Dermatology

Vitiligo: understanding skin depigmentation

A visible autoimmune disease

Dr. Sophie Renard

Dermatologist

5 min read
Medical illustration of Vitiligo: understanding skin depigmentation

In simple terms

Phototherapy, topical JAK inhibitors: novelties against vitiligo.

A loss of melanocytes

Vitiligo affects 1-2% of the population. The immune system destroys melanocytes, creating symmetrical white patches (hands, face, around orifices). Often associated with other autoimmune diseases (thyroiditis).

Treatments

  • Topical corticosteroids and calcineurin inhibitors (tacrolimus): localized forms
  • Narrowband UVB phototherapy: reference for extensive forms
  • Topical ruxolitinib (JAK inhibitor): approved in 2022, spectacular facial repigmentation
  • Melanocyte grafts for stable forms

Living with it

Imperative sun protection, psychological support (often severe aesthetic impact), patient associations.

The words explained

Medical terms used above, in everyday language.

Immune system
Your body's defence team: cells that fight germs and repair damage.
Topical
A treatment you apply on the skin, like a cream, gel or ointment.

When should you see a doctor?

  • Your symptoms last more than a few weeks or keep coming back.
  • They get worse quickly, or stop you doing everyday things.
  • You notice sudden pain, breathing trouble, fainting or bleeding — seek urgent care.
  • You already take medication and want to change anything about it.

This article explains general health information. It does not replace advice from your own doctor.

Frequently asked questions

What is Vitiligo: understanding skin depigmentation?
Phototherapy, topical JAK inhibitors: novelties against vitiligo.
What are the main symptoms or signs of Vitiligo: understanding skin depigmentation?
Common signs vary from person to person. The article above lists the symptoms to watch for, how they progress, and when they need medical attention.
When should you see a doctor for Vitiligo: understanding skin depigmentation?
See a doctor if symptoms last more than a few weeks, get worse quickly, stop you doing everyday things, or if you notice sudden pain, breathing trouble, fainting or bleeding.