Does vitiligo cause peeling skin?

Written by Liu Gang
Dermatology
Updated on October 29, 2024
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Vitiligo generally appears as smooth white patches on the skin surface, without peeling or flaky skin. Peeling usually occurs only after exposure to 308 laser treatment. This disease is related to reduced immunity, genetic factors, copper deficiency in the body, or local trauma. Treatment must be formal and persistent, typically oral medication combined with topical agents and enhanced by 308 laser therapy for quicker results. During treatment, it is important to exercise to boost immunity. Regularly consume foods rich in black pigments and limit intake of foods high in vitamin C. Avoid local injuries and maintain long-term consolidation after recovery to prevent relapse.

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Written by Liu Gang
Dermatology
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What are the characteristics of the stable period of vitiligo?

The stable phase of vitiligo is defined as a period of at least six months, or even more than a year, during which there are no changes in the localized white patches on the body, regardless of whether treatment is administered or not. During this phase, the white patches neither progress nor recover. Treatments during the stable phase are generally not very effective; oral medications, topical applications, and even treatment with a 308 laser typically show little change. The most common treatment plan during the stable phase still involves melanocyte transplantation. Patients should visit a dermatology department at a certified hospital to get a proper diagnosis and specific treatment. During the treatment period, it is important to enhance physical exercise to boost immunity, consume foods rich in black pigments, and limit intake of foods high in Vitamin C. After recovery, measures should be taken to prevent relapse and consolidate the treatment results.

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Dermatology
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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.

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Written by Liu Gang
Dermatology
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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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Dermatology
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side effects of vitiligo medication

Currently, most of the drugs used to treat vitiligo are traditional Chinese medicines, and they generally have relatively low side effects. However, because the effects of treatment for this disease are slow and the treatment cycle is long, long-term treatment is needed. Therefore, the biggest side effect of long-term oral administration of traditional Chinese medicines is the potential damage to the liver. During the entire treatment process, liver function can be rechecked after using the medication for three months. If the liver function is normal, these medicines can continue to be used. During the medication process, some liver-protecting drugs can also be taken orally. Commonly used topical medications can initially irritate the skin, causing symptoms such as redness, itching, or blistering, but these symptoms will gradually disappear with long-term use.

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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.