How To Determine Skin Color?
Melanin, the pigment that determines the color of skin, hair, and eyes, is produced in cells called melanocytes. If these cells die or cannot form melanin, the skin becomes lighter or completely white.
It may be an autoimmune process, whereby the body makes antibodies to its own pigment cells. Most people with vitiligo are in good general health, although vitiligo may occur with other autoimmune diseases such as thyroid disease.
How Does Vitiligo Develop?
Typical vitiligo shows areas of milky-white skin. However, the degree of pigmentation loss can vary within each vitiligo patch, or a border of darker skin may circle an area of light skin.
It is rare for skin pigment in vitiligo patients to return on its own. Some people who believe they no longer have vitiligo actually have lost all their pigment and no longer have patches of contrasting skin color. Although their skin is all one color, they still have vitiligo.
Light-skinned people usually notice the contrast between areas of vitiligo when their skin is suntanned in the summer. Year-round, vitiligo is more obvious in people with darker skin. Individuals with severe cases can lose pigment all over the body. There is no way to predict how much pigment an individual will lose.
Sometimes the best treatment for vitiligo is no treatment at all. In fair-skinned people, avoiding tanning of normal skin can make areas of vitiligo almost unnoticeable because of the (no pigment) white skin; vitiligo has no natural protection from the sun.
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