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.
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.
Pre-vitiligo patches appear as pale yellow patches before they turn into white vitiligo patches. It is beneficial if one notices them and treats this problem at an early stage and not let it convert to vitiligo. Mostly they start affecting the areas like face, knees, elbows, back of the hand, etc.
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.
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.
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 usually starts with a few small white macules or patches that may gradually spread over your body.
No drug can stop the process of vitiligo — the loss of pigment cells (melanocytes). But some drugs, used alone, in combination or with light therapy, can help restore some color. Drugs that control inflammation. Applying a corticosteroid cream to affected skin might return color.
Vitiligo seems to be more common in people who have a family history of the disorder or who have certain autoimmune diseases, including: Addison's disease. Pernicious anemia. Psoriasis.
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.
People can develop vitiligo at any age, but approximately one-half of cases are diagnosed either in childhood or before someone turns 20. The first signs of vitiligo are white patches on the skin, which can develop anywhere on the body, including on the face, arms, hands, genitals, and buttocks.
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.
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).
What Are The Early Signs Of Vitiligo On Lips? In most cases, vitiligo on lips starts with small patches of discolored skin. Though these white patches can appear anywhere on your lips, it usually occurs on the lateral lower lip.
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.
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.
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.
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.
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.
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.
If vitiligo is not treated, it may spread extensively to involve various skin areas. Rarely, some patches may go away or decrease in size. Although vitiligo is neither dangerous nor causes symptoms, such as pain or itch, the sufferers may be upset and stressed because of the way their skin appears.
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.
Diagnosis of Vitiligo
If you have vitiligo, the light makes affected areas of your skin appear chalky and bright. Other tests can include: Blood tests to check for other autoimmune diseases. An eye exam to check for uveitis, an inflammation of part of the eye that sometimes occurs with vitiligo.