Treatment FAQ

what is vitiligo treatment

by Hilton Klein Published 3 years ago Updated 2 years ago
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Medication

How do dermatologists treat vitiligo? No medical treatment (use cosmetics to camouflage lost color) Cosmetic options include makeup, self-tanners, and skin... Cosmetic options include makeup, self-tanners, and skin dyes. Offers safe way to make vitiligo less noticeable. Often recommended for ...

Procedures

Protopic. Protopic (also known as tacrolimus ) ointment is a treatment that has mainly been used for eczema. Recently, protopic has also been used in clinical studies for the treatment of vitiligo. It is made from a rare soil bacterium found only in Japan.

Therapy

Mar 02, 2021 · There is no cure for vitiligo, but treatment may help skin tone appear more even. Who Gets Vitiligo? Anyone can get vitiligo, and it can develop at any age. However, for many people with vitiligo, the white patches begin to appear before age 20, and can start in …

What does really work for vitiligo?

Some vitiligo treatments have significant side effects, and it is best to check with your Forefront dermatologist to determine the treatment that is best for you. Treatment options include: Medications Creams that control inflammation Calcipotriene (Dovonex) – a cream that can be used with corticosteroids or ultraviolet light

How to successfully treat your vitiligo?

Apr 10, 2020 · Vitiligo has no cure. But treatment might stop or slow the discoloring process and return some color to your skin. Request an Appointment at Mayo Clinic Causes Skin layers and melanin Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin, hair and eyes color.

Can you cure vitiligo?

Mar 12, 2018 · Creams and ointments for vitiligo are available by prescription only. These come in the form of powerful anti-inflammatories, such as …

How to cure vitiligo in a month?

Sep 24, 2021 · In general, corticosteroid creams are usually the first line of treatment for vitiligo. They lower inflammation and decrease the body’s immune response that causes depigmentation.

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What is the main cause of vitiligo?

Vitiligo is caused by the lack of a pigment called melanin in the skin. Melanin is produced by skin cells called melanocytes, and it gives your skin its colour. In vitiligo, there are not enough working melanocytes to produce enough melanin in your skin. This causes white patches to develop on your skin or hair.

What is the fastest way to cure vitiligo?

There is no cure for vitiligo. The goal of medical treatment is to create a uniform skin tone by either restoring color (repigmentation) or eliminating the remaining color (depigmentation). Common treatments include camouflage therapy, repigmentation therapy, light therapy and surgery.Jan 13, 2020

Which treatment is best for vitiligo?

Phototherapy with narrow band ultraviolet B (UVB) has been shown to stop or slow the progression of active vitiligo. It might be more effective when used with corticosteroids or calcineurin inhibitors. You'll need therapy two to three times a week.Apr 10, 2020

How do you stop vitiligo from spreading?

For vitiligo that's spreading quickly, a course of steroid pills can help stop it. Phototherapy (light therapy) with narrowband UVB is the best option for people who don't see an improvement with creams or who can't use creams because they have too much vitiligo.Mar 30, 2021

Which food causes vitiligo?

Here are some of the top problem foods that some people with vitiligo cite: alcohol. blueberries. citrus.

Which cream is best for vitiligo?

Here are some non-steroid prescription creams that work for vitiligo: Vitamin D3 analogs like calcipotriene . 005% cream (Dovonex) regulate skin cell production and proliferation. A topical steroid cream like fluticasone or mometasone combined with calcipotriene also works better than calcipotriene alone.Jun 15, 2021

Can vitiligo be cured?

Vitiligo has no cure. But treatment might stop or slow the discoloring process and return some color to your skin.Apr 10, 2020

Does vitiligo come back after treatment?

Once we start treating the vitiligo spots, the pigment comes back, thereby reversing the disease. If there are pigmented hair follicles within the spots that we're treating, after about 3 months of treatment we see little brown spots appearing around each hair.May 29, 2020

Which oil is best for vitiligo?

