The causes of vitiligo

Written by Liu Gang
Dermatology
Updated on September 01, 2024
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The main causes of vitiligo are related to decreased immunity, hereditary factors, or a deficiency in copper within the body. Additionally, local injuries in some individuals may also lead to the development of vitiligo. The causes are complex and may vary from person to person. Once diagnosed, it is essential to seek treatment at a reputable hospital; otherwise, the condition may worsen, expanding the affected area and making treatment more difficult. It is advisable to avoid spicy and irritating foods, not to stay up late, to exercise regularly, and to enhance immunity, which can also be beneficial in treating this disease. Generally, it is good to eat foods that are rich in black pigmentation and to avoid consuming too much food rich in vitamin C, as well as to prevent local injuries.

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Written by Huang Ling Juan
Dermatology
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Is there a difference between white patches and vitiligo?

White patches and vitiligo have clear distinctions. White patches primarily refer to localized hypopigmentation on the skin, a type of macule where pigment loss occurs due to a reduction in function or number of melanocytes. White patches can appear on the skin due to various reasons or diseases, including post-inflammatory hypopigmentation, tinea versicolor, and pityriasis alba. Vitiligo, on the other hand, usually refers to a specific skin condition. The causes of vitiligo are multiple and can be related to psychological factors, autoimmune dysfunction, leading to the destruction and reduction in melanocytes. The appearance of white patches in localized skin areas is called vitiligo, and its typical lesion is also a localized white patch, which is a type of white patch. Therefore, diseases causing white patches could potentially include vitiligo or other conditions. Vitiligo is just one possible cause of white patches.

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Written by He Da Wei
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Vitiligo symptoms

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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Written by Liu Gang
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Can late-stage vitiligo be life-threatening?

Generally speaking clinically, vitiligo does not have a concept of a late stage, but if the disease has been present for a long time and covers a large area, treatment can be troublesome. Vitiligo poses no harm to life and health; even if the affected area is large, it does not threaten life, but treatment can be troublesome, requiring long-term commitment and substantial costs. Once detected, it is best to seek formal treatment at a dermatology department of a standard hospital. Generally, doctors will formulate a treatment plan based on the individual's condition. The combination of oral medication, topical medication, and 308 laser therapy is currently the most effective method for treating vitiligo. During the treatment period, it is also important to strengthen physical exercise to enhance immunity, helping to prevent the complete loss of melanin after it is deposited.

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Written by Liu Gang
Dermatology
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What areas does vitiligo initially appear on?

Common initial sites of vitiligo occurrence are actually irregular. Any part of the body that is covered with skin and has melanin can show symptoms of vitiligo. However, it is more likely to appear on the limbs or facial area for most people. This disease is mainly related to reduced autoimmunity, genetic inheritance, a deficiency in copper in the body, or local trauma. Once diagnosed, it is essential to seek standard treatments, which can include oral medications, topical medications, and 308 laser therapy. With regular and long-term treatment, most cases of small areas are relatively easy to treat. For larger areas affecting the whole body, melanocyte transplantation can also be considered.

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Written by Liu Jing
Dermatology
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What should I do about vitiligo?

Vitiligo belongs to a category of pigmentary disorders, which can affect social interactions and psychological well-being to some extent, but does not affect health and growth. Therefore, it is necessary to approach this condition with scientific rationality. First, it is important to prevent skin trauma, rest adequately, stabilize the body's immune status, and manage sun protection. Symptomatic treatment includes oral administration of drugs such as compound glycyrrhizin tablets and folic acid tablets. Tacrolimus ointment should be applied externally to the lesions. Treatment can also be supplemented with traditional Chinese medicine, including Bai Ling tablets and Qu Bai Ba Bu Qi tablets, although liver and kidney functions must be monitored. Additionally, therapy may include 308 nm excimer laser irradiation, two to three times a week, for a total of 10 to 14 sessions per treatment course.