What causes skin pigmentation to turn white?

Author: Prof. Louvenia Rowe DVM  |  Last update: Tuesday, June 10, 2025

Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin, hair and eyes color. The involved patches of skin become lighter or white. It's unclear exactly what causes these pigment cells to fail or die.

Why is my skin pigment turning white?

Vitiligo is caused by the lack of a pigment called melanin in the skin. Melanin is produced by skin cells called melanocytes, and it gives your skin its colour. In vitiligo, there are not enough working melanocytes to produce enough melanin in your skin. This causes white patches to develop on your skin or hair.

How do you treat white pigmentation?

You may be referred to a doctor who specialises in treating skin conditions (dermatologist) if further treatment is needed.
  1. Protection from the sun. Sunburn is a severe risk if you have vitiligo. ...
  2. Vitamin D. ...
  3. Skin camouflage. ...
  4. Topical steroids. ...
  5. Referral. ...
  6. Topical pimecrolimus or tacrolimus. ...
  7. Phototherapy. ...
  8. Skin grafts.

Can vitiligo go away?

There is no "cure" for vitiligo. Sometimes patches go away on their own. But when that doesn't happen, doctors can prescribe treatments that might help even out skin tone. Some of these treatments are things you can try at home; others are done by a doctor.

What can be mistaken for vitiligo?

Here's a look at seven other skin conditions that are sometimes mistaken for vitiligo and how they differ from it.
  • Albinism. Masego Morulane/Getty Images; Canva. ...
  • Hansen's Disease (Leprosy) Adobe Stock. ...
  • Idiopathic Guttate Hypomelanosis (IGH) iStock. ...
  • Melasma. Duangjan J/Shutterstock. ...
  • Pityriasis Alba. ...
  • Scleroderma. ...
  • Tinea Versicolor.

New treatment aims to treat skin pigment loss

What autoimmune disease is linked to vitiligo?

About 15 to 25 percent of people with vitiligo are also affected by at least one other autoimmune disorder, particularly autoimmune thyroid disease, rheumatoid arthritis, type 1 diabetes, psoriasis , pernicious anemia, Addison disease, systemic lupus erythematosus, celiac disease, Crohn's disease, or ulcerative colitis ...

What looks like vitiligo but isn't?

Pityriasis versicolor can sometimes be confused with vitiligo, as they both cause the skin to become discoloured in patches.

What triggers vitiligo?

A trigger event, such as stress, severe sunburn or skin trauma, such as contact with a chemical.

Can vitamin D reverse vitiligo?

Conclusions. Based on our findings, vitamin D levels were significantly low in patients with vitiligo in comparison with controls; however, we did not observe any significant effect of vitamin D on the occurrence and extension of vitiligo lesions.

What happens if vitiligo is left untreated?

Complications of vitiligo are social stigmatization and mental stress, eye involvement like iritis, depigmented skin is more prone to sunburn, skin cancer, and hearing loss because of loss of cochlear melanocytes.

What is the first stage of vitiligo?

The signs of vitiligo can appear at any stage of life, and include: Loss of skin color in patches, usually seen first on your face, hands, arms, legs, and feet. Premature whitening of your body hair, including facial hair, eyelashes, and eyebrows. Loss of color of the tissues inside your nose.

What vitamin deficiency causes white spots on skin?

Deficiencies in calcium, vitamin D and vitamin E can cause white patches on the skin. While harmless, these white spots indicate that you need to eat a healthy, balanced diet.

How to stop vitiligo from spreading?

Phototherapy with narrow band ultraviolet B (UVB) has been shown to stop or slow the progression of active vitiligo. It might be more effective when used with corticosteroids or calcineurin inhibitors. You'll need therapy two to three times a week.

Why is my skin so white all of a sudden?

Paleness may be the result of decreased blood supply to the skin. It can also be due to decreased number of red blood cells (anemia). Paleness of the skin is not the same as loss of pigment from the skin. Paleness is related to blood flow in the skin rather than deposit of melanin in the skin.

Which hormone is responsible for skin pigmentation?

Melanocyte-stimulating hormone. Melanocyte-stimulating hormone describes a group of hormones produced by the pituitary gland, hypothalamus and skin cells. It is important for protecting the skin from UV rays, development of pigmentation and control of appetite.

Can B12 reverse vitiligo?

Vitamin B12 and Folic Acid

This is why it is always recommended to take these two vitamins together in order to treat vitiligo. According to some scientific studies, a combination of vitamin B12 and folic acid supplementation and sun exposure is a good strategy to regain natural skin color.

What vitamins get rid of white spots?

Some take vitamins like vitamin B12 and vitamin D, or antioxidants like vitamin E, beta-carotene, and vitamin C in the hope that they will improve their vitiligo.

Can too much vitamin D cause pigmentation?

Although vitamin D is essential for skin health, its primary role is the promotion of melanin formation, which may cause more skin darkening.

What deficiency causes vitiligo?

Vitiligo is a common pigmentary disorder caused by the destruction of functional melanocytes. Vitamin D is an essential hormone synthesized in the skin and is responsible for skin pigmentation. Low levels of vitamin D have been observed in vitiligo patients and in patients with other autoimmune diseases.

Which foods increase melanin in skin?

Eating Antioxidant-Rich Foods
  • Leafy greens (kale, spinach, or collard greens)
  • Nuts (almonds, walnuts, pecans, and other nuts)
  • Whole grains.
  • Dark chocolate (at least 70% cocoa)
  • Beans (red beans, pinto beans, black beans, and other legumes)
  • Berries (raspberries, blueberries, blackberries)

What can be mistaken as vitiligo?

Thermal burns, inflammatory skin disorders like psoriasis, or bacterial infections like leprosy may cause a reversible loss of skin color. Genetically determined diseases like piebaldism can also create distinctive patterns of milky white skin and hair, which can be mistaken for vitiligo.

What are 2 symptoms of vitiligo?

What are the signs and symptoms of vitiligo?
  • Spots and patches of lighter skin. ...
  • Patches turn white. ...
  • Lighter patches inside your mouth or nose. ...
  • Patches and spots sunburn easily. ...
  • Patches itch. ...
  • Hair turns white or gray. ...
  • Eyelash, eyebrow, or section of hair on the scalp turns white. ...
  • Hearing loss develops.

What skin condition did Michael Jackson have?

Search levels for vitiligo reached their peak between June 28, 2009, and July 4, 2009—after MJ passed away on June 25, 2009 (Figure 1). This peak is the highest for vitiligo in the past 14 years. MJ's autopsy confirmed that he had vitiligo.

What is the best treatment for vitiligo?

Treatments can include: Medicines or medicated skin creams, such as corticosteroids or a calcineurin inhibitor, which may be able to return color to the white patches of skin. Use of light (phototherapy) to help return color to the skin. There are several different forms of light therapy.

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