One of the effective home remedies for vitiligo is the use of turmeric and mustard oil. Turmeric is known to have anti-inflammatory and antiseptic properties.

Is garlic good for vitiligo?

Since garlic is known for its immunity-stimulating impact and it can also be beneficial to vitiligo patients. This is most especially in case your vitiligo is triggered by an autoimmune disorder or an infection.

Can vitiligo be cured naturally?

Turmeric is an effective home remedy for vitiligo. Turmeric along with mustard oil and stimulate the pigmentation of the skin. Apply a mixture of turmeric powder and mustard oil for 20 minutes to the affected area. Do this twice a day for positive results.Jun 24, 2018

How do you test for vitiligo?

A skin biopsy involves removing a small portion of the affected skin tissue to check whether there are pigment cells (melanocytes) in the skin. The skin sample will be evaluated under a microscope in the lab. If it shows that there are no pigment cells present, a diagnosis of vitiligo will likely be confirmed.Aug 6, 2021

What is the best treatment for vitiligo?

Light treatment. Uses light to restore lost color to the skin. Patient may sit in a light box or receive excimer laser treatments. Light boxes are used to treat widespread vitiligo; lasers are used to treat a small area. Works best on the face; least effective on hands and feet.

What to do if you suspect vitiligo?

If your dermatologist suspects that you have vitiligo, your dermatologist will: Review your medical history, and may ask specific questions, such as whether anyone in your family has vitiligo. Perform a physical exam, looking carefully at the affected skin.

Does vitiligo restore skin color?

Some vitamins, minerals, amino acids, and enzymes have been reported to restore skin color in people who have vitiligo. Most have not been studied, so there is no evidence to support these treatments and no knowledge of possible side effects. Ginkgo biloba, an herb, has been studied in a clinical trial.

Does ginkgo biloba help with vitiligo?

Ginkgo biloba, an herb, has been studied in a clinical trial. Results from this trial indicate that the herb may restore skin color and stop vitiligo from worsening. In the ginkgo biloba trial, 10 patients given ginkgo biloba had noticeable or complete return of skin color.

How long does Psoralen last?

Time-consuming, requiring treatment at a hospital or PUVA center twice a week for about 1 year. Psoralen can affect the eyes, so this treatment requires an eye exam before and after finishing treatment. To help prevent serious side effects, patients are carefully monitored. Surgery.

Can you remove pigment from skin?

Removing the rest of the pigment leaves a person with completely white skin. It may be an option for an adult who has little pigment left and other treatment has not worked. Removing the remaining pigment can be an effective way to even out the skin color, giving the person white skin.

Can you predict how a patient will respond to a treatment?

It is not possible to predict how a patient will respond to treatment. It is important to keep in mind that no one treatment works for everyone. Results can vary from one part of the body to another. Combining two or more treatments often gives the best results.

What is the best light for vitiligo?

Narrowband UVB light treatment. Narrowband UVB is now the most common type of light treatment for the treatment of vitiligo. It uses light of a specific UVB wavelength, which has proved to be to be more effective than using standard UVB. There are a number of advantages over PUVA. Narrowband UVB treatment:

What is the most common treatment for inflammatory skin conditions?

The most common treatment offered on the NHS is steroid creams and they are known as corticosteroids. These are creams which are used to treat inflammatory conditions of the skin, other than those arising from an infection. They include such brand names as Betnovate, Cutivate, Dermovate and Synalar.

What is protopic ointment?

Protopic (also known as tacrolimus ) ointment is a treatment that has mainly been used for eczema. Recently, protopic has also been used in clinical studies for the treatment of vitiligo. It is made from a rare soil bacterium found only in Japan.

Is Vitiligo available on the NHS?

Some treatments are not available on the NHS. You may feel that they are worth investigating if conventional treatments have not worked for you. However, The Vitiligo Society cannot recommend using any of these treatments, due to the lack of clinical trials to prove their effectiveness.

What is PUVA treatment?

