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DEAR MAYO CLINIC: I am in my mid-30s and accept abounding baby patches on my lower legs, ankles and accoutrements that are abundant lighter in blush than my skin. These patches don’t tan or change color. Is this vitiligo? If so, will these areas access in admeasurement over time? Is there annihilation I can do for this condition?
It is accessible that the action you call could be vitiligo. However, there are abounding added altitude that can advance to abating of the skin, too. To acquisition out what’s causing your symptoms, you should see a dermatologist to appraise the condition. If it is vitiligo, it can advance over time. Although vitiligo can be difficult to treat, there are therapies that may help.
Vitiligo is a attenuate action in which the bark loses melanin, the colorant that determines skin, beard and eye color. Vitiligo occurs back the beef that aftermath melanin die or no best anatomy melanin, causing boring accretion white patches to arise on the skin.
It’s cryptic absolutely what causes vitiligo. It may be an autoimmune disorder, in which a person’s allowed arrangement attacks and destroys the colorant cells. Heredity additionally may comedy a role because, in some cases, vitiligo appears to run in families. In addition, some bodies accept appear that a distinct event, such as a sunburn or affecting distress, seems to accept triggered the vitiligo.
The bulk of colorant absent due to vitiligo can alter decidedly from one being to another. Typically, vitiligo aboriginal appears as milky-white patches on the skin. Although any allotment of the anatomy may be affected, depigmentation usually develops aboriginal on sun-exposed areas, such as the hands, feet, arms, face and lips.
The progression of vitiligo is difficult to predict. Sometimes, the patches stop basic after treatment. However, colorant accident can spread. Eventually, it may absorb best of the skin’s surface.
Diagnosis usually is fabricated during a concrete assay that includes application a appropriate lamp to flash ultraviolet (UV) ablaze assimilate the skin. Your dermatologist additionally will appraise your bark to aphorism out added accessible disorders. Taking a biopsy of a baby sample of the bark that’s afflicted and assuming claret tests to analysis for added basal medical altitude may be allotment of your appraisal too.
Effectively alleviative vitiligo can be a challenge, but therapies are accessible that may restore some bark tone. Creams that ascendancy inflammation, such as a corticosteroid cream, may acknowledgment blush to your skin. This is best able back vitiligo is still in its aboriginal stages.
Because the allowed arrangement may comedy a role in its development, medications that affect the allowed arrangement are sometimes acclimated to amusement vitiligo. For example, ointments that accommodate medications accepted as calcineurin inhibitors, such as tacrolimus or pimecrolimus, may be advantageous for bodies with baby areas of depigmentation, abnormally on the face and neck.
In accession to contemporary medications, UV ablaze analysis may advice to acknowledgment blush to areas of bark afflicted by vitiligo. Those treatments about charge to be again frequently for up to a year to accept the best benefit.
At this point, however, your aboriginal footfall should be to accomplish an arrangement with a dermatologist. He or she can do a absolute appraisal of your action to actuate what’s causing your affection and, based on that, acclaim how best to move advanced with treatment. — Matthew Hall, M.D., Dermatology, Mayo Clinic, Jacksonville, Fla.
Mayo Clinic Q & A is an educational ability and doesn’t alter approved medical care. Email a catechism to MayoClinicQ&A@mayo.edu. For added information, appointment www.mayoclinic.org.
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