What should I do about vitiligo?

Written by Liu Jing
Dermatology
Updated on May 21, 2025
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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.

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Written by Liu Gang
Dermatology
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Is vitiligo symmetrical?

Vitiligo is a disease that can occur on any part of the body covered with skin and melanin, hence it does not exhibit specific symmetry. It can appear sporadically across the body or symmetrically in one area. The main causes are often linked to a decrease in immunity, genetic factors, a deficiency in copper, or a lack of vitamins and trace elements. Upon diagnosis, it is crucial to seek standard medical treatment. It is recommended to consult the dermatology department of a reputable hospital. Treatment typically involves a combination of oral and topical medications along with 308nm excimer laser therapy, which tends to provide rapid effects. Regular exercise to boost immunity, and consuming foods rich in melanin are advisable, whereas excessive consumption of vitamin C-rich foods should be avoided.

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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 Xie Ming Feng
Dermatology
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Can people with vitiligo eat lychees?

People with vitiligo can indeed eat lychees. Lychees have benefits such as stimulating the appetite, nourishing the blood, dispersing clumps, regulating qi, and relieving pain. Concerns about eating lychees mainly arise from their vitamin C content. It has been suggested that prolonged consumption of vitamin C supplements, such as taking more than 1-3 grams daily for several months, may potentially trigger vitiligo. However, normally consuming moderate amounts of vitamin C-rich foods or fruits does not significantly affect vitiligo. Moreover, it is now believed that reactive oxygen species within the body are one of the factors contributing to the development of vitiligo, and vitamin C, as an antioxidant, can help clear these reactive oxygen species from the body and protect melanocytes. From this perspective, eating vitamin C-rich foods normally does not have any adverse effect on vitiligo.

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

People with vitiligo can eat watermelon. Watermelon has the effects of cooling and relieving heat, eliminating irritability, quenching thirst, and promoting urination. From the perspective of Western medicine, it has a diuretic effect, similar to water, and is a fruit commonly eaten in summer. Although long-term excessive intake of vitamin C is one of the inducers of vitiligo, especially when the daily intake exceeds 1-3 grams for several consecutive months, it can induce vitiligo. Vitamin C is also an antioxidant, and it helps us clear free radicals in the body. These oxygen free radicals can damage the melanocytes in our body. Vitiligo is also caused by damage to melanocytes, reduced production or excessive loss. Therefore, some experts even use vitamin C to treat vitiligo. Thus, moderate consumption of fruits containing vitamin C, such as watermelon, has no negative impact. There is no need to avoid eating these fresh fruits entirely due to fear of potential effects.

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

People with vitiligo can eat peaches. Peaches are rich in vitamins and also contain a substantial amount of iron. In traditional Chinese medicine, peaches are said to nourish yin, generate fluids, moisturize the intestines, and facilitate bowel movements. They are considered a good fruit symbolizing fortune, prosperity, and longevity. Although long-term excessive intake of vitamin C is one of the triggers for vitiligo, vitamin C also acts as an antioxidant. It helps the body eliminate free radicals, which, when in excess, can damage our body's melanocytes. Therefore, appropriately consuming fruits that contain vitamin C, such as peaches, does not affect vitiligo.