PUVA treatment is used in some hospitals. It involves taking medication as well as light treatment. The letters PUVA stand for Psoralen and Ultra Violet light A. Psoralens are chemicals found in plants, which make the skin more sensitive to light (either natural sunlight or UVA rays). Psoralen may be given as capsules to swallow, one or two hours before treatment. It may also be given as a lotion to paint on the white skin patches or to dissolve into bathwater (in which you have to soak for a short period before UVA treatment). You should not take psoralens if you are pregnant.

What to do if you forgot to tell your doctor something important?

Possibly you forgot to tell the doctor something important – easy to do if you are anxious. It may be helpful to write a note of everything you want to say next time, or take someone with you to remind you (and give support). This makes it easier for the doctor to give you an opinion based on all the facts available.

What to ask for a second opinion?

If your doctor has been given all the information about your condition and you are not satisfied about the response, asking for a second opinion is the best option. A good doctor is not afraid of a second opinion, which might confirm the first diagnosis, or pick up on something that has been missed. Doctors are human – they have to know about a very wide range of illnesses and any individual GP will have more knowledge and skills in some areas of medicine than others.

How to help vitiligo?

You can help manage vitiligo by: Using sunscreen and wearing clothes to protect your skin. Wearing self-tanning lotions or dyes to cover white patches of skin. Finding a doctor who has treated other people with vitiligo. Learning about the disorder and treatments to help you make decisions about your care.

How to get rid of vitiligo patches?

Also, new patches of vitiligo may form. You may need more than one treatment to get the best results. Treatments can include: Medicines or medicated skin creams , which may be able to return color to the white patches of skin. Use of light therapy to help return color to the skin.

Why does vitiligo get worse?

Also, your family history and genes may play a role in causing vitiligo. Finally, sometimes a sunburn, stressful life event, or contact with a chemical can make vitiligo start or make it worse.

What are the symptoms of vitiligo?

The main symptom of vitiligo is loss of natural color. The patches can show up on any part of your body and can affect: Skin, which gets milky-white patches, usually on the hands, feet, arms, and face. Hair, which can turn white on the scalp, eyebrow, eyelash, and beard. The inside of your mouth or nose.

When does vitiligo show up?

Who gets vitiligo? Anyone can get vitiligo, and it can happen at any age. For many people, the white patches show up before age 20. Vitiligo seems to happen more in people who have family members with the disorder or who have certain autoimmune diseases, such as rheumatoid arthritis and type 1 diabetes.

How does vitiligo affect people?

Some people with the disorder feel embarrassed, sad, ashamed, or upset about how their skin looks. Sometimes, this can lead to low self-esteem and depression. Seeking help from a counselor or therapist can help you cope.

Is vitiligo an autoimmune disease?

No one knows what causes vitiligo, but it may be an autoimmune disease. In people with autoimmune diseases, the immune cells attack the body’s own healthy tissues by mistake, instead of viruses or bacteria. A person with vitiligo sometimes may have family members who also have the disease. There is no cure for vitiligo, ...

Prescriptions

Topical and oral prescription medications (or a combination of both) are among the first treatments that are usually tried for people with vitiligo. Prescription medications may slow the progression of the discolored patches of the skin and may potentially restore some of the pigment in small areas, though the results of these treatments vary. 3

Over-the-Counter (OTC) Therapies

Your doctor may also recommend over-the-counter (OTC) products to help manage certain aspects of your vitiligo, though these products are not made for actively repigmenting the skin. 14

Home Remedies and Lifestyle

In addition to prescription medications and medical procedures, there are some potential dietary and lifestyle changes that can help people with vitiligo care for their skin and overall health and well-being.

Complementary and Alternative Medicine

While there has been some research on complementary and alternative medicine (CAM) treatments for vitiligo, there is not yet solid, reliable clinical trial evidence on their safety or effectiveness. Most experts do not feel comfortable recommending them broadly.

