Patterns of depigmentation in vitiligo

patterns of depigmentation in vitiligo

Focal vitiligo is characterized by a few scattered macules. In some cases the depigmenation remains localized to these spots. For others, focal vitiligo can be a manifestation for general vitiligo.

Unilateral (segmental vitiligo)

In this case the patterns of depigmentatiaon involve small to large areas on one side of one's body. The patterns of depigmentation repeat from patient to patient. The prognostic is different from generalized vitiligo: the disease spreads for 1-2 year in the involved patch,and then the disease stops. There are rare cases where this type of vitiligo progresses to bilateral.

Acrofacial and Generalized vitiligo

This is the most common type of viitligo. It typically begins on the fingers and the feet, around the mouth and eyes. At this stage it is called acrofacial vitiligo. Most commonly it then spreads to involve the arms, neck, chest, genitalia and legs. It doesn't often involve the back or if it does, it is confined to a small area over spine. Generalized vitiligo can manifest itself at any age and it is recorded as early as 3 or 4 years old as well as late in life, at 70 years old. After onset, the disease progresses slowly and intermittently for many years. Other common areas it affects are: the face, neck, dorsal and ventral forearms, axillae, inner thighs and knees.

vitiligo on ankles Vitiligo on feet

vitiligo on fingers vitiligo on neck vitiligo on hands 2

SOURCES:
Vitiligo Vulgaris James J. Nordlund, I. Caroline Le Poole, and Raymond E. Boissy
Pictures: DermAtlas section on vitiligo

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Comments

Submitted by Paul on

I developed some spots on my neck.
Where next can I expect my spots to spread ?

Submitted by akoerpa on

I don't know if this site is active, but I'm wondering how common it is for vitiligo to continue spreading after years of being dormant. I was diagnosed when I was five, and have a few relatively small patches that have not spread since then. I've had plenty of skin trauma--scrapes, cuts, chemical hair removal, a significant biopsy--and no spreading has re-started. Would something like waxing (directly over a spot) be traumatic enough to possibly restart the process? I suppose in the end the answer is that no one knows for sure. But it would be great to get an idea of the likelihood. Thanks!

Submitted by john mckoy on

I'm 35 yr old man who had vitiligo for 12 years. Mine spread rapidly throughout my body, with depigmentation on joints, under eyes, hair, etc. I tried oral and light medications to no real avail. People used to make hurtful comments before, during and after treatment,... and this was tough. Eventually I started to make a natural treatment which has been a blessing to me. You only need to read this review in the link below... you have nothing to lose.

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