What are the causes and symptoms of vitiligo?

Doctor's Answer

Hi, thanks for the question.

Normally, the color of hair and skin is determined by melanin. Vitiligo occurs when the 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. The condition is not life-threatening or contagious. There are treatments for vitiligo that may restore color to the affected skin. But it does not prevent continued loss of skin color or a recurrence.

The main sign of vitiligo is patchy loss of skin color. Usually, the discoloration first shows on sun-exposed areas, such as the hands, feet, arms, face and lips.

Vitiligo signs may include:

  • Patchy loss of skin color
  • 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)
  • Loss of or change in color of the inner layer of the eyeball (retina)

Depending on the type of vitiligo you have, the discolored patches may cover:

  • Many parts of your body. The discolored patches often progress similarly on corresponding body parts.
  • 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 vitiligo.

It's difficult to predict how your disease will progress. Sometimes the patches stop forming without treatment. In most cases, pigment loss spreads and eventually involves most of your skin. Rarely, the skin gets its color back.

I hope this information helps your to understand vitiligo better.

Yours sincerely,
Doctor Vivian Yong

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