Clearly explainedEvidence-based guidance

Recognising changes

Vitiligo symptoms and visible signs

Vitiligo usually appears as smooth, pale or white patches without surface scaling. The pattern and development vary widely.

In brief

Key points

  • Smooth depigmented skin
  • Often clear borders
  • Hair may turn white
  • Usually no scaling
01

Typical appearance

Patches may occur around the eyes and mouth, on hands, feet, elbows, knees, genital areas or wherever friction is repeated. They may be symmetrical or one-sided depending on the form.

02

Symptoms that need another explanation

Scaling, persistent itching, pain, crusts or oozing are not typical of stable vitiligo and warrant assessment for an additional or different skin condition.

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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