy. Doctors may use light boxes to treat large areas of vitiligo and use laser treatments on more localized areas. Depigmentation, or removing color from dark areas of the skin so they match the white 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 signs include: Patchy loss of skin color, which usually first appears on the hands, face, and areas around body openings and the genitals. Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard.
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.
What causes vitiligo? Vitiligo is an autoimmune disease. This type of disease develops when your immune system attacks part of your own body. If you have vitiligo, your immune system attacks cells in your body called melanocytes. These are cells that make pigment.
Vitiligo usually starts with a few small white macules or patches that may gradually spread over your body.
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.
Anyone can get vitiligo, and it can develop at any age. However, for many people with vitiligo, the white patches begin to appear before age 20, and can start in early childhood.
Localized: Skin patches are found on limited areas of the body. Generalized: Skin patches are scattered around the body. Mucosal : Vitiligo affects the mucous membranes found in the mouth and/or genitals. Focal: Skin patches remain in a small area of the body without spreading in the first two years.
There are no at-home tests available to diagnose vitiligo. However, you can do a general self-check of your skin and look for patchy or widespread loss of pigmentation (the coloring of your skin, hair, and eyes).
Dermatologists use different tests to determine if you have vitiligo or another condition that produces similar symptoms. Some of these tests include blood tests and a skin biopsy.
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.
Drugs that control inflammation.
Applying a corticosteroid cream to affected skin might return color. This is most effective when vitiligo is still in its early stages. This type of cream is effective and easy to use, but you might not see changes in your skin's color for several months.
Hypopigmented spots that are NOT vitiligo. If the spots are not truly white, but hypopigmented and not depigmented (they don't enhance by Wood's lamp), then they are NOT vitiligo and could be any number of different diseases and conditions.
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.
Segmental vitiligo is unique, even beyond the fact that it doesn't cross the midline. It spreads very quickly, faster than the other forms, but only for about 6 months (sometimes up to a year).
There is currently no known way to prevent or cure vitiligo. However, you can sometimes prevent your symptoms from getting worse or spreading. Some vitiligo prevention strategies—such as diet and taking vitamins—are focused on boosting the immune system.
Pityriasis versicolor can sometimes be confused with vitiligo, as they both cause the skin to become discoloured in patches. But there are ways to tell the difference: vitiligo often develops symmetrically (on both sides of your body at the same time), while pityriasis versicolor may not.
Vitiligo can cause minor changes or extensive changes in the skin. In some people, it may be hardly noticeable, while in others it is obvious. In dark-skinned people the vitiligo patches are obvious since they contrast with normal skin.
Treatment cannot cure vitiligo.
While researchers are looking for a cure, treatment cannot currently cure this disease. Treatment can help restore lost skin color, but the color (repigmentation) may fade over time. To keep their results, many patients have maintenance treatments.
Collectively, our data suggest that metabolic stress might be involved with the onset and progression of vitiligo.
Call your health care provider for an appointment if you have: Skin discoloration that causes significant concern. Persistent, unexplained darkening or lightening of the skin. Any skin sore or lesion that changes shape, size, or color may be a sign of skin cancer.
According to an original study conducted in the Birmingham Medical Center, the University of Alabama, 15 patients diagnosed with vitiligo were reported to have low levels of Vitamin B12 and B9.