Vitiligo on hands (bad and good news)


It took me a while to decide to write this post about vitiligo on hands.  Although the post is strait forward regarding the very low chances to re-pigment,  it also brings good news about what can be done.

If the picture below is similar to your case (finger tips and areas around the articulations), the most you can do is to stop it from spreading following a functional treatment that has been mentioned in many other posts.  However,  it's very likely that the finger tips  will not re-pigment.

The reason why, is because there are very few hair follicles on this area, and the border (palm of hand mostly)  does not have enough melanocytes to migrate towards the patch.


The good news is that a cell transplantation surgery can be very effective (up to 95% success), IF VITILIGO IS NOT SPREADING.  One has to stabilize vitiligo first!

There is just one Doctor in India who is able to achieve such success percentage.  His clinic can be found through a Google search by typing "Dr Holla".

The surgery  can be described as follows:

1- He prepares a melanocyte suspension by removing some epidermis from the patient's donor area (usually from thigh).  The epidermis soaks for 24 hours in a special solution.

2-He injects liquid  nitrogen in the patches.  The picture below shows how  it gets 24 hours later:

3-So, 24 hours after injecting liquid nitrogen,  Dr Holla drains the blisters and injects the melanocyte suspension inside them. Then a bandage is applied and removed a week later.

4-In 3-4 weeks, re-pigmentation starts appearing.

5- Dr Holla provides a post-surgery treatment based on vitamins, Protopic, Melgain, anti-oxidants and phototherapy.

This is the only known effective way to repigment this type of hand patches.


Flavio 勇気

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  • Hi,

    This is an interesting information. I would like to share what I have come across recently. I have read that homeopathy offers proven treatment for vitiligo which does not have extensive spread. Early and milder cases may be treated with excellent success, moderate and spreading cases can expect partial colour formation with good control, while rapidly spreading cases may be controlled significantly. It may be noted that good control over the spread is also considered a success in extensive cases.

    • Dear Friends,

      This post above (from Sejal Patel) is just a clinic advertisement.  

      She/he doesn't care about anything, but your money.

      He is a new member  (Feb 15) acting like his other membership "mariya123".

      Be aware!

      • Thank you Robot

  • Navin ,

    That's pretty much how my hands looked when I had visible signs of vitiligo . And yes, I had (have) an unstable form of generalized vitiligo.It was maddening for me to "follow all the rules"  to try to slow down the depigmenation process or even get a few areas back. It's why I opted for depigmentation therapy, which I understand is not something everyone wants but was the right decision for me.  That said,  I wish you success in your quest to completely repigment and stay that way        (definitely a challenge).  

    Wishing you the best,


    • I have mostly on hands and feet and hence I am reluctant to go for complete depigmenation . Based on above pictures, it seems melonocyte transplantation might do some good (Not complexly) but not sure how it does for unstable vitiligo

      • Unstable vitiligo means that you are not being able to:

        1- Control oxidative stress;

        2- Manage good nutrition and life style.

        On top of that, when vitiligo is unstable, friction, traumas and burns might cause vitiligo.


        • Navin,

          Also see below:

          • Hi Robot

            Thanks and I personally feel that stress is causing my vitiligo spread. My doctor wants me to pust on Xeljanz for some time and try if that works. Any inputs on Xeljanz?

            Coming to your recommendation from other thread, it seems taking one tablet of ( is good to control Oxidative stress? Correct or should I add more to that ?

            • There is no clear evidence about Xeljanz.  It also seems to be a very expensive medicine.

              The only known successful case related to  Xeljanz is a 50 year old woman who reversed her patches.

              Oxidative stress is the main issue related to vitiligo, besides genetic predisposition.

              If you treat oxidative stress properly, you are going to stop it from spreading.

              →Oxidative stress is a complex concept. It's essentially an imbalance between the production of free radicals and the ability of the body to counteract or detoxify their harmful effects through neutralization by antioxidants. The major factors for consideration are: food allergy, poor diet, leaky gut and dysbiosis (parasites, candida, h-pylori, yeast, fungus, etc.).

              → Additionally, onset can be caused by toxic chemical compounds and pollutants within your body, hydrogenated fats, all kinds of pollution (air, water and food), oils that have been heated to very high temperatures, cigarette smoke (directly inhaled or secondhand), dehydration, too much sugar, too much animal protein in your diet, geophysical stress (like living near power lines or waste dumps), viral infections, preservatives in your food, drugs (over the counter and prescription), artificial food colorings and flavorings, plastics and phthalates, chemical cleaning supplies, chlorinated water (that you drink, shower or swimming), alcohol, pesticides in your food, radiation exposure, psychological and emotional stress, endurance exercise and, rather incredibly, physical traumas within the body (muscle damaging anaerobic training, trauma or injury to muscle, bone and skin).

              →Oxidative stress causes defects in the membrane integrity, also causes lipid peroxidation, generates hydrogen peroxide in the skin that mutates mitochondrial DNA. All this weakens cell adhesion. NSV starts because people who are predisposed to have dysfunctional melanocytes, start having mutated melanocytes. Their cell adhesion becomes compromised.

        • I'm familiar with the term.  It has its peaks and troughs. 

          Wishing you all the best,


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