Vitiligo Prevention: Strategies to Reduce Risk & Manage Symptoms
Vitiligo (autoimmune melanocyte destruction) cannot be fully prevented, but risk reduction and management include:
- Sun protection: Broad-spectrum SPF 30+ daily; depigmented skin burns easily; UV may trigger new lesions (Koebner phenomenon).
- Avoid chemical triggers: Phenols (hair dyes, rubber gloves), harsh skin lighteners.
- Stress management: Stress exacerbates autoimmunity; mindfulness, exercise, therapy.
- Nutrition: Antioxidant-rich diet; ensure adequate vitamin D, B12, folate, zinc, copper.
- Skin trauma prevention: Cuts, burns, friction can induce new vitiligo sites (Koebner).
- Early treatment: Topical corticosteroids, calcineurin inhibitors, JAK inhibitors (ruxolitinib cream), phototherapy (NB-UVB) stabilize/repigment.
Course is unpredictable. Dermatologist follow-up optimizes outcomes.
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