Vitiligo
BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c3780 (Published 20 August 2010) Cite this as: BMJ 2010;341:c3780- Jennifer Viles, manager1,
- Darryl Monte, patient1,
- David J Gawkrodger, consultant dermatologist2
- 1Vitiligo Society, London SE11 6SF
- 2Royal Hallamshire Hospital, University of Sheffield, Sheffield S10 2JF
- Correspondence to: J Viles jennifer_viles{at}vitiligosociety.org.uk, D J Gawkrodger david.gawkrodger{at}sth.nhs.uk
- Accepted 9 June 2010
My vitiligo started in 1978, when I was 40. It first appeared on my left hand as small white lines around my cuticles; I was diagnosed with “leucoderma” and told that “it would go away.” However, more white patches appeared, and a friend told me that in America this is called vitiligo. Six months later, spots appeared on the right hand, and the loss of pigment spread rapidly over the next 12-18 months.
I went to my GP, who referred me to a specialist dermatologist, who in the first instance gave me steroid cream to use “lightly” for 12 months. About the same time the vitiligo started on my face, as a patch on the right side near my mouth, and subsequently spots occurred and replicated themselves on my hands and body. My GP decided on a different approach and referred me to the homoeopathic hospital for the vitiligo to be treated holistically, because at that time she had no other treatment to suggest. Over the years I had tried various homoeopathic treatments for vitiligo on visits to India with different dermatologists and homoeopaths; none of the treatments they had suggested had any success. I saw a psychologist because I had a very stressful job and she advised meditation as stress was believed to be a contributing factor. I didn’t get any repigmentation, but the patches didn’t get any worse for two years.
Then with a new job, with increased stress levels, the loss of pigment started to get much worse, and my GP referred me to a research programme at St Thomas’ Hospital, London, during the late 1980s. By that time I had two large …