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Disease
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Vitiligo
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What
is Vitiligo?
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This condition is an important
cause of depigmentation (loss
of colour) of the skin. It affects
all races but is most obvious
in people with darker skins.
It affects approximately 1 person
in every 200 of the population.
Around 40 per cent of patients
have an affected family member.
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What
causes Vitiligo?
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Healthy skin contains melanin,
a brown pigment produced from
the amino acid tyrosine by pigment
cells (melanocytes) in the skin.
If skin affected by vitiligo
is examined under the microscope,
the melanocytes are absent and
there are signs of inflammation
in the deeper layer of the skin.
It is not known exactly why
some people develop this condition
and others do not. Some experts
believe it is an autoimmune
disorder (in which an individual's
immune system reacts against
part of their own body). In
vitiligo, specific autoantibodies
against a patient's melanocytes
are found in the blood, although
it is not known whether autoantibodies
are the cause or an effect of
the damage seen. There are many
autoimmune disorders and some
families are more prone to this
group of conditions as a whole.
Another explanation for vitiligo
suggests it is due to a nerve
disorder, because nerve damage
has been associated with pigment
loss in the area of skin served
by the nerve.
Vitiligo is equally common in
men and women. It can appear
at any age but 50 per cent of
patients are under 20 when it
first appears. Symptoms involve
the physical appearance as well
as its psychological impact.
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