Vitiligo


Is there a difference between white patches and vitiligo?
White patches and vitiligo have clear distinctions. White patches primarily refer to localized hypopigmentation on the skin, a type of macule where pigment loss occurs due to a reduction in function or number of melanocytes. White patches can appear on the skin due to various reasons or diseases, including post-inflammatory hypopigmentation, tinea versicolor, and pityriasis alba. Vitiligo, on the other hand, usually refers to a specific skin condition. The causes of vitiligo are multiple and can be related to psychological factors, autoimmune dysfunction, leading to the destruction and reduction in melanocytes. The appearance of white patches in localized skin areas is called vitiligo, and its typical lesion is also a localized white patch, which is a type of white patch. Therefore, diseases causing white patches could potentially include vitiligo or other conditions. Vitiligo is just one possible cause of white patches.


What elements should be supplemented for vitiligo?
Most patients with vitiligo have a certain relationship with a deficiency in copper in their bodies; copper aids in the synthesis of melanin, so it can be somewhat helpful for vitiligo patients to appropriately supplement with copper for treatment. However, for some patients, their condition is not related to a lack of copper, but rather due to a simple reduction in immunity, family genetics, or localized trauma. These patients can receive symptom-targeted treatment, and the use of 308 laser during treatment can enhance results. It is important to regularly exercise, boost immunity, consume more black-colored foods, and avoid eating too many foods rich in vitamin C, such as strawberries, oranges, tomatoes, pineapples, and mangoes. Generally, after complete recovery from vitiligo, the rate of recurrence is relatively low.


What are the symptoms of vitiligo on the head?
Vitiligo has numerous causative factors, including diminished immune function, genetic predisposition, copper deficiency in the body, or localized trauma. Vitiligo commonly manifests on the scalp as white, patchy areas of skin, and the hair attached to these patches may also turn white. In some cases, the affected area may gradually expand, spreading to the face or the trunk of the body. Once white patches are observed on the scalp, and the hair in these patches turns white, it is strongly suspected to be vitiligo and should be medically treated at a dermatology department in a reputable hospital. If the affected area is small, complete recovery is possible with proper treatment. During treatment, it is important to exercise regularly and boost the immune system.


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.


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.


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.


The usual sites of onset for vitiligo are generally where?
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.


Patients with vitiligo should see the dermatology department.
Vitiligo belongs to the category of dermatological diseases, and its treatment requires seeking care from the dermatology department of a reputable hospital. This disease is associated with factors such as decreased immunity, family genetics, ketone deficiency in the body, or local trauma. If white patches appear on the body, it is necessary to visit a dermatology department at a reputable hospital and use a Wood's lamp for diagnosis to confirm whether it is vitiligo. If confirmed, active treatment should be pursued, typically involving oral medication, topical medication, and laser therapy. During treatment, it is important to exercise to strengthen the immune system, avoid spicy and irritating foods, and consume more black-colored foods, while limiting the intake of foods rich in vitamin C. After recovery, it is advisable to use a Wood's lamp again to check that the pigmentation is even. Regular exercise post-recovery can effectively prevent the recurrence of the disease.


Can vitiligo develop into skin cancer?
Vitiligo is a condition where melanin is lost from the epidermis, leading to the formation of white patches on the skin surface; this condition is not related to the skin itself. Vitiligo generally progresses with an increase in the area and whiteness of the patches, or an increase in the number of patches on the body, but it does not develop into skin cancer. Once diagnosed with vitiligo, it is essential to seek standard treatment at the dermatology department of a formal hospital, because the treatment period is relatively long, requires long-term medication, and involves treatment with 308-nm excimer laser. During treatment, it is important to exercise to boost immunity and avoid spicy and irritating foods. Eating more black-colored foods and limiting the intake of foods rich in Vitamin C is advisable. Even after complete recovery, continuing medication for a while to consolidate the treatment is recommended.


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.