Anatom3D
ENCZDE
Download

Vitiligo

Vitiligo · Vitiligo (bělost)

What it is

The immune system destroys pigment cells in patches.

Symptoms & signs

  • Sharply defined milk-white patches
  • symmetrical
  • around eyes, mouth, hands
  • white eyelashes or hair
  • sunburns easily

🚩 Get help if…

  • see a doctor soon White patches spreading fast over weeks
  • see a doctor soon Tiredness, weight change or feeling cold (thyroid)
  • see a doctor soon Painful sunburn or blisters on the white patches
  • see a doctor soon Low mood, or avoiding people because of the patches

Where it strikes

Medical treatment

  • Topical ruxolitinib cream (approved)
  • topical steroids or tacrolimus
  • narrowband UVB
  • melanocyte transplantation
  • camouflage cosmetics

Natural & lifestyle

  • Rigorous sun protection of depigmented skin
  • vitamin D
  • psychological support
  • camouflage techniques

Emerging & experimental

  • Oral JAK inhibitors (ritlecitinib)
  • melanocyte-keratinocyte transplantation refinements

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Ginkgo biloba — small trials halted spreading early / small studies
  • Polypodium leucotomos with phototherapy — small trials improve repigmentation early / small studies
  • Khellin with UVA — older small studies early / small studies

ICD codes