Vitiligo is a dermatological condition characterized by the formation of distinct, light-colored or white patches resulting from the loss of melanocytes—the cells responsible for skin color. It can appear on any part of the body; the face, hands, underarms, genital area, and skin around joints are among the frequently affected regions.
Vitiligo is not contagious. The extent and progression of the disease vary from person to person; while it may remain localized in some individuals, new patches may appear over time in others.
Is Every White Spot Vitiligo?
Not every white or light-colored spot on the skin is vitiligo. Fungal infections, pigmentary changes following inflammatory skin diseases, congenital pigment variations, and certain other dermatological conditions can present an appearance similar to vitiligo.
Therefore, treatment should not be initiated based solely on the appearance of the spot. During a dermatological examination, factors such as the onset time, location, and spread tendency of the spot, as well as family history and co-existing medical conditions, are evaluated. Wood’s lamp examination and specific laboratory tests may be utilized when deemed necessary.
How Is Vitiligo Treatment Planned?
When formulating a treatment plan, factors such as the type and extent of the disease, its activity level, the affected areas, the patient's age and skin type, and any previously administered treatments are taken into consideration. Treatment options that may be considered for suitable individuals include:
* Topical corticosteroids
* Topical calcineurin inhibitors
* Various medical treatments tailored to the course of the disease
* Narrowband UVB phototherapy
* Advanced interventional methods for selected, stable cases
* Camouflage products and sun protection
Not every method is suitable for every individual. The type of medication, duration of application, and follow-up schedule should be determined based on a dermatological assessment.
In cases where phototherapy or other advanced treatment methods are deemed necessary, the patient may be referred to an appropriate center where the relevant procedure is performed.
What to Expect from Treatment?
The goal of vitiligo treatment is to control the progression of the disease and promote repigmentation in suitable areas. The response to treatment may vary depending on the location of the lesions, the duration and extent of the disease, and individual characteristics.
While areas on the face and trunk may respond better to certain treatments, the response in areas on the hands and feet may be more limited. There is no guarantee that treatment will yield results within a specific timeframe or that the restored color will be permanent. Regular follow-up and adherence to the treatment plan are important.
Sun Protection and Daily Care
Areas with pigment loss may be more sensitive to sunlight. The use of appropriate sunscreen is recommended to prevent sunburn and minimize the contrast between normal skin and areas affected by vitiligo.
For some individuals, vitiligo can cause concerns regarding appearance and lead to psychological distress. These effects should also be addressed as part of the dermatological assessment.
Vitiligo Assessment in Ankara Çankaya
Specialist Dr. At the Armin Müştak Dermatology Practice, vitiligo and vitiligo-like pigmentary changes are evaluated through a dermatological examination. Once the diagnosis, extent, and activity of the disease have been determined, a plan for appropriate medical treatment, follow-up, or necessary referral is established.
Vitiligo is a condition characterized by white patches caused by the loss of melanocytes, the cells that give skin its color. It can affect different parts of the body, including the face, hands, underarms, and genital area. Hair in the affected areas may also turn white. Vitiligo is not contagious and cannot spread through physical contact or shared items.
In the most common form of vitiligo, the immune system targets pigment-producing cells. Genetic predisposition may also play a role. Sunburn and skin injuries can trigger new patches in some people. The course of the condition varies from person to person: patches may remain stable for a long time, or new ones may develop in other areas. Vitiligo should not be attributed solely to stress.
Not every white patch is vitiligo. Superficial fungal infections and lighter patches that develop after certain skin conditions can look similar. Diagnosis is usually based on a dermatologic examination and, when needed, a Wood’s lamp examination. Because vitiligo can be associated with thyroid disorders, blood tests may be requested based on the patient’s symptoms and medical history. The same extensive panel of tests is not necessary for every patient.
Treatment is planned based on the type and extent of vitiligo, whether it is active, and the patient’s age. Options may include topical corticosteroids, topical medications such as tacrolimus or pimecrolimus, narrowband UVB phototherapy, and targeted light therapies. A newer option, ruxolitinib cream, is a JAK inhibitor approved in the United States for nonsegmental vitiligo in patients ages 12 and older. Before considering its use in Türkiye, its current regulatory approval status and availability should be checked separately.
Treatment can help restore pigment in the white patches, but complete and lasting improvement cannot be guaranteed for everyone. Results generally develop over several months. The face and neck often respond better, while areas such as the fingertips may show a more limited response. Pigment loss can recur after color returns, so some patients need maintenance treatment and regular follow-up.
Areas that have lost pigment are more prone to sunburn. Use a broad-spectrum sunscreen with SPF 30 or higher, and reapply every two hours while outdoors and after swimming or sweating. Protective clothing and shade are also important. Avoid tanning beds and sunburn. Skin camouflage products can be used to reduce the appearance of color differences if desired. If vitiligo affects your social life or self-confidence, psychological support may also be part of your care.
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