“In our Dermatology service, vitiligo management is carried out according to the type and extent of the disease. In mild cases, affecting small areas, we mainly use topical treatments: creams, ointments, lotions, etc. For more severe cases we resort to systemic drug treatments and dermatological procedures such as infiltrations. In addition, we indicate vitamin and antioxidant supplements ”, says Dr. Yaril Moreyra, a dermatologist at our clinic.

What is vitiligo and why does it occur?

It is a disease that causes the appearance of white spots on the skin due to the loss of melanocytes, which are the cells that give the skin its color. The exact cause of the condition is unknown. The most accepted theory is that it would be an autoimmune disease; that is, the immune system of our body attacks its own cells, in this case the melanocytes.

Types of vitiligo according to the affected area:

• Acrofacial vitiligo. When it affects only the face and hands
• Focal vitiligo. When it affects a small and localized area
• Generalized vitiligo. When it affects several areas of the body

Regarding the treatment of this disease:

It is a chronic condition; it has no cure and its course is unpredictable. The goal of treatment is to try to stop its progression (stabilization of the disease) and achieve repigmentation of the skin. However, despite treatment, patients often have periods of stabilization and activation of the disease alternately.

The specialist recommends:

• Seek psychological support, since vitiligo can affect the patient emotionally, causing suffering, low self-esteem and deterioration of the quality of life
• Choose “cosmetic camouflage” (covering the spots with makeup) to help the patient cope with the disease
• Use sunscreen daily, as vitiligo-affected areas of the skin are more sensitive to sunlight

If you notice that some areas of your skin or hair are losing color, consult a specialist. An early diagnosis can help control or stop the progression of vitiligo.

Dr. Yaril Moreyra
Dermatologist at Clinica Ricardo Palma