What are the characteristics of the stable period of vitiligo?

Written by Liu Gang
Dermatology
Updated on October 26, 2024
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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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Written by Liu Gang
Dermatology
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Can vitiligo patches be tattooed?

Vitiligo is related to decreased immunity, genetic heredity, copper deficiency in the body, or local trauma. Therefore, it is advised not to tattoo over vitiligo patches, as tattooing can cause trauma to the skin surface and potentially lead to more severe loss of melanin. People with this condition should avoid getting tattoos. They should seek standard treatment at a regular hospital's dermatology department. Treatment typically involves oral medications, topical medications, and the use of a 308-nm excimer laser, which can accelerate recovery. During treatment, it is important to exercise regularly to boost immunity. It is recommended to eat more black foods and to avoid an excess of vitamin C-rich foods and spicy, stimulating foods. Try to avoid staying up late.

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Written by Liu Gang
Dermatology
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Is a white patch on the face vitiligo?

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 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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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.

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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.