What are the early symptoms of vitiligo?

Written by Liu Gang
Dermatology
Updated on March 16, 2025
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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.

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Written by Liu Gang
Dermatology
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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 Liu Gang
Dermatology
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Will vitiligo keep spreading?

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 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 Xie Ming Feng
Dermatology
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Can people with vitiligo eat beef?

People with vitiligo can eat beef. Beef is delicious and is a high-protein, low-fat quality meat, ranking as the second largest meat product consumed in China. Patients with vitiligo should eat more foods rich in tyrosine or minerals such as copper and iron, including beef, as well as rabbit meat, pork, animal liver, chicken eggs, duck eggs, milk, and some shellfish, such as snails, etc.

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Written by Xie Ming Feng
Dermatology
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Can people with vitiligo eat watermelon?

People with vitiligo can eat watermelon. Watermelon has the effects of cooling and relieving heat, eliminating irritability, quenching thirst, and promoting urination. From the perspective of Western medicine, it has a diuretic effect, similar to water, and is a fruit commonly eaten in summer. Although long-term excessive intake of vitamin C is one of the inducers of vitiligo, especially when the daily intake exceeds 1-3 grams for several consecutive months, it can induce vitiligo. Vitamin C is also an antioxidant, and it helps us clear free radicals in the body. These oxygen free radicals can damage the melanocytes in our body. Vitiligo is also caused by damage to melanocytes, reduced production or excessive loss. Therefore, some experts even use vitamin C to treat vitiligo. Thus, moderate consumption of fruits containing vitamin C, such as watermelon, has no negative impact. There is no need to avoid eating these fresh fruits entirely due to fear of potential effects.