Understanding Your Vitiligo Diagnosis

Suppose you’re among approximately 1% of the world population with vitiligo. In that case, it’s understandable that you want to learn more about this skin condition, characterized by the loss of pigment in patches of skin.

At North Pacific Dermatology & Aesthetics, dermatologist Kelly Kinsley, MD, wants to help you understand what vitiligo is, how it develops, and what treatment options are available. This knowledge can help you feel more empowered when managing your vitiligo diagnosis.

About vitiligo

Vitiligo is a skin condition in which the cells responsible for producing melanin, the pigment that gives your skin its color, stop functioning or die. As a result, smooth white patches develop on the skin. These can vary in size and location and appear anywhere on the body, including the face, hands, feet, arms, and torso. The patches sometimes affect the hair, eyes, and inside of the mouth.

Researchers suspect vitiligo is primarily an autoimmune disorder in which the immune system mistakenly attacks and destroys melanocytes (pigment-producing cells). 

Vitiligo affects all skin types but may be more noticeable if you have darker skin tones. It is not contagious or life-threatening, but it can significantly impact your emotional and psychological well-being.

Common types of vitiligo

Vitiligo presents in different patterns, affecting your treatment plan and management options. The most common types include:

Generalized vitiligo

This is the most prevalent form, where white patches appear symmetrically on both body sides.

Segmental vitiligo

Segmental vitiligo patches appear on one side of the body or in one particular area, usually spreading quickly over a few months.

Focal vitiligo

This type appears as isolated patches in one or a few specific areas. It doesn’t spread extensively.

Mucosal vitiligo

When you have this form, it affects mucus membranes such as the mouth and genital areas.

Understanding your type of vitiligo is key to developing an effective treatment plan.

Causes of vitiligo

That is exactly why some people develop vitiligo, but it isn’t fully understood. Several factors may contribute to its development, including:

• Autoimmune responses: The immune system mistakenly attacks melanocytes, leading to loss of pigment
• Genetics: A family history of vitiligo or other autoimmune conditions can increase the likelihood of developing the condition.
• Environmental triggers: Stress, sunburn, or exposure to industrial chemicals may contribute to or trigger vitiligo in genetically predisposed individuals

Dr. Kinsley diagnoses vitiligo based on a physical exam and a review of your medical history. She may use a Wood’s lamp, a special ultraviolet light, to examine areas of depigmentation more closely.

Treatment for vitiligo

Though there is no cure for vitiligo, Dr. Kinsely offers several treatments that can help manage the condition, reduce the appearance of white patches, and restore color to the skin. Your customized treatment plan may include:

Topical medications

Corticosteroid creams and topical immunomodulators can help reintroduce pigment to the skin by reducing inflammation and encouraging melanocyte activity.

Light therapy 

Narrowband ultraviolet B (NB-UVB) light therapy can stimulate the production of melanocytes and help even out skin tone over time. Dr. Kinsley may recommend it in conjunction with topical treatments.

Cosmetic solutions

Camouflage makeup can effectively cover vitiligo patches, providing a temporary solution for improving the appearance of your skin

In some cases, Dr. Kinsley may recommend medical tattooing or surgical treatments such as skin grafts or melanocyte transplants to restore pigment to affected areas. 

Managing vitiligo

Vitiligo can affect your emotional health as well as your physical condition. Many people with vitiligo experience anxiety or lowered self-esteem due to changes in their appearance. Support groups, counseling, and connecting with others with the condition can provide comfort and help you build a positive self-image.

It would help if you also were diligent about using sun protection. Since the affected skin lacks melanin, it’s more susceptible to sunburn and UV damage. Using a high-SPF sunscreen and protective clothing can help keep your skin healthy.

At North Pacific Dermatology & Aesthetics, we understand the unique challenges of living with vitiligo. Dr. Kinsely is dedicated to offering personalized treatment plans that address the condition's medical and aesthetic aspects. 

If you’ve been diagnosed with vitiligo or suspect you may have it, we encourage you to schedule a consultation. We’ll work closely with you to create a treatment plan that helps manage your symptoms, enhance your appearance, and improve your quality of life. Call or use this website to schedule your appointment today.