Many people, especially those with fair skin, choose conservative measures to treat vitiligo. These measures include the following:
Repigmentation treatment involves measures that return normal pigment to skin lesions. These treatments include:
Depigmentation treatment options may be used if the person has vitiligo over more than half of the body. A chemical called monobenzylether of hydroquinone is applied to normal skin areas. The goal is to change all skin areas to the same overall light color.
PUVA may produce skin burns. Oral medicines can cause stomach upset and allergic reactions. Corticosteroid creams can cause skin thinning and stretch marks. Depigmentation is permanent and may cause severe sun sensitivity. Skin grafts can cause scarring and less than complete repigmentation.
Recurrence or new sites of pigment loss are common. The individual may need lifelong treatment for vitiligo.
Any new or worsening symptoms should be reported to the healthcare provider.