Vitiligo symptoms

Written by He Da Wei
Dermatology
Updated on September 12, 2024
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Vitiligo is a common skin depigmentation disorder, often occurring in adolescents. It is difficult to detect in its early stages and presents no distinct symptoms. Initially, vitiligo manifests as small white spots, which vary in size and shape. These spots are pale white, making them distinctly different from the surrounding skin color, with clear boundaries and noticeable pigment deposition around them. Over time, these small white spots may change and gradually spread to the surrounding areas, causing the area of depigmentation to increase, eventually forming larger patches.

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What are the characteristics of the stable period of vitiligo?

The stable phase of vitiligo is defined as a period of at least six months, or even more than a year, during which there are no changes in the localized white patches on the body, regardless of whether treatment is administered or not. During this phase, the white patches neither progress nor recover. Treatments during the stable phase are generally not very effective; oral medications, topical applications, and even treatment with a 308 laser typically show little change. The most common treatment plan during the stable phase still involves melanocyte transplantation. Patients should visit a dermatology department at a certified hospital to get a proper diagnosis and specific treatment. During the treatment period, it is important to enhance physical exercise to boost immunity, consume foods rich in black pigments, and limit intake of foods high in Vitamin C. After recovery, measures should be taken to prevent relapse and consolidate the treatment results.

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What fruits can people with vitiligo eat?

Any type of fruit can be consumed as long as it is done normally, appropriately, and in moderation. Even fruits rich in vitamin C have little impact on vitiligo. Consuming fresh fruits normally provides various vitamins and trace elements, which are beneficial to the human body. However, long-term excessive intake of vitamin C-rich foods, medications, or fruits may trigger vitiligo.

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The term "progressive stage of vitiligo" refers to a phase in which the skin condition vitiligo is actively spreading, with new patches forming and existing patches expanding.

The progression phase of vitiligo, also known as its development phase, is characterized by the enlarging and whitening of the skin patches. This phase primarily signifies that the patches are expanding and becoming more pronounced in color. Vitiligo is related to factors such as reduced immunity, genetic heritage, copper deficiency in the body, or local injuries. Through proper treatment, the progression phase can gradually shift into a recovery phase, where melanin increasingly covers the white patches. Some patients may enter a stationary phase where neither medication nor lack of treatment changes the condition of the vitiligo; typically, if there’s no change for over a year, it enters this stationary phase. If it is determined that the vitiligo is in the progression phase, prompt treatment is crucial to prevent the condition from worsening, which could make treatment more difficult.

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Segmental vitiligo treatment

There are currently multiple ways to treat segmental vitiligo, with the most conventional being a combination of oral medication, topical medication, and 308 laser treatment. If the disease is in the stable phase, melanocyte transplantation can also be considered. The stable phase refers to the condition where, after repeated treatments, there are no changes, no recovery, and no further expansion for a year. This disease is somewhat related to personal immunity, so it is important to regularly exercise to strengthen immunity, consume more dark-colored foods, and avoid eating too much food rich in vitamin C. Proper treatment at a qualified hospital's dermatology department can lead to a complete cure of the disease with persistent treatment.

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Does vitiligo spread through contagion?

Vitiligo is not contagious, and it will not be transmitted to others through contact once it appears. However, this disease does tend to have a genetic predisposition. The main factors contributing to vitiligo include decreased immunity, a deficiency of copper in the body, localized trauma, or genetic heredity. There are also some reasons that cannot be fully identified through medical examination. After vitiligo appears, its progression varies from person to person. Some patients experience rapid development, with the affected area expanding significantly within a few months, while others see slower progression. Generally, if the spread is quick, it is necessary to seek routine treatment promptly. If the affected area is small and the progression is very slow, it might be reasonable to observe for a while to monitor the development of the patches before deciding on the treatment approach. In any case, it is crucial to take vitiligo seriously upon its onset, continuously observe its progression, consult a doctor to assess the severity of the condition, and receive appropriate treatment.