Experimental Treatments

While they are not yet recommended for widespread use, research on a class of medications known as JAK inhibitors (Janus kinase inhibitors) has shown promise as a potential treatment for vitiligo.

A Word From Verywell

Vitiligo looks and feels different for everyone—and treatment outcomes will vary, too. What works well for someone else might not be the best option for you.

What is vitiligo skin?

Vitiligo is identified by skin that is significantly lighter than the skin on the rest of the body. Vitiligo can appear anywhere, but typically it will first develop on skin that is routinely exposed to sunlight.

What causes vitiligo?

The exact cause of vitiligo is unknown; however, it is more prevalent in people who: 1 Have a family history of the disease 2 Have experienced a “trigger event,” such as high stress, sunburn, or exposure to chemicals 3 Are under the age of 35 4 Have darker skin

Can vitiligo be stopped?

Drugs cannot halt vitiligo’s progress ; however, some drugs, or some drugs used in combination with other remedies, can improve skin color. Some vitiligo treatments have significant side effects, and it is best to check with your Forefront dermatologist to determine the treatment that is best for you. Treatment options include: Medications.

Is vitiligo a psychological condition?

Vitiligo is the result of the loss of production of melanin, which is responsible for the color of the skin, eyes, and hair. Though vitiligo is not life-threatening, its appearance often has a deep psychological impact on its sufferers. Vitiligo is identified by skin that is significantly lighter than the skin on the rest of the body.

What causes vitiligo?

Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin, hair and eyes color. The involved patches of skin become lighter or white. It's unclear exactly what causes these pigment cells to fail or die. It may be related to: 1 A disorder of the immune system (autoimmune condition) 2 Family history (heredity) 3 A trigger event, such as stress, severe sunburn or skin trauma, such as contact with a chemical

When does vitiligo start?

Vitiligo can start at any age, but usually appears before age 30. Depending on the type of vitiligo you have, it may affect: Nearly all skin surfaces. With this type, called universal vitiligo, the discoloration affects nearly all skin surfaces. Many parts of your body.

Why do my eyes turn white?

It's produced in cells called melanocytes. Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin, hair and eyes color. The involved patches of skin become lighter or white.

What is the condition where the skin loses pigment?

The loss of color resulting from vitiligo is sometimes symmetrical. Open pop-up dialog box. Close. Vitiligo. Vitiligo. Vitiligo is a condition in which the skin loses its pigment cells (melanocytes). This can result in discolored patches in different areas of the body, including the skin, hair and mucous membranes.

How does vitiligo affect the body?

Normally, the color of hair and skin is determined by melanin. Vitiligo occurs when cells that produce melanin die or stop functioning. Vitiligo affects people of all skin types, but it may be more noticeable in people with darker skin.

What is segmental vitiligo?

Only one side or part of your body. This type, called segmental vitiligo, tends to occur at a younger age, progress for a year or two, then stop. One or only a few areas of your body. This type is called localized (focal) vitiligo. The face and hands.

How do you know if you have vitiligo?

Symptoms. Vitiligo signs include: Patchy loss of skin color, which usually first appears on the hands, face, and areas around body openings and the genitals . Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard. Loss of color in the tissues that line the inside of your mouth and nose (mucous membranes) ...

What is the best treatment for vitiligo?

These come in the form of powerful anti-inflammatories, such as corticosteroids and calcineurin inhibitors. Decreasing inflammation may reduce the spread of pigmentation loss. In some cases, your skin may return to its natural color, too.

How to hide vitiligo?

Self-tanners are just one way you can conceal vitiligo patches. You can also try tinted primers, foundations, and powders. Be sure to choose a color that most closely matches your natural skin tone — choosing colors that are darker than your skin can look fake.

What are the side effects of a graft?

Blister grafting is yet another option available to help even out your skin tone. Still, there are several side effects to consider, such as: 1 a cobblestone-like appearance in your skin 2 failure to regenerate color 3 more discoloration 4 scarring

What is the term for the loss of skin pigment?

