Vitiligo: Treating more than just skin

The questions are often whispered. Is it contagious? Is it because of some food combination? Can it be cured by applying turmeric or cow’s milk? Dermatologist Dr Kavita Narang says these are still the most common things she hears when patients come in with vitiligo.

Vitiligo is an autoimmune condition where the body attacks its own pigment-producing cells, leaving white or light patches on the skin. It is not harmful, not infectious, and not caused by poor hygiene or diet, but that hasn’t stopped the stigma.

“Many people still believe it is a punishment or some kind of impurity. I have had patients who were asked not to attend weddings or who were told they would not find a match for marriage,” Dr Narang says. “But this is a medical condition. The shame is completely unnecessary.”

Treatment depends on how widespread the patches are and how early the person begins. “We use topical creams like tacrolimus, phototherapy using narrowband UVB, and vitamin D analogues. Facial areas usually respond better. Fingers and feet take more time,” she explains.

Newer medicines, like JAK inhibitors, are being studied abroad and may soon be available here. “But even with treatment, some people may not get full repigmentation. That is why we must also focus on acceptance, not just results.”

In her Banjara Hills clinic, she has begun offering peer support sessions for patients. “When someone sees others like them, especially when they are older and living confidently, it helps. It becomes easier to stop hiding.”

Marking World Vitiligo Day on June 25, her clinic is hosting an open session for families and patients, a space to ask questions, hear from dermatologists, and share lived experiences. “This condition is visible, but the emotional impact often goes unseen. We want to make both visible, and both heard.”