Will vitiligo keep spreading?

Written by Liu Gang
Dermatology
Updated on November 04, 2024
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Vitiligo is related to one's immunity, hereditary factors, copper deficiency in the body, or local trauma. Once vitiligo is detected, it often continues to spread, especially in individuals with very weak physiques, where the spreading might occur rapidly. Upon detection, it is advisable to seek diagnosis and standard treatment at a dermatology department in a reputable hospital. The treatment usually involves a combination of oral medication, topical medication, and 308 laser therapy. During treatment, it is important to exercise to boost immunity, avoid spicy and irritating foods, avoid staying up late, and eat more dark-colored foods. Foods rich in vitamin C should be consumed in moderation. Treating vitiligo can be slow and requires long-term persistence. Once detected, efforts should be made to prevent the condition from spreading further, as larger affected areas can result in poorer treatment outcomes.

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Written by Liu Gang
Dermatology
1min 10sec home-news-image

Does vitiligo spread through contagion?

Vitiligo is not contagious, and it will not be transmitted to others through contact once it appears. However, this disease does tend to have a genetic predisposition. The main factors contributing to vitiligo include decreased immunity, a deficiency of copper in the body, localized trauma, or genetic heredity. There are also some reasons that cannot be fully identified through medical examination. After vitiligo appears, its progression varies from person to person. Some patients experience rapid development, with the affected area expanding significantly within a few months, while others see slower progression. Generally, if the spread is quick, it is necessary to seek routine treatment promptly. If the affected area is small and the progression is very slow, it might be reasonable to observe for a while to monitor the development of the patches before deciding on the treatment approach. In any case, it is crucial to take vitiligo seriously upon its onset, continuously observe its progression, consult a doctor to assess the severity of the condition, and receive appropriate treatment.

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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.

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Written by Zeng Xian Fu
General Surgery
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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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Written by Liu Gang
Dermatology
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Segmental vitiligo treatment

There are currently multiple ways to treat segmental vitiligo, with the most conventional being a combination of oral medication, topical medication, and 308 laser treatment. If the disease is in the stable phase, melanocyte transplantation can also be considered. The stable phase refers to the condition where, after repeated treatments, there are no changes, no recovery, and no further expansion for a year. This disease is somewhat related to personal immunity, so it is important to regularly exercise to strengthen immunity, consume more dark-colored foods, and avoid eating too much food rich in vitamin C. Proper treatment at a qualified hospital's dermatology department can lead to a complete cure of the disease with persistent treatment.

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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.