Kids mostly have same skin colour all over body. But when they have Vitiligo disorder, they will have loss of skin pigment leaving white spots on your babies’ skin. It is seen in both girls and boys, but the exact reason for this is not clear. In USA, almost 1 million teens have this condition. However, parents can stay strong as it is not a serious illness or contagious disease.
Vitiligo (vih-tih-LY-go) is a skin disease affecting melanocytes, cells that are deep within the epidermis (the outermost layer of the skin) that contain melanin. The pigment that gives the skin its colour and helps protect it from the sun is melanin.
Our skin colour is determined not by how many melanocytes we have, but rather by how active they are (we are all born with a similar amount). Dark skinned people have cells that contain a lot of melanin naturally, while much less is produced by light-skinned individuals.
Often, however, skin cells stop producing melanin unexpectedly. This could initially cause a spot called a macule, the colour of which is much lighter than the skin around it. But these light patches will spread and expand to cover a greater part of the body over time. The distribution occurs rapidly often, and then stays constant for a number of years; other times, for a longer period of time, it occurs steadily.
Dermatologists mark the vitiligo forms according to the quantity and position of the patches:
Focal vitiligo occurs in a single region where there are just a few spots.
Generalized vitiligo is connected to several spots that appear to be symmetrical all over the body (they impact the body's right and left sides like a mirror image).
The most common form of the disorder is this.
Segmental vitiligo is identified only on one side of the body by spots and generally nowhere else. Vitiligo of this kind is relatively uncommon.
While vitiligo can appear on the body anywhere, it is more likely to occur in:
Areas such as the face or hands that are exposed to the sun
Folded muscle, such as the elbows, ankles, or groyne
Skin around orifices (openings of the body), such as the eyes, nostrils, button of the belly, and genital region
Even though children of all races are affected similarly, spots on those with darker skin appear to be more prominent.
About what causes vitiligo, hypotheses differ. Some doctors think it's an autoimmune condition (in which healthy melanocytes are wrongly targeted by the immune system). Others say it is a hereditary disorder, since over 30 percent of affected children have a member of the family who also has it.
What is known is that in children with a family or personal history of thyroid disease, diabetes, and some disorders including alopecia (an autoimmune disease that causes hair loss), the likelihood of developing vitiligo rises. And vitiligo is never infectious, children are unable to "catch" it from anyone else.
For vitiligo, there is no "cure". Without care, some patches will clear up. Treatments will help to balance out the skin tone for those who don't. You can try some home day care ideas; and for some you will need a doctor's treatment. Just note that outcomes can differ, what works for one person does not work for another, and no treatment is likely to be 100 % successful in disappearing the spots.
Also, you can try some home remedies for white patches on face of a child:
To safeguard against skin cancer, one of the most important things your child should do is wear sunscreen every day. And they can burn and scar because vitiligo spots can't tan (they have no melanin). Having a tan on the rest of the body, especially if a child has light skin, would only highlight white patches any more.
There are different sorts of over-the-counter concealers available. Ask for advice from your doctor and try numerous products before you find the one that works best for your boy.
Creams of corticosteroids:
Corticosteroids are a type of medication that can help to "re pigment" the skin when applied to white patches very early in the disease. In order to allow pigmented cells to return to the skin, they reduce the inflammation that causes pigment loss. A similar effect is also produced by certain non-steroidal creams.
If not, you can always go to the child care centre for clinical treatments like:
PUVA has two steps: first, a medication called psoralen is either applied or taken orally to the white patches of skin; second, ultraviolet light is exposed to the skin, often from the sun, but typically from an artificial source, such as a UVA lamp. This makes the affected skin yellow, which appears to fade to a more natural colour (often much darker) in time. Side effects that can include extreme sunburn and blistering of the skin care present. Some side effects can be more severe, so address the risks associated with your doctor.
Therapy with narrow-band ultraviolet B (UVB):
This therapy is used more frequently than PUVA. It is similar to PUVA, except that, instead of UVA, UVB is the ultraviolet light used. There is also no preliminary need for
psoralen, which removes some of the side effects.
How to deal with the kids emotionally:
Don't dwell on the vitiligo, or put your child under pressure to cover it up. He or she needs to know that you care for kids and the devotion of love is unconditional.
Remind your child about all the things that he or she excels at and how white patches on kids face has nothing to do with their capacity and talents.
Teach your child to be comfortable communicating to other children what vitiligo is and is not. When the mystery is removed, most children will stop staring and asking questions.
Encourage your child to say yes to dates, pool parties, trips, and any other experiences that he or she might be tempted to pass away because of the vitiligo.
Urge your son or daughter to volunteer or work in the group. Giving back makes the children feel strong.