Why I Said ‘Goodbye’ to Treatments as a Girl with Vitiligo

Treatment

Shawna Simmons Photography

Zoila Holt

Zoila Holt is a lifestyle blogger, student and YouTube junkie…

I remember the day like it was yesterday. I was a little girl with vitiligo, standing in the bathroom in my pink panties, covered in wet blue shampoo from head to toe. Once my mom gave me the okay, I would run around the house to help dry the shampoo on my body. I had so much fun running around all blue – I thought it was hilarious. The “blue” was Selsun Blue, a dandruff shampoo that our family doctor thought would help heal my vitiligo. Little did I know, it was just the start of years of treatments.

Treating My Skin as a Girl with Vitiligo

I started light therapy and cream treatments as a teenager. The light therapy would, in a good way, burn my white patches like a sunburn and they would turn pink. Pink meant life in my skin, which meant pigmentation would return. It was good news for my skin, but it hurt just like a regular sunburn and I felt ugly looking in the mirror and seeing my burnt body. Brown and white skin was bad enough – now I was pink too.

I didn’t like having to go to these treatments, but to my parents, it wasn’t an option. While they meant well, they would get disappointed in me when I didn’t go to light therapy sessions or would forget to apply the cream. I heard a lot of lectures about the benefits of the treatments, but they couldn’t see how hard it was for me. Going to light therapy a couple times a week was just more opportunities for me to leave the house and be stared at. More than that, the treatments were exhausting. After countless sessions, I would start to see progress and my naturally tanned skin would return. But it wasn’t a permanent solution and after even a short break, the results would fade.

Why I Said ‘Goodbye’ to Treatments

After years of being burnt, embarrassed and frustrated with treatments, I ended up missing a handful of light therapy sessions and the pigmentation on my face reverted back to vitiligo. It was as if I had wasted years of my life. I felt disheartened, cheated, robbed, hurt, sad, angry, ugly, hopeless and alone. My dermatologist noticed my frustration and tried having a heart-to-heart conversation, but I was angry. As he talked about other options, it suddenly hit me – I was done with treatments.

So much of my life was spent treating my skin because I needed to “get better.” I was raised with the idea that I needed a treatment to help me get better. But the only thing I needed to do was to love my skin the way it was. I decided that it was time to embrace my skin, take care of my mental health and love the girl looking back at me in the mirror. My joy should not be based on the number of light treatments I went to last week or how much of my pigmentation is returning. True happiness comes from loving yourself despite that.

Zoila Holt

Zoila Holt is a lifestyle blogger, student and YouTube junkie who loves to sing. Originally from El Salvador, these days she calls Vancouver home.

Zoila Holt August 15, 2016

Distinguish Between Tinea Versicolor and Vitiligo

If you notice light- or dark-colored areas on your skin, you may wonder what’s causing them and how to treat them. Two common causes of skin discoloration are tinea versicolor and vitiligo. Even though these skin conditions may look similar, they have different causes, and you’ll need to try different strategies to get them to clear up.

Jordan Abbott, MD, a dermatologist with Banner Health, explained more about what these conditions look like and how to treat them.

Tinea versicolor (TV), also called pityriasis versicolor, develops when too much yeast grows on your skin. The excessive yeast leads to a rash that looks like round flat patches which can be lighter or darker than the surrounding skin. It most often strikes the chest and back.

Vitiligo is an acquired disorder of depigmentation of the skin. “Normally your skin has pigment-producing cells called melanocytes. They produce melanin, which gives the skin its color. In vitiligo patches, these pigment-producing cells are absent,” Dr. Abbott said.

Both conditions can appear as light spots on the skin, and they don’t usually have any other symptoms. “If you didn’t see them, you wouldn’t know they were there,” Dr. Abbott said. In rare cases, tinea versicolor can be slightly itchy or dry. Neither condition is contagious, so don’t worry about catching TV or vitiligo if you touch someone who has it. Both can develop in people with any skin color.

How can you tell them apart?

TV and vitiligo usually affect different parts of your body. You’ll usually spot signs of vitiligo on the face, hands, elbows and knees. It’s unusual to see tinea versicolor on the hands or legs. TV is most common on the chest or back.

And the discoloration isn’t the same for both conditions. “While they both can have spots that are lighter than the surrounding skin, the color appears different to a trained eye,” Dr. Abbott said. TV can be a few shades lighter than the unaffected skin, due to decreased pigment in these spots. With vitiligo, the skin lacks all pigment in the affected areas, so it appears chalk or milk white. 

What to know about tinea versicolor

Tinea versicolor is a common fungal infection caused by a yeast called Malassezia, also known as Pityrosporum. This yeast normally grows on your skin and usually doesn’t cause any trouble unless here’s an overgrowth—that’s what causes tinea versicolor. 

Heat, humidity and excessive sweating can trigger TV, so you see it more often in tropical climates. People also may develop this condition in the spring when the weather warms up. Oily skin is another risk factor, so it is more common in teens and young adults. And athletes are also at risk because of the sweaty, humid environment underneath their uniforms or workout clothes. To keep tinea versicolor infection from recurring, you should avoid excessive sweating, sun exposure and heat. Wearing sunscreen or protective clothing and opting for loose-fitting garments made of cotton can help reduce sweating.

How to diagnose and treat tinea versicolor

Your health care provider can usually diagnose tinea versicolor by observation—it looks different than vitiligo and other skin conditions. They might use a tool called a Wood lamp which uses utraviolet light to see the patches more clearly.

If you’re diagnosed with TV, your dermatologist will probably recommend a short course of topical antifungal treatments you apply to your skin or take by mouth to help the rash clear up. 

“It may sound funny, but one of the common treatments is to use anti-dandruff shampoo, like selenium sulfide (Selsun Blue) as a body wash in the shower,” Dr. Abbott said. That’s because the same yeast that causes TV may also cause dandruff. “It works best when you lather the product on your skin and allow it to sit for 10 minutes before rinsing.” 

Some people who get tinea versicolor repeatedly use dandruff shampoo as body wash regularly to keep it at bay. Because the yeast that causes TV lives on your skin all the time, flare-ups are common.

What to know about vitiligo

Vitiligo is believed to be an autoimmune disorder where your immune system’s cells attack the melanocytes that produce pigment in your skin. It can be associated with other autoimmune conditions such as thyroid disease and type 1 diabetes. People commonly see it start around age 20. Some medications, such as immunotherapy used to treat certain cancers, can trigger vitiligo.

How to diagnose and treat vitiligo

Like TV, doctors can often diagnose vitiligo by examining your skin. If they need more information, they may take a skin biopsy so the cells can be evaluated in a lab.

If you have vitiligo, your doctor may recommend skin creams, pills or light therapy (phototherapy) for treatment. If the affected areas are smaller (less than 5% to 10% of your skin), you’ll probably try a skin cream first. 

If vitiligo is spreading quickly, your doctor may prefer an oral medication that can help slow down or stop the spread.