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The condition

White Patches

What is Vitiligo?

Vitiligo is a skin condition that results in patches in areas of skin losing their pigment. It occurs when cells that produce pigmented skin, known as melanocytes, a cell that produces and contains the pigment called melanin, are destroyed or no longer function. These white patches or spots can occur anywhere on the body, on your face, hands, arms, feet, and even inside your mouth.

Vitiligo can occur in anyone of any normal skin color, but it is more prominent in people with darker skin tone. It is not contagious or life-threatening, but it can cause considerable emotional stress and increased risk of anxiety. Most people with vitiligo face some struggle with self confidence, particularly if the spots are visible.

Types of vitiligo:

  • Universal vitiligo: This type creates the discolouration on almost all the skin areas, affecting skin all over the body.
  • Generalized vitiligo: It is also called nonsegmental vitiligo and is the typical form of vitiligo skin diseases, in which symmetrical patches can be found on opposite areas of the body and have a similar manner of spreading.
  • Segmental vitiligo: This form usually begins at a younger age, involves only one side or area of the body, and progresses for one to two years before stabilising.
  • Localized (focal) vitiligo: Here only some part or a single part of the body is involved.
  • Acrofacial vitiligo: This kind of skin disorders affect the face and hands, especially skin around body openings such as the eyes, nose and ears.
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The symptoms

Common symptoms include:
  • The patches of skin become white
  • There may be premature greying of hair on the as well as the eyebrows, eyelashes or beard.
  • Fading of the colour inside the mouth or nose
  • Discoloration of the inner eye (the retina)

Colour loss may vary. For some it is just a few small spots, while for others it might be more in terms of size. It is worth noting that vitiligo is unique to each person and there is no way of telling how much skin will be affected. It will not be experienced in the same manner by any two vitiligo patients.

When to see a doctor?
Consultation Is The Key
When should you be worried?

You may want to see a doctor if:

  • You are developing white patches on your skin, especially if they appear to be increasing in size.
  • Your hair is turning white from grey when you are not even 35.
  • Your eyes, mouth, or sensitive regions in general lose pigment.
  • You have a relative with vitiligo or an autoimmune conditions.
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The causes
What causes vitiligo?

There are a couple reasons for why this may happen:

  • Autoimmune response: The immune system attacks healthy skin cells.
  • Genetic factors: Some inherited genes can play a role in causing someone to develop vitiligo.
  • Environmental factors: Stress, severe sunburn or contact with some chemicals can set off or worsen the condition.
The risk factors
Who gets vitiligo more often?

There is no way to predict who will develop vitiligo, but there are common things among those who do:

  • Family medical history: If someone in your immediate family has vitiligo or another autoimmune disease, you may be at higher risk.
  • Autoimmune diseases: Diseases such as thyroid disorders, type 1 diabetes, rheumatoid arthritis, and alopecia areata frequently accompany vitiligo.
  • Age: Vitiligo can begin at any age, but common people with vitiligo affected skin start before the age of 30.
  • Skin trauma: Sunburn, cuts or contact with certain chemicals can occasionally trigger vitiligo.
  • Stress: Physical and emotional stress can make people who are already predisposed get worse or have the light patches spread.
The complications
Hidden Dangers
What happens when it is left untreated?
  • Vitiligo does not itself present serious medical problems such as skin cancer, although if it is not treated it can cause complications, especially emotional and psychological distress.

    There are potential complications:.

    • Sunburn: Skin without pigment is more prone to sunburn.
    • Eye problems: Pigment changes may affect the eyes in rare cases.
    • Hearing problems: Studies have suggested an association between vitiligo and mild hearing issues.
    • Emotional stress: Common among people with vitiligo is loss of self-esteem, anxiety, and depression.

The prevention
Shield Your Skin Daily
How can protecting your skin help prevent vitiligo?

Protecting your skin from the sun is among the greatest things you can do. A sunburn can occasionally worsen the condition. Sunscreen throughout the year, even on cloudy days, to keep your skin from harmful UV rays.

Is wearing protective clothing helpful?

By wrapping up with long sleeves, hats and sunglasses you are providing your skin extra protection. You might want clothes with UV light protection as well.

Manage Stress Levels
Is stress bad for vitiligo?

Yes, stress may not cause vitiligo directly, but it can aggravate flare-ups or the spread of white patches. That is why it is crucial to develop ways to unwind. There are things that might help, like slow breathing, yoga and even making time for yourself.

Tips to lower your stress

It is the little things that count. See if you can go for a short walk, listen to soothing music, or speak to a friend. Simple daily behaviors to relax your mind can benefit your body, and your skin.

Avoid Skin Trauma
Why is it important not to harm your skin?

Even small traumas like cuts from surgical treatments, burns or a lot of rubbing, can occasionally cause new vitiligo patches. This is called the Koebner phenomenon. If you are extra gentle with your skin, you are less likely to have new spots appearing.

Protect your skin from injuries

Be careful when shaving, and wear gloves if you will be dealing with something abrasive, like, cleaning supplies. And if you do get nicked or scraped, be gentle to that injury. The less you will irritate your skin, the more you will protect it.

Support Your Body's Defenses
How does your immune system play a role in vitiligo?

Vitiligo occurs when the immune system targets the healthy tissues that produce skin pigment. Keeping your immune system strong and regulated will contribute to protecting your skin and physical appearance. Good food, exercise and plenty of sleep also keep your immune system healthy.

Foods to keep your immune system strong

Eating a lot of fruits and vegetables of every color is a good start. Food such as berries, spinach and nuts contain antioxidants which are good for you. Staying hydrated and reducing sugar also may help your immune system work well.

Catch Changes Early
Why should you visit a skin doctor regularly?

Getting an early peek at changes signalled by your skin can go a long way. A dermatologist can spot signs of the condition early and provide patient education as well as offer treatments options like topical steroid and light therapy to slow it. Early diagnosis and tests like skin biopsy can make a significant difference and offer you greater choices.

When is it a good idea to book a check-up?

If you detect any new white patches or unusual skin changes, it is wise to get checked. Even if you don’t see anything, over time, regular visits, especially for people with a family history of vitiligo, can help you stay ahead of any issues.

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    How can protecting your skin help prevent vitiligo?
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    Is stress bad for vitiligo?
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    Why is it important not to harm your skin?
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    How does your immune system play a role in vitiligo?
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    Why should you visit a skin doctor regularly?
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