Treatment guidelineTriggers

Treatment guideline

On the outside, severe sunburn, physical skin damage, prolonged contact with certain chemicals containing:

  • p-phenylenediamine (also known as para-phenylene diamine or PPD)
  • para-tertiary butylphenol (PTBP)
  • monobenzylether of hydroquinone (MBH)

may induce or worsen vitiligo. Industrial items with PPD or PTBP include permanent hair dyes, fabric and leather colorants, printing inks, motor oil additives, fiberglass products, plywood, masonry sealant, insecticides and commercial disinfectants. Medical items with PTBP include hearing aids, prosthesis and athletic tape. Skin lighting creams and soaps in certain countries may contain MBH in excessive concentrations.

On the inside, psychological stress is the most frequent trigger for vitiligo. Hormonal changes during pregnancy, delivery and menopause may also be the culprit, as can excessive pressure and friction from lingerie, shoes, or sporting equipment. Parasites and chronic gastritis that impair absorption of vital elements by the digestive system may also precipitate vitiligo.



FAQOther Questions

  • Who is prone to vitiligo?

    Vitiligo can affect anyone, regardless of gender, age, or race. Vitiligo prevalence is between 0.76% and 1.11% of the U.S. population, including around 40% of those with the con...

  • What is the best therapy for localized vitiligo?

    Localized vitiligo, where the white patches are limited to one or a few areas of the body, can be managed with a few treatment approaches. The best therapy usually depends on th...

  • Vitiligo and Pregnancy

    Pregnancy with vitiligo? The good news: vitiligo itself doesn’t make pregnancy unsafe. Most women stay stable (some even improve), though flares can pop up after birth — usually...