Vitiligo is an auto-immune condition that results in flat areas of pigment loss. Fingers are a common location.
Vitiligo is an auto-immune condition that results in flat areas of pigment loss. Fingers are a common location.
This image displays areas of complete absence of skin pigment typical of vitiligo.
This image displays areas of complete absence of skin pigment typical of vitiligo.
This image displays lightening of the skin due to vitiligo, with pigment beginning to return around each hair follicle.
This image displays lightening of the skin due to vitiligo, with pigment beginning to return around each hair follicle.
This image displays the tops of feet affected with vitiligo.
This image displays the tops of feet affected with vitiligo.
While the pigment loss from vitiligo is often subtle in lighter-skinned people, the loss of pigment from hairs in the eyelash area here accentuates the color loss.
While the pigment loss from vitiligo is often subtle in lighter-skinned people, the loss of pigment from hairs in the eyelash area here accentuates the color loss.
This image displays lighter skin with fairly sharp edges on the face typical of vitiligo.
This image displays lighter skin with fairly sharp edges on the face typical of vitiligo.
In people with darker skin, the pigment loss in vitiligo is easily apparent.
In people with darker skin, the pigment loss in vitiligo is easily apparent.
The fingers are a frequent skin location for patches of vitiligo.
The fingers are a frequent skin location for patches of vitiligo.

Graphic content

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The white areas of pigment loss in vitiligo are easily seen in darker-skinned individuals; the genital area is commonly affected.
The white areas of pigment loss in vitiligo are easily seen in darker-skinned individuals; the genital area is commonly affected.

Graphic content

Please click to view.

The circular areas of pigment loss in vitiligo are common in the genital region.
The circular areas of pigment loss in vitiligo are common in the genital region.
This image displays islands of normal skin within the white skin affected by vitiligo.
This image displays islands of normal skin within the white skin affected by vitiligo.

Images of Vitiligo (11)

Vitiligo is an auto-immune condition that results in flat areas of pigment loss. Fingers are a common location.
This image displays areas of complete absence of skin pigment typical of vitiligo.
This image displays lightening of the skin due to vitiligo, with pigment beginning to return around each hair follicle.
This image displays the tops of feet affected with vitiligo.
While the pigment loss from vitiligo is often subtle in lighter-skinned people, the loss of pigment from hairs in the eyelash area here accentuates the color loss.
This image displays lighter skin with fairly sharp edges on the face typical of vitiligo.
In people with darker skin, the pigment loss in vitiligo is easily apparent.
The fingers are a frequent skin location for patches of vitiligo.

Graphic content

The white areas of pigment loss in vitiligo are easily seen in darker-skinned individuals; the genital area is commonly affected.

Graphic content

The circular areas of pigment loss in vitiligo are common in the genital region.
This image displays islands of normal skin within the white skin affected by vitiligo.

Vitiligo

Vitiligo is a disease where the immune system turns against itself (autoimmune disease) where immune cells of the body attack the color-producing (pigment-producing) cells (melanocytes) to cause white patches on the skin, which may contain hairs that are white in color. It may be seen with other autoimmune diseases, such as thyroid disease, alopecia areata, diabetes mellitus, Addison disease, and myasthenia gravis. The way that vitiligo progresses varies greatly; it may remain in the area where it started (localized) or it may become more widespread.

Who's At Risk?

Vitiligo may occur at all ages but usually begins between the ages of 2 and 40. All races may be affected. Despite a common belief, vitiligo is not seen more often in individuals of African descent; this may seem to be true only because the condition causes a bigger cosmetic problem for darker-skinned individuals.

Signs & Symptoms

Vitiligo most commonly affects areas of injury (trauma), particularly on the face, upper chest, hands, axillae, and groin. It may be widespread, affecting both sides of the body (generalized); it may affect only one side of the body (segmental); or it may affect only one localized area (focal).

Sharply defined white patches are seen with vitiligo. If the affected area contains hair, the hair may turn white.

Sometimes “halo” moles (nevi) may be seen, in which a mole is surrounded by a circular white patch, resembling a halo.

Take a picture of your skin condition with Aysa

Symptom checkers like Aysa can help narrow down possible skin conditions by analyzing a skin photo.

Self-Care Guidelines

To protect your skin from sunburning, particularly in the areas affected by vitiligo:

  • Avoid exposure to midday sun (10 AM to 3 PM).
  • Apply SPF 45 sunscreen.
  • Wear protective clothing and hats.
  • Apply Dermablend™ or Covermark® cosmetic cover-up makeup to hide white (depigmented) patches.
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Treatments

The doctor may recommend:

  • Topical steroid creams or ointments to help restore skin color. Use these with caution because of the risk of tissue damage (atrophy) with prolonged use, particularly on the face and skin fold areas.
  • Topical non-steroid medications, such as tacrolimus and pimecrolimus, which deactivate immune cells, may be of benefit. These medications, however, can increase your risk of developing cancer (malignancy).
  • Ultraviolet (UV) light therapy for lesions that do not affect the joints.
  • For very extensive lesions in darker-skinned individuals, topical chemicals remove color (depigment) the normal skin.
  • Superficial skin grafts, especially in hard-to-treat (recalcitrant) locations, such as over joints.

Visit Urgency

Vitiligo does not require treatment, but see your child’s doctor for evaluation if vitiligo becomes bothersome.

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References

Bolognia, Jean L., ed. Dermatology, pp.947-955. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick’s Dermatology in General Medicine. 6th ed. pp.839-847. New York: McGraw-Hill, 2003.