Treating Vitiligo
Vitiligo, also known as leukoderma, is a chronic, non-contagious pigmentation disorder in which the skin loses its natural pigment. The sharply defined, white patches can appear anywhere on the body and often affect mucous membranes or hair.
Vitiligo is medically harmless, but can significantly impair one's self-image. Modern dermatological treatments now allow for a marked improvement in pigmentation, stabilization of the condition, and often visible repigmentation.
Table of Contents
- What is vitiligo?
- Causes & Triggers
- Symptoms & Forms
- Diagnostics at the dermatologist
- Treatment options
- Light therapy (UVB 311 nm)
- Topical & systemic therapies
- Camouflage & cosmetic solutions
- Who is suitable for vitiligo treatment?
- FAQ – Frequently Asked Questions
1. What is vitiligo?
Vitiligo is an autoimmune skin disease in which the immune system attacks the pigment cells (melanocytes). This results in white, depigmented patches that can spread slowly or remain stable for years.
The disease usually progresses in flare-ups, often accompanied by periods without change.
2. Causes & Triggers
2. Causes & Triggers
The exact cause is not yet fully understood, but several mechanisms play a role:
- Autoimmune reactions against melanocytes
- genetic predisposition
- oxidative stress
- Triggers such as sun exposure, stress, infections, or skin irritations
INFOBOX :
Vitiligo is not contagious and is not related to personal skincare or hygiene.
3. Symptoms & Forms
3. Symptoms & Forms
Typical signs:
- white, sharply defined skin patches
- symmetrically or asymmetrically distributed
- Occasionally, early white hairs appear in the affected area.
Common forms:
Non-segmental vitiligo
- most common form
- symmetrical spots
- phased course
Segmental vitiligo
- unilateral, along nerve pathways
- stable course
Focal vitiligo
- few, clearly defined areas
4. Diagnostics at the dermatologist
4. Diagnostics at the dermatologist
- Clinical examination
- The typical appearance is usually sufficient for diagnosis.
- Medical history
- Clarification of familial factors, triggers and course.
5. Treatment options
5. Treatment options
Vitiligo is not curable, but it can now be very well stabilized and partially repigmented. Treatment is individually tailored.
6. Light therapy (UVB 311 nm)
6. Light therapy (UVB 311 nm)
Narrowband UVB therapy is among the most effective treatments:
- stimulates remaining melanocytes
- activates pigment production
- stains can darken significantly.
Often, 2-3 sessions per week are necessary over several months.
INFOBOX:
70–80% of patients respond well to UVB therapy, especially in the face.
7. Topical & systemic therapies
7. Topical & systemic therapies
Creams / Ointments
- Corticosteroids (short-term)
- Calcineurin inhibitors (tacrolimus/pimecrolimus), well suited for face and sensitive areas
Systemic therapy
Anti-inflammatory medications can be used in cases of actively progressing vitiligo.
8. Camouflage & cosmetic solutions
8. Camouflage & cosmetic solutions
An important addition to everyday life:
- high-quality dermatological cover products
- long-lasting camouflage
- Color matching for a natural skin tone
This method is particularly helpful when repigmentation is difficult.
9. For whom is vitiligo treatment suitable?
9. For whom is vitiligo treatment suitable?
- People with white, clearly defined spots
- Patients with psychological or cosmetic distress
- all those who desire a medical or aesthetic improvement
10. FAQ – Frequently Asked Questions
10. FAQ – Frequently Asked Questions
Is vitiligo curable?
No, but it is very treatable.
Can vitiligo disappear completely?
Partly yes, especially on the face or neck through UVB therapy.
Is the treatment painful?
No, UVB and creams are well tolerated.
Can vitiligo get worse?
Yes, stress, sun exposure, or injuries can trigger flare-ups.
Is vitiligo a health hazard?
No, she is only visually striking.
Conclusion
Conclusion
Vitiligo can now be significantly improved with light therapy, modern creams, and cosmetic procedures. The combination of medical and aesthetic treatments results in a more even skin tone, increased self-confidence, and a noticeable improvement in quality of life.