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About Vitiligo
Vitiligo symptoms can vary significantly from person to person. In individuals with darker or tanned skin, the condition tends to be more noticeable. Some may develop only a few isolated white spots that remain unchanged, while others may experience larger lesions that spread and merge to cover more extensive areas of the skin.
The condition frequently appears in areas exposed to sunlight, sites of previous skin injury, body folds (such as the armpits), and around body openings. The genitals may also be affected. Vitiligo often begins as a patch of skin that is slightly lighter than the surrounding area and gradually turns completely white.
The edges of depigmented patches can be smooth or irregular and, in some cases, may have a red, inflamed border. Although the skin in affected areas typically appears normal aside from the loss of pigment, hair growing in these areas may also lose its color, turning white. A "halo nevus"—a mole surrounded by a white ring, commonly found on the trunk—can sometimes indicate the early stages of generalized vitiligo.
Distinguishing between the two primary types of vitiligo—segmental and generalized—is crucial for predicting disease progression and determining appropriate treatment. However, it is important to note that not all white patches are caused by vitiligo. Conditions such as contact leukoderma or more than twenty other skin disorders can have a similar appearance. A trained dermatologist can accurately diagnose vitiligo and differentiate it from other causes of depigmentation.
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Though it is not always easy to treat vitiligo, there is much to be gained by clearly understanding the diagnosis, the future implications, treatment options and their outcomes.
Many people deal with vitiligo while remaining in the public eye, maintaining a positive outlook, and having a successful career.
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