There is no "cure" for vitiligo. Sometimes patches go away on their own. But when that doesn't happen, doctors can prescribe treatments that might help even out skin tone. Some of these treatments are things you can try at home; others are done by a doctor.
While it's not possible to cure or completely reverse vitiligo, a dermatologist can recommend treatments, like topical creams, light therapy, or natural treatments. There are also steps you can take to prevent vitiligo from getting worse.
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.
The location of smaller macules shifts and changes over time, as certain areas of skin lose and regain their pigment. The amount of affected skin varies for each person diagnosed with vitiligo. Some people experience a few depigmented areas, while others have a widespread loss of skin color.
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.
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.
Stress increases the levels of catecholamines, neuropeptides, and cortisol that are higher in vitiligo patients [37–39] suggesting their role in the pathogenesis of vitiligo.
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.
Topical steroids. 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.
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.
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.
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.
Vitiligo sometimes runs in families, but the inheritance pattern is complex because multiple causative factors are involved. About one-fifth of people with this condition have at least one close relative who is also affected.
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).
Vitiligo does not pose a serious threat to one's health, but it can result in physical complications, such as eye issues, hearing problems, and sunburn. People with vitiligo also tend to be more likely to have another autoimmune disease (like thyroid disorders and some types of anemia).
Cutaneous manifestations associated with vitamin B12 deficiency are skin hyperpigmentation, vitiligo, angular stomatitis, and hair changes.
Pityriasis versicolor can sometimes be confused with vitiligo, as they both cause the skin to become discoloured in patches.
Vitiligo is epidemiologically associated with increased risk of autoimmune thyroid disease, type 1 diabetes, pernicious anemia, rheumatoid arthritis, systemic lupus erythematosus, and Addison's disease8,15.
Light therapy.
Phototherapy with narrow band ultraviolet B (UVB) has been shown to stop or slow the progression of active vitiligo. It might be more effective when used with corticosteroids or calcineurin inhibitors. You'll need therapy two to three times a week.
What are vitiligo symptoms? Vitiligo symptoms showcase discoloration on the most exposed skin but its development is not always predictable. Most of the times, if it develops fully, it turns your entire body into pale white which is often addressed as Universal Vitiligo.
If vitiligo progresses, small skin patches may expand and spread across the body. However, for many people who have vitiligo, the skin patches can stay localized to the area where they first appear.