Clearly explainedEvidence-based guidance

Leukotrichia

White hair in vitiligo

Hair within a vitiligo patch can lose pigment, producing leukotrichia or a localised white lock known as poliosis.

In brief

Key points

  • Hair pigment can be lost
  • May occur in segmental vitiligo
  • Can affect response
  • Not dangerous itself
01

Why hair changes

Melanocytes in the hair follicle produce hair pigment. When these cells are affected, the hair shaft grows white.

02

Meaning for treatment

White hair can indicate a reduced follicular pigment reservoir and may be associated with a lower chance of repigmentation in that area, though individual outcomes vary.

Editorial basis

Editorial basis: current AWMF S2k guideline on the diagnosis and treatment of vitiligo, register 013-093, version 2.0 dated 27 July 2026. Reviewed on 2 September 2026.

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