Vitiligo symptoms

Written by He Da Wei
Dermatology
Updated on September 12, 2024
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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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Is the effect of epidermal grafting surgery for vitiligo good?

Vitiligo can be treated with epidermal grafting. Currently, patients with stable conditions, including localized vitiligo and segmental vitiligo, can achieve good results from the transplantation of epidermal pigments. The treatment method involves selecting the skin epidermis from the thigh or abdomen, using an epidermis separator to detach the epidermis, and attaching the skin flap to the depigmented spots, which are polished. This method can effectively treat localized or stable vitiligo and achieve satisfactory results. Therefore, skin grafting surgery for vitiligo can be quite effective. However, the occurrence of vitiligo is related to the immune system, and there is still a possibility of recurrence after successful treatment.

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Can people with vitiligo eat mangoes?

Patients with vitiligo can eat mangoes, as mangoes benefit the stomach, quench thirst, and promote urination. They are rich in vitamins A and C. Although long-term excessive intake of vitamin C-rich foods or medications is one of the triggers for vitiligo, vitamin C is also an antioxidant. It can help the body eliminate oxygen free radicals, which can damage our body's melanocytes. Melanocytes are a key factor in vitiligo. Therefore, consuming a moderate amount of vitamin C-rich fruits has little impact on vitiligo; there is no need to avoid them entirely.

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What are the instruments for vitiligo examination?

The most commonly used instruments for diagnosing vitiligo currently are the Wood's lamp and the dermatoscope, with the Wood's lamp being used slightly more frequently in clinical settings. After the appearance of white patches on the body, one can first visit the dermatology department of a formal hospital for an examination with the Wood's lamp. If it is vitiligo, the patches will appear brightly white under the lamp, with clear edges. This disease has a certain degree of recurrence, and it is crucial to undergo formal treatment once diagnosed. During treatment, it is advisable to enhance physical exercise, boost immunity, and largely avoid eating spicy and irritating foods. Treatment can include oral medication, topical medication, and the use of a 308 nm UVB laser, which can accelerate recovery. It's beneficial to consume foods rich in black pigments, and it is advisable to avoid consuming excessive amounts of Vitamin C-rich foods. Persisting with the treatment usually yields good results.

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When is the contagious period of vitiligo?

Vitiligo is not contagious, so there is no contagious period. The disease is primarily caused by decreased immunity, genetic heredity, lack of copper elements in the body, or local trauma. Overall, the causes of the disease are complex and may vary from person to person. Once diagnosed, it is crucial to seek treatment at a reputable dermatology department in a formal hospital. Treatment typically includes oral medication combined with topical medication and supplemented by 308 laser therapy, which generally yields good results. Since the disease is not contagious, it cannot be transmitted through contact with others. It is important to maintain a healthy lifestyle, avoid staying up late, exercise regularly, and strengthen the immune system, as these practices can aid in the treatment.

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The term "progressive stage of vitiligo" refers to a phase in which the skin condition vitiligo is actively spreading, with new patches forming and existing patches expanding.

The progression phase of vitiligo, also known as its development phase, is characterized by the enlarging and whitening of the skin patches. This phase primarily signifies that the patches are expanding and becoming more pronounced in color. Vitiligo is related to factors such as reduced immunity, genetic heritage, copper deficiency in the body, or local injuries. Through proper treatment, the progression phase can gradually shift into a recovery phase, where melanin increasingly covers the white patches. Some patients may enter a stationary phase where neither medication nor lack of treatment changes the condition of the vitiligo; typically, if there’s no change for over a year, it enters this stationary phase. If it is determined that the vitiligo is in the progression phase, prompt treatment is crucial to prevent the condition from worsening, which could make treatment more difficult.