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).
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 — 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.
If you see white patches and spots on your skin, it's important to find out if you have vitiligo. This disease increases the risk of having some other autoimmune diseases like thyroid disease and alopecia areata. Some people develop hearing loss or a problem with their vision.
The main symptom of vitiligo is loss of natural color or pigment, called depigmentation. The depigmented patches can appear anywhere on your body and can affect: Skin, which develops milky-white patches, often on the hands, feet, arms, and face. However, the patches can appear anywhere.
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.
Protect your skin from the sun.
A bad sunburn can worsen vitiligo. If you have a lighter skin tone, there's another advantage to protecting your skin from the sun. Without a tan, the lighter spots and patches are often less noticeable.
Vitiligo is associated with other autoimmune diseases: Addison disease (disorder that occurs when the adrenal glands do not produce enough hormones) Thyroid disease. Pernicious anemia (decrease in red blood cells that occurs when the intestines cannot properly absorb vitamin B12)
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.
The disease does not affect life expectancy. However, it can have a significant impact on quality of life, especially psychologically and be responsible for disorders such as depression and anxiety.
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.
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.
Symptoms can be mild and only affect a small area of your body or severe and affect a large area of your skin. Some people with vitiligo experience itchy skin before depigmentation starts.
Further treatment may not be necessary if, for example, you only have a small patch of vitiligo or your natural skin colour is very light. You may be referred to a doctor who specialises in treating skin conditions (dermatologist) if further treatment is needed.
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.
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.
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 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.
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).
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.
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.
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 is associated with several comorbid autoimmune, systemic, and dermatological diseases, primarily thyroid disease, alopecia areata, diabetes mellitus, pernicious anemia, systemic lupus erythematosus, rheumatoid arthritis, Addison's disease, inflammatory bowel disease, Sjögren's syndrome, dermatomyositis, ...