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Vitiligo – Types and role of repigmentation

Vitiligo – Types and role of repigmentation

Certain conditions can affect the function of melanocytes—cells responsible for the production of skin pigment. One such condition is vitiligo, which makes certain areas of the skin lose their color. Such loss of pigmentation makes the affected patches take on a pale or milky-white color. That said, it is possible to manage these symptoms. To do that , it is important to understand the condition, its types (segmental and non-segmental), and the available treatment options.

Segmental vs. non-segmental vitiligo
The effects of vitiligo differ based on whether it is segmental or non-segmental. Segmental vitiligo causes rapid loss of skin pigmentation in one side of the body. This type tends to stabilize, i.e., stop spreading, 6 to 12 months after symptom onset. The non-segmental variant is more common among those diagnosed with vitiligo. This type results in white patches on both sides of the body. For instance, affected areas can be observed along both shoulders, knees, and hands. Non-segmental vitiligo keeps progressing. So, those affected may continue seeing new patches throughout their lifetime.

Repigmentation as a management option
Vitiligo treatment typically revolves around slowing disease progression and repigmentation— the process of restoring or increasing skin color in de-pigmented areas. Repigmentation-based treatments are common options for those with non-segmental vitiligo. That said, such treatment may take months to deliver visible results.

Role of creams in skin repigmentation
Certain creams or ointments can help stop the emergence and spread of white patches when dealing with vitiligo. This option typically works for those with non-segmental vitiligo on less than 10% of their bodies. These topical treatments can restore skin color in the affected patches, helping the skin surface take on a more even tone . That said, before using any cream, it is important to consult a healthcare professional to understand the risks, benefits, and right methods. This can help one make an informed decision.