Picture of Vitiligo (Neck)

Vitiligo. This photo shows a large patch of vitiligo on the back neck of a child. These types of white patches develop after skin has lost its melanin when the pigment-forming cells known as melanocytes have been destroyed. The condition tends to progress and may even become universal. Sophisticated cover-up cosmetics that are now available. For some patients the application of topical corticosteroids or calcineurin inhibitors alone or with brief natural sunlight exposure early in the course of the disease may induce repigmentation. Varying combinations of topical or oral psoralens and ultraviolet light called PUVA (a combination of psoralen and long-wave ultraviolet radiation) are sometimes used in the treatment of vitiligo. The use of broad-spectrum sunscreens during the summer months can minimize the contrast between normal and involved skin.