Vitiligo (Leucoderma): Vitiligo is a pigment disorder caused due to loss of pigment melanin (pigment which gives color to hair, skin etc.) characterized by pale patches of skin, milky white in color .It is an acquired condition affecting 1% of all races.

Circumscribed depigmented patches develop. Vitiligo occurs when the cells that produce melanin no longer form melanin.

. There is complete loss of melanocytes from affected patches. Vitiligo occurs when melanin, the dark pigment in the epidermis that gives your skin its normal color is destroyed or not produced
. Auto immune disorder (Imbalance in the immune system) - It is associated with other autoimmune diseases such as thyroid disease, diabetes mellitus, pernicious anemia etc.
. There is complete loss of melanocytes from affected patches.
. Genetic - Patients with vitiligo have family history of the same.
. Sites subjected to friction and trauma is often affected and damage to the skin produces depigmentation.

Clinical Features:
. Lesions are circumscribed, milky white in color. Areas commonly affected are face (especially around the eyes and mouth) hands and feet, axilla, groins and genitalia.
. Generalized vitiligo is is often symmetrical and frequently involves the hands, wrists, knees and neck as well as the area around the body orifices. . Loss or change in color of the inner layer of your eye (retina)
. Although any part of your body may be affected by vitiligo, depigmentation usually develops first on sun-exposed areas of your skin.
. The hair of the scalp and beard may also become depigmented.
. Sensation in depigmented patches is normal.

Vitiligo generally appears in one of three patterns:
. Segmental. Segmental vitiligo is restricted to one part of the body but not necessarily a dermatome. Loss of skin color occurs on only one side of your body.
. Focal. Depigmentation is limited to one or a few areas of your body.
. Generalized. Pigment loss is widespread across many parts your body. The course is unpredictable but most patches remain static or enlarge, a few repigment spontaneously.

. In some cases, pigment loss can involve most of the surface of your skin.

A detail medical history, family history and general physical examination is carried out by the physician. History also includes whether the patient has sunburn or other skin trauma at the site of vitiligo.History of any stress, premature graying of hair, any physical illness is considered.

Blood test: C.B.C (Complete blood count), E.S.R, Hormonal tests to rule out thyroid diseases.

Examination of eyes: Eye examination is carried out to see if the patient has uveitis.

A constitutional homeopathic treatment will help in recovering. The treatment should be started as soon as possible so the desired results can be obtained.

Tips to cope up with Vitiligo:
. Use sunscreen to protect your skin from the sun's rays. Sunscreen helps protect your skin from sunburn and long-term damage.
. Think positively and avoid mental stress through Yoga and meditation.

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