Vitiligo is a medical condition that causes skin pigmentation loss. This happens when melanocytes, or the cells that create skin pigment, are destroyed. It can present as patches of white skin on the body.

How long does it take for corticosteroids to work?

According to the Mayo Clinic, it can take several months for topical treatments to work. These may also not be ideal for children and older adults because of their thinner, more sensitive skin. Corticosteroids work best for widespread areas of vitiligo.

How does micropigmentation work?

Micropigmentation is a type of tattooing. This treatment works for vitiligo by implanting (or tattooing) new pigment into areas of blotchy skin. While this process is effective, it will likely have to be repeated every few years so you can maintain natural-looking color.

Does vitiligo surgery work?

This involves removing a small part of your skin from one area not affected by vitiligo and surgically implanting it to areas of pigmentation loss. It works best with smaller skin patches. While skin grafting works, it doesn’t come without complications.

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Diagnosis

Treatment

Alternative Medicine

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment might help restore skin color to the affected parts but cannot cure the further loss of pigment cells.
Medication

Corticosteroid: Help restore color or aid repigmentation.

Betamethasone valerate . Clobetasol Propionate


Ointments: Are effective for re-pigmentation of small skin areas.

Tacrolimus . Pimecrolimus

Procedures

Blister grafting: Small blisters are created in the normal pigmented area and these are placed on the affected area.

Tattooing: Implant pigment into the skin through a special surgical instrument.

Skin grafting: A small part of the normal pigmented skin is removed and grafted in the discolored areas.

Therapy

Ultraviolet phototherapy:Combination of corticosteroid and UV phototherapy for restoring color. Combination of psoralen with UV lights are also used.

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Preparing For Your Appointment

  • Your doctor will ask about your medical history and examine your skin, possibly with a special lamp. Your evaluation might also include a skin biopsy and blood tests.
See more on mayoclinic.org

Prescriptions

  • The choice of treatment depends on your age, how much skin is involved and where, how quickly the disease is progressing, and how it's affecting your life. Medications and light-based therapies are available to help restore skin color or even out skin tone, though results vary and are unpredictable. And some treatments have serious side effects. So your doctor might suggest th…
See more on mayoclinic.org

Over-The-Counter (OTC) Therapies

  • Limited studies show that the herb Ginkgo biloba may return skin color in people with vitiligo. Other small studies show that alpha-lipoic acid, folic acid, vitamin C and vitamin B-12 plus phototherapy may restore skin color for some people. As with any over-the-counter (nonprescription) treatment, check with your doctor before trying alternative medicine therapies …
See more on mayoclinic.org

Home Remedies and Lifestyle

  • The change in your appearance caused by vitiligo might make you feel stressed, self-conscious or sad. These self-care approaches can help you cope with vitiligo: 1. Make a good connection.Find a doctor who knows a lot about the condition. A dermatologist is a doctor who specializes in the care of skin. 2. Learn about your condition.Find out as much as you can about vitiligo and your tr…
See more on mayoclinic.org

Complementary and Alternative Medicine

  • You're likely to start by seeing your primary care doctor. You may then be referred to a specialist in skin disorders (dermatologist). Here's some information to help you prepare for your appointment.
See more on mayoclinic.org

Experimental Treatments

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Topical and oral prescription medications (or a combination of both) are among the first treatments that are usually tried for people with vitiligo. Prescription medications may slow the progression of the discolored patches of the skin and may potentially restore some of the pigment in small areas, though the results of …
See more on verywellhealth.com

A Word from Verywell

  • Your doctor may also recommend over-the-counter (OTC) products to help manage certain aspects of your vitiligo, though these products are not made for actively repigmenting the skin.14 Pain Relief Some people experience pain, discomfort, or itching on the areas of skin where the vitiligo appears. If the pain is mild, nonsteroidal anti-inflammatory drugs(NSAIDs) such as ibupro…
See more on verywellhealth.com

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