Is a white patch on the face vitiligo?

Written by Liu Gang
Dermatology
Updated on March 13, 2025
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White patches on the face are common, with the most typical being pityriasis alba or pityriasis versicolor. These conditions are generally related to a lack of vitamins, trace elements, or fungal infections on the skin's surface. These types of patches are usually vague, with unclear boundaries and may also have some fine scales on them. The second type of white patch is vitiligo, which is usually much whiter. When examined under a Wood's lamp, they appear bright white and have irregular edges, with a tendency for the patches to expand over time. Another type of white patch is the nevus depigmentosus, which is congenital and present from birth. These patches generally do not expand and are not particularly white. If there is any uncertainty, it is best to consult a dermatologist at a reputable hospital and have it confirmed with a Wood’s lamp or a dermatoscope.

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Written by Xie Ming Feng
Dermatology
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Can people with vitiligo eat apples?

People with vitiligo can eat apples, however, long-term excessive intake of vitamin C is one of the inducers of vitiligo. Generally, consuming vitamin C in daily amounts exceeding 1-3 grams for several months could potentially trigger vitiligo. Nevertheless, vitamin C is also an antioxidant, which can help eliminate oxygen free radicals in the body. Excessive oxygen free radicals can also damage our melanocytes. Therefore, eating an appropriate amount of fruits containing vitamin C does not greatly affect vitiligo, and there is no need to completely avoid fresh fruits and foods containing vitamin C.

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Written by Liu Gang
Dermatology
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Why do babies get vitiligo?

There are many factors contributing to the formation of vitiligo, and the most common factors related to its onset include reduced immunity, genetic heredity, copper deficiency in the body, or localized trauma, but the specific cause of the disease is difficult to determine and is currently an international challenge. The appearance of vitiligo in children may be related to a copper deficiency or low immunity. It is advisable to visit a dermatologist at a formal hospital to determine the appropriate treatment. The most conventional treatment generally includes oral medications and topical drugs, combined with 308 laser therapy. It is also advisable to get moderate sun exposure, consume more black-colored foods, and avoid excessive intake of vitamin C-rich foods. Additionally, children should engage in appropriate exercise to enhance their immunity.

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Written by Liu Gang
Dermatology
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The causes of vitiligo

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 Liu Gang
Dermatology
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Can patients with vitiligo use mobile phones?

Generally speaking, playing with mobile phones does not affect patients with vitiligo, but it is important not to stay up late while using them. If staying up late regularly leads to a decreased immune function, it can worsen the symptoms of vitiligo. Vitiligo is mainly associated with reduced immunity, genetic heritage, a lack of copper in the body, or local trauma. Once detected, it is crucial to seek formal treatment in the dermatology department of a reputable hospital. Oral medication combined with topical drugs, along with the 308 laser treatment, yields better results. Consuming more black-colored foods is recommended, while it is best to avoid consuming too much food rich in vitamin C. If long-term treatment is ineffective, melanin transplantation can also be considered. It is essential to undergo formal treatment; otherwise, the affected area may continue to expand, and the difficulty of treatment will also increase.

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Written by Liu Gang
Dermatology
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What are the early symptoms of vitiligo?

The early symptoms of vitiligo generally appear as a white patch on a localized area of the skin. Initially, the color is not very white, appearing as a vague, hazy white patch. As the condition gradually progresses, the color of the patch becomes whiter and its area expands. If the white patch appears in areas with hair, such as eyebrows, armpits, or the scalp, the hair in these areas will also gradually turn white. Some patients with vitiligo may experience localized itching, but most patients do not experience any discomfort. Once vitiligo is discovered, it is crucial to seek formal treatment at a hospital. Generally, a combination of oral and topical medications, along with 308 laser therapy, yields relatively good results. Treatment can be more challenging if the affected area is large, whereas smaller areas are relatively easier to treat.