You really need to get to a good dermatologist for this problem--someone that does laser and light therapies--not because you will necessary use them, but because the docs that do that stuff are generally very knowledgeble about
vitiligo and other pigment problems. Most people without lupus will use some kind of special light therapy, but if you have lupus that is out. But first, you need to make sure what is going on. A fungus called tinea versicolor causes the same problem and can be treated with head and shoulders shampoo rubbed in as a crem and left on for fifiteen to twenty minutes. Then the color starts to come back. If it s not a fungus or other type of infection (they can do scrapings and there are other tests) then it can be pigment loss, especially if the hair grows in white on the white patches, thats a sign of 100 pct depigmentation. Pigment loss,or vitiligo, can be a sign of rather serious endocrine problems or can be hereditary and autoimmune based, where the immune system attacks the skin. Even if it is endocrine based, usually the endocrine problems are autoimmune based, like hashis or Addisons disease, though TB and some other infections that attack the endocrine can be to blame. Blood and antibodie and other tests are run by the dermatologist to determine the cause. Vitiligo from endocrine tends to be really patchy, making the skin look moth eaten or freckled, while autoimmune vitiligo tend to occur in big huge patches, which is often easier to cover up with makeup or dyes.
Treatments involve cancer med immunossuppresants like protopic cream, generally used with light therapy, though that is out for lupies. The cream can work on its own without light, but takes longer. New research is being done into black pepper oil being used in a cream. It is extremely fast and effective, but is not safe. Clinical trials are taking place with formulations and I have no doubt that this will be the cure of the future. White mice repigmentedin a few weeks with treatments three times a week, but also developed some forms of cancer, so more work needs to be done (also,they used an extremely strong solution, assuming it would be safe since it is an ingredient commonly used in perfumes and arthritis creams). It also makes any medicines you take much stronger, so that is a problem.
If you have the endocrine type problem, adjusting your endocrine sytem should correct the problem. Dermatologists are great and will often diagnose and treat endocrine problems that affect the skin very effectively, where an endocrinologist wont do anything until you are terminal or need surgery.
I'm sorry this is so long. You can email me and I can hook you up with a good forumwith financial resources to help you get treatment if your insurance will not pay. it is important to keep the vitiligo from spreading to your face and around your eyes and it can harm you eyes when the eyelashes go pure white they also go completely straight and scratch and poke you eyes. eye problems when the vit is there are common and ryou can lose eyelashes and eyebrows. I think eye color can be effected though not sure.
Take care and get in to the dermatologist. Serious infectious diseases can cause these problems too. The longer you have it, the less likely it is to go away.
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
Meds--INH,Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, HRT and Lidocaine patchs, Voltaren gel, Klonopin, Vicodin, Restasis, Albuterol, steroids