What are the symptoms of vitiligo on the head?

Written by Liu Gang
Dermatology
Updated on March 18, 2025
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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.

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Written by Liu Gang
Dermatology
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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.

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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 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 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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Written by He Da Wei
Dermatology
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early symptoms of vitiligo

The best treatment period for vitiligo is in its early stages, but the early symptoms of vitiligo are easy to overlook, often presenting as smooth white patches the size of nails, with few depigmented patches, typically only 1-2, and most commonly appearing on exposed areas of the skin. Sometimes, the color of the depigmented patches is not very different from the surrounding skin, making it difficult to detect. Vitiligo generally occurs in areas susceptible to sunlight exposure and friction damage, and it mostly affects adolescents, generally before the age of 20. Many teenagers might feel too young to experience serious health issues, thus neglecting to monitor their health. However, early detection and appropriate treatment are crucial and delays or blind treatment should be avoided.