Vitiligo, known in Urdu as “برص” (Bars), is a skin condition characterized by the loss of pigment, resulting in white patches on various parts of the body. It occurs when melanocytes, the cells responsible for skin color, are destroyed or stop functioning. The correct pronunciation of vitiligo is /vit-ih-LIE-go/.
Many people confuse pityriasis alba vs vitiligo, but these are two distinct conditions. Pityriasis alba is usually temporary, with light patches and mild dryness, while vitiligo involves permanent pigment loss. It is important to get a proper diagnosis from a dermatologist to differentiate between the two.

What Is Vitiligo and Who Does It Affect?

Vitiligo occurs when melanocytes, the pigment-producing cells in the skin, die or stop functioning. It affects individuals of all skin types but is more noticeable in those with darker skin.

Prevalence: Around 0.5% to 2% of the world’s population is affected by vitiligo.
Onset: It typically appears before the age of 30 but can occur at any age.
Types of Vitiligo:
- Non-segmental (generalized): Most common, symmetrical patches.
- Segmental: Usually affects one side or part of the body.
- Focal or localized: Limited to one or a few areas.

Symptoms and Causes of Vitiligo

Where Will I Have Symptoms?

Vitiligo commonly appears on:

Hands, feet, and face
Around body openings (mouth, eyes, genitals)
Armpits and groin

What Causes Vitiligo?

The exact cause isn’t known, but key contributors include:

Autoimmune reactions: The immune system attacks melanocytes.
Genetic factors: About 30% of cases have a family history.
Oxidative stress and skin trauma may also trigger or worsen the condition.

Is Vitiligo Genetic or Painful?

Yes, vitiligo can run in families. However, it is not painful, though sunburn can be more severe on depigmented areas.

Complications of Vitiligo

Social and psychological stress
Eye or ear inflammation (rare)
Increased risk of sunburn
Loss of skin’s natural protection

Diagnosis and Tests

How Is Vitiligo Diagnosed?

Dermatologists diagnose vitiligo through:

Physical examination of white patches
Wood’s lamp (UV light) to highlight depigmented areas
Skin biopsy (in rare cases)
Blood tests to rule out autoimmune conditions

Conditions That Resemble Vitiligo

Tinea versicolor (fungal infection)
Piebaldism (genetic)
Post-inflammatory hypopigmentation
Albinism

Treatment and Management Options

How Do Dermatologists Treat Vitiligo?

There is no one-size-fits-all cure, but several treatments aim to restore pigment or even out skin tone.

Topical Treatments

1. Topical Corticosteroids

First-line treatment for limited vitiligo.
Apply once or twice daily.
Side effects: Thinning of skin, stretch marks.

2. Topical Pimecrolimus or Tacrolimus

Effective, especially on the face and neck.
Fewer side effects than steroids.
Suitable for children and long-term use.

Phototherapy

Narrowband UVB Therapy

Most effective treatment for widespread vitiligo.
Requires 2–3 sessions per week.
Visible results in 2–3 months.

Excimer Laser

Targeted UVB for small patches.
Ideal for facial vitiligo.

Systemic Medications

Oral Corticosteroids and Immunosuppressants

Used for fast-spreading vitiligo.
Short-term treatment to halt progression.

Surgical Options

Skin Grafting

Transferring pigmented skin to white patches.
Best for stable vitiligo.

Blister Grafting & Cellular Suspensions

Advanced techniques for repigmentation.

Depigmentation Therapy

For widespread vitiligo where repigmentation isn’t possible, depigmenting the remaining skin can create an even tone.

Monobenzone is commonly used.
Permanent and requires psychological preparation.

Cosmetic Approaches

Camouflage Makeup

Brands like Dermablend and Cover FX can mask patches.

Self-Tanners and Dyes

Provide temporary color to depigmented areas.
Non-irritating and safe.

Before and After Results

Makeup and self-tanners can dramatically improve appearance and confidence when used correctly.

Diet and Supplements for Vitiligo

While no specific diet cures vitiligo, certain nutrients support immune health and pigmentation:

Antioxidants: Green tea, berries, turmeric
Vitamins: B12, C, D, E
Minerals: Zinc, copper

Consult a doctor before starting supplements.

Vitiligo in Children

How Do Dermatologists Treat Vitiligo in Children?

Mild topical treatments (tacrolimus preferred)
UVB therapy under supervision
Psychological support is essential

Maintenance and Long-Term Care

Maintenance Therapy

Even after pigment returns, maintenance treatments (e.g., weekly tacrolimus or UVB) help prevent relapse.

Sun Protection

SPF 30+ sunscreen is crucial
Helps prevent burns and slows pigment loss

Vitamin D

Depigmented skin doesn’t produce vitamin D—consider a supplement if advised by a doctor.

Follow-up and Monitoring

Dermatologist follow-ups every few months
Adjust treatment as needed
Watch for side effects from medications

Other Treatments & Support

Unlicensed Medicines

Used in clinical trials, but not approved—always consult a medical expert.

Counseling and Support Groups

Psychological support helps cope with self-image issues. Online forums, therapy, and support groups are valuable.

Vitiligo Treatment Options in Pakistan

Vitiligo can be emotionally challenging, but various treatments are available to help manage the condition and improve skin appearance. In Pakistan, The Labon offers innovative and research-backed solutions for vitiligo. You can explore these treatments in detail here: Vitiligo Treatment.

Our Research-Based Products:

Re-Pigment Cream: Designed to help stimulate melanin production, the Re-Pigment Cream can gradually restore color to affected areas when used regularly.
De-Pigment Cream: For individuals seeking uniform skin tone, the De-Pigment Cream reduces existing pigmentation to create an even appearance.
Hide Pigment Solution: A specially formulated cosmetic solution that temporarily conceals vitiligo patches, helping individuals feel more confident in their skin.

All these products are available online for convenient access throughout Pakistan.

Vitiligo Treatment Cream in Pakistan

Finding an effective vitiligo treatment cream in Pakistan is now easier than ever with The Labon’s specialized range. These creams are formulated based on international research and customized to suit the needs of the local population.

Vitiligo Treatment with Homeopathic Medicine

Some individuals also explore vitiligo treatment through homeopathic medicine. While homeopathy offers gentle remedies, it is advisable to combine them with dermatologically tested products like those from The Labon for better results. Always consult a healthcare professional before starting any new treatment.

Common Questions Answered

Will my skin return to normal?
Sometimes, especially with early treatment.
Is vitiligo contagious?
No, it’s not.
Can I prevent vitiligo?
No known prevention, but stress management and a healthy lifestyle may reduce risk.
What’s the difference between tinea versicolor and vitiligo?
Tinea is fungal and treatable with antifungals; vitiligo is autoimmune.
Is piebaldism the same as vitiligo?
No. Piebaldism is a stable, genetic lack of pigment present from birth.

Conclusion

Vitiligo may not have a universal cure, but with proper diagnosis, a tailored treatment plan, and emotional support, individuals can regain both pigment and confidence. Early intervention and a combination of therapies offer the best chance of success.

For medical-grade vitiligo support, visit:
👉 The Lab On – Vitiligo Treatment