Will vitiligo keep spreading?

Written by Liu Gang
Dermatology
Updated on November 04, 2024
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Vitiligo is related to one's immunity, hereditary factors, copper deficiency in the body, or local trauma. Once vitiligo is detected, it often continues to spread, especially in individuals with very weak physiques, where the spreading might occur rapidly. Upon detection, it is advisable to seek diagnosis and standard treatment at a dermatology department in a reputable hospital. The treatment usually involves a combination of oral medication, topical medication, and 308 laser therapy. During treatment, it is important to exercise to boost immunity, avoid spicy and irritating foods, avoid staying up late, and eat more dark-colored foods. Foods rich in vitamin C should be consumed in moderation. Treating vitiligo can be slow and requires long-term persistence. Once detected, efforts should be made to prevent the condition from spreading further, as larger affected areas can result in poorer treatment outcomes.

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Written by He Da Wei
Dermatology
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early symptoms of vitiligo

The best treatment period for vitiligo is in its early stages, but the early symptoms of vitiligo are easy to overlook, often presenting as smooth white patches the size of nails, with few depigmented patches, typically only 1-2, and most commonly appearing on exposed areas of the skin. Sometimes, the color of the depigmented patches is not very different from the surrounding skin, making it difficult to detect. Vitiligo generally occurs in areas susceptible to sunlight exposure and friction damage, and it mostly affects adolescents, generally before the age of 20. Many teenagers might feel too young to experience serious health issues, thus neglecting to monitor their health. However, early detection and appropriate treatment are crucial and delays or blind treatment should be avoided.

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Written by Liu Gang
Dermatology
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Will vitiligo recur after skin grafting?

Vitiligo generally enters a stable phase after which skin grafting is quite effective. The stable phase is typically reached when, after about a year of treatment, there are basically no changes, no worsening or improvement in the condition, which is referred to as the stable phase. Using the method of skin grafting to directly implant melanocytes into the depigmented regions tends to be effective. Generally, after skin grafting, melanin quickly proliferates and extensively covers the depigmented areas. However, the factors causing this disease are quite complex. Some individuals, especially those with lower immunity, might experience recurrence even after a successful graft. Therefore, personal health status and clinical evidence should be considered individually.

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Written by He Da Wei
Dermatology
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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
Dermatology
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Is the appearance of white spots on the back vitiligo?

White patches on the back are not necessarily vitiligo; they could also be tinea versicolor. Tinea versicolor is caused by a fungal infection, generally contagious, and may gradually increase in number after the appearance of one. Additionally, these patches are somewhat blurry in color, not the porcelain white typically seen with vitiligo. If it is vitiligo, the situation is more complicated, and it is necessary to seek formal treatment at a dermatology department of a standard hospital. In the current situation, it is advisable to visit a dermatology department in a formal hospital and use a Wood's lamp or dermatoscope for differential diagnosis to definitively determine if the condition is vitiligo. If it is tinea versicolor, applying antifungal cream alone can completely cure it. If it is vitiligo, a comprehensive treatment is required, involving oral and topical medications, along with 308-nm excimer laser therapy.

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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.