The usual sites of onset for vitiligo are generally where?

Written by Liu Gang
Dermatology
Updated on March 04, 2025
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Vitiligo can occur in a wide range of areas on the body, including the skin, torso, face, scalp, and even male-specific areas such as the scrotum, foreskin, and glans. It can also appear on the mucous membranes of the lips. Once this disease is diagnosed, it is essential to undergo formal treatment. Patients should visit a dermatology department at a standard hospital and receive a combination of oral and topical medications. Using a 308 nm excalibur laser can enhance the treatment effects, particularly on mucosal areas where healing tends to be slower; persistence over a long period is crucial. During treatment, it is important to exercise regularly, strengthen immunity, avoid spicy and irritating foods, and refrain from staying up late.

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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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Can vitiligo be transmitted through blood?

Vitiligo is primarily caused by factors such as reduced immunity, genetic inheritance, copper deficiency in the body, or localized trauma. This disease is not contagious and cannot be transmitted through blood or by contact with each other. Once diagnosed, it is essential to seek standard treatment, which should include oral and topical medications from a conventional hospital's dermatology department, in conjunction with 308nm excimer laser therapy for quicker results. During treatment, it is also important to exercise regularly to boost the immune system and eat more black foods, such as black rice, black beans, black sesame, wood ear mushrooms, and other mushrooms. Foods rich in vitamin C, such as strawberries, oranges, tomatoes, pineapples, and mangoes, should be consumed in moderation. Maintaining a regulated diet and lifestyle habits can aid in the treatment process.

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

People with vitiligo can eat bananas. Bananas have the properties of clearing heat and detoxification, moisturizing the intestines to relieve constipation, and moistening the lungs to stop coughing. They also contain vitamin C. Long-term excessive intake of vitamin C is one of the inducers of vitiligo, but vitamin C is also an antioxidant. It can help to eliminate oxygen free radicals in the body, and excessive oxygen free radicals can damage our melanocytes. Therefore, eating a moderate amount of fruits containing vitamin C, such as bananas, has little impact on vitiligo. Thus, there is no need to avoid eating fresh fruits altogether.

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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 Yan Xin Liang
Pediatrics
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How to diagnose vitiligo in babies?

Babies diagnosed with vitiligo generally need to be differentiated from the following diseases. The first is anemic nevus, which is a congenital hypopigmentation that often exists at birth. If you rub the skin in the affected area, it does not turn red, while the surrounding normal skin does. Another is achromic nevus, which appears at or shortly after birth, characterized by localized hypopigmentation that often follows the distribution of nerve segments, with blurry boundaries. Additionally, there is tinea versicolor, which tends to occur in hot weather, with hypopigmented patches that have a bran-like or scaly appearance and a positive fungal test. It also needs to be differentiated from pityriasis alba, also known as white pityriasis, which commonly appears on children's faces and has a slightly rough surface. Generally, vitiligo diagnosis still requires further confirmation through tests such as Wood's lamp, dermatoscopy, skin CT, and fungal examinations.