Vitiligo
Vitiligo is a chronic condition in which the immune system destroys the pigment-producing melanocytes, leaving sharply defined white patches on the skin.
Clinic and treatment images
Tap to enlargeDo you recognise these signs?
If one or more of these applies to you, we recommend a dermatological assessment.
- Sharply bordered, milk-white patches, often on hands, face and around the eyes
- Symmetrical spread, or a segmental pattern confined to one side of the body
- Whitening of hairs within a patch and gradual appearance of new areas
- Patches becoming brighter with clearer margins under Wood's lamp light
Causes and triggers
- An autoimmune response against melanocytes on a genetically susceptible background
- Associated autoimmune conditions, thyroid disorders foremost among them
- Skin trauma, friction and sunburn triggering new patches via the Koebner effect
- Marked stress and vitamin D or zinc deficiency acting as contributing factors
How we treat it
Mapping the patches and gauging disease activity with Wood's lamp and dermoscopy
Cortisone-free topical calcineurin inhibitors for facial and flexural areas
NB-UVB or targeted excimer phototherapy for widespread or resistant cases
Systemic work-up covering thyroid, vitamin D, zinc and the gut-skin axis
Why Clinovia?
Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.
The Gut–Skin Relationship
We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.
Cortisone-Free Protocol
First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.
Systemic Repair
Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.
Measurable Follow-up
PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.
Vitiligo is chronic and no cure can be guaranteed. With early, consistent treatment, however, spread can often be slowed and many patches regain colour partially or substantially. The face and trunk are the areas that tend to respond best to repigmentation therapy.
NB-UVB phototherapy is among the best-evidenced treatments for vitiligo and is safe when delivered under clinical supervision. Sessions are usually planned two to three times weekly, with response assessed over months. Depending on your skin type and pattern, excimer light may be preferred.
Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.
Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.
Other conditions
Urticaria (Hives)Urticaria produces itchy, raised red weals that typically shift and fade within a day, sometimes with deeper swelling of the lips or eyelids, reflecting a hypersensitivity reaction.
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Acne & RosaceaAcne and rosacea both show up as spots, redness and sensitivity on the face; though they look similar, their causes and treatments are quite different from one another.
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Hair LossHair loss ranges from inherited male-pattern thinning to temporary shedding driven by stress or deficiencies, so effective treatment depends first on identifying the underlying cause.
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PUVA & Targeted PhototherapyPUVA and targeted local units treat stubborn sites such as hands, feet and scalp with cortisone-free light. Dose and response are monitored throughout the course.
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Systemic TherapySystemic drugs such as methotrexate, cyclosporine and acitretin are used in widespread or resistant psoriasis and eczema, alongside laboratory and safety monitoring.
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Cortisone-Free Topical PlanA cortisone-free topical plan combines calcineurin inhibitors, PDE-4 inhibitors and ceramide barrier repair to control inflammation without steroid side effects.
Learn more
Let's build the right plan for your skin today
Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.
- Same-day callback
- Consultation in five languages
- Written treatment plan
- Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
- Mon–Sat: 09:00 – 19:00