Approximately one percent of the world’s population has vitiligo. When you have vitiligo, the cells that are responsible for your skin color are damaged. These cells, called melanocytes, no longer produce skin pigment, called melanin. Once the cells no longer produce melanin, areas of your skin will lose color or turn white.
Areas of lost pigment can develop anywhere on your body, including:
- sun-exposed areas like the hands, feet, arms, and face
- inside the mouth or other mucus membranes
- nostrils
- genitals
- back of the eye
- within the hearing system of the ear
Your hair may also turn grey or white if the areas involved have hair.
Even though vitiligo can affect many different parts of the body, it’s not contagious. A person with vitiligo can’t transmit it to someone else.
What are your treatment options?
Treatments for vitiligo aim to restore color balance to your skin. Some treatments aim to add pigment while others remove it. Your options will vary according to:
- the severity of your condition
- the location and size of your patches
- how many patches you have
- how widespread the patches are
- how you respond to treatment
The types of treatments include medical, surgical, or a combination of both. But not all treatments work for everyone and some may cause unwanted side effects.
Always contact your doctor if you start experiencing side effects due to a treatment. They may readjust your dosage or provide alternatives.
Medical
You’ll usually need at least three months of treatment before you can see its effects. Medical treatments include:
Topical creams: Some creams, including corticosteroids, can help return color to white patches in the initial stages. Others help slow the growth. You’ll need a prescription for creams that are strong enough, but they can also cause side effects when used for a long time.
Oral medications: Some medications like steroids and certain antibiotics may be effective in treating vitiligo. These are only available by prescription. Temporary results can only be seen using these.
Psoralen and ultraviolet A (PUVA) therapy: This treatment combination requires you to take psoralen as a pill or apply it to your skin as a cream. Then your doctor exposes you to UVA light to activate the drugs which help restore color to your skin. Afterwards, you’ll need to minimize sun exposure and wear protective sunglasses.
Depigmentation: Your doctor may recommend depigmentation if more than 50 percent of your body is affected and you want to balance your skin. This often is a solution when treatments to return pigment to your skin have failed. Depigmentation focuses on fading the rest of the skin to match the areas that have lost color. It can take up to two years for treatment to be effective. You’ll apply a medication like monobenzone as directed by your doctor. The biggest side effect of depigmentation is inflammation. This treatment tends to be permanent and you’ll be extra sensitive to sunlight.
Surgical:Surgical options are available when medications and light therapy don’t work. Your doctor can recommend surgical options if you have had no new or worsening white patches in the last 12 months, and your vitiligo wasn’t caused by sun damage.
Even if you are undergoing medical treatment for vitiligo, the results can be slow. So, you may want to incorporate the following:
Sunscreen: Reducing sun expose can help keep your skin even. Tanning will add contrast to your skin, making affected areas more visible. The higher the SPF, the more protection you receive. It is important to use sunscreen as areas without pigmentation are susceptible to sunburns and sun damage.
Cosmetics: Makeup or self-tanning lotions can help even out your skin tone. You may prefer self-tanning lotions because the effect lasts longer, even with washing.