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Vitiligo

Lifestyle

The beauty I was unware of

I had my fears as a young girl in school. I noticed part of my skin was beginning to be eaten by something invisible at around the age of 7. It was rather not decided which parts of my body it would devour first. It started with my lips leaving them with a pink lining which to be honest I felt was rather ‘cute’, then later the invisible enemy would splash its weapons to my hands leaving them with discolored little patches spread out. I remember going to my parents concerned that I was sick but they didn’t really show concern. Felt like they had signed a memorandum of understanding with the enemy and did not want to fail on their part, but I later got to understand that they also did not understand what was happening to their sweet child. My mother must have mumbled things along the lines of ‘you are going to be fine‘ but that was as far as it would go. I was not taken to hospital either and I soon gave up too. The beauty of being a child!

In my primary 3 (or grade 3), I remember students reporting me to the teacher that my lips where red because I was drinking waragi (whisky) behind the toilet. (Imagine the shock in my eyes). I wept when the teacher summoned me for questioning partly because I was angry and embarrassed that I could be associated with liquor at such an age let alone waragi for this case, but also I couldn’t explain why my lips were red or rather pink. The events of what happened after seem to be faint but I guess the case died a natural death and life had to continue. Two years after this incident I started seeing the discoloration (white spots) spread to my hands and feet and this time I gathered enough courage to ask my mother what was happening to me. She told me I was born with them just that I had never seen them but it’s not sickness. (aren’t all mothers geniuses with their responses?) For some reason just like the first time I went to them when I was younger, I believed her after all it was mother who had said, even when I was sure that my hands and feet did not have these spots earlier so I stopped worrying that I was sick. The discoloration was most pronounced on my lips but it always looked nice so it was a bonus for me unless I had any ailment, these were the rare cases it would hurt and turn red- I guess because there’s no melanin so it was very sensitive.

Overcoming vitiligo as an insecurity I can confidently say came in high school when I was around 15 years of age. I made friends with a very spirited girl with whom I lived my best life with. We celebrated, loved, ate, studied and cried together. From her I got to understand and appreciate my worth as a young beautiful girl despite what anyone said. She was my ride or die, fought and attacked whoever tried to come at me. It was by her guidance that I got to read about vitiligo and discovered that it is something that I had no control over or change but could use it to compliment myself. I started to see it as something normal like having black hair as the other has blond hair. This does not mean that bad and hurtful things stopped coming to my doorstep. I will give you one last example.

In my senior 6 vacation, I escorted my mother to hospital and a doctor insisted that I be checked for HIV, “there’s no other reason why your lips are pink.” the doctor said. “It has to be AIDS“. My mom agreed and I also believed in the moment I was HIV positive and started imagining all the painful stories I had heard about AIDS victims. The results came that very day and of course I did not have AIDS but these are the challenges we often face.

Very many years later I am now a married woman and will soon be a mother to children of my own. The questions that linger are how far this could spread. Remember vitiligo is affected by external triggers like stress which can influence its progression. About two years ago while in hospital treating an ulcer attack, my physician asked me if I knew the condition I had when he saw the white spots in my hands and feet to which I responded that I did. He told me that this was bound to spread when I get pregnant, so now that I am looking forward to that season not so far from now, I continuously wonder how I will look while pregnant, or if what the doctor alleged was true in the first place.

But hey! it is true what they say, we shall cross that bridge when get there, for now I continue to live my best life.

As told by someone with vitiligo

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Vitiligo

Vitiligo is a long-term condition where pale white patches develop on the skin being caused by the lack of melanin, which is the pigment in skin. Any area of the skin can be affected, but it commonly happens on the face, neck and hands, and in skin creases. You may think that the only problem is the change in the appearance of the skin, but more than often it can be life-changing. Those afflicted with the condition and sometimes, even their families face alot of social stigmatisation which can lead to low self-esteem, embarrassment, anxiety, frustration, and even serious depression.

I chose to end this week of Advocacy raising awareness about a condition that is not necessarily fatal but has killed and continues to kill self esteem in a very profound way. Let us demistify the myths that continue to float in our society about these people. I remember while growing up we were told that twins ‘burn’ and so people who had patched skins like we see with persons with vitiligo had been so unlucky to undergo the same fate.

Myths and facts of Vitiligo

Myth; Persons with vitiligo are born of parents of mixed races

Fact; Vitiligo has nothing to do with ethnicity of the parents and it may not be present at birth either. Even though it generally occurs in a young person before the age of 20, it is likely to occur in an older age.

Myth; Vitiligo is contagious

Fact; Vitiligo is not in anyway contagious nor infectious, and it cannot be passed through contact. Do not be afraid to come near them,there is no reason to avoid people who may have the condition . It cannot be transmitted via touch, saliva, blood, inhalation, sexual intercourse or the sharing of personal items (i.e. drink bottle, towels, etc). This is the easiest way to overcome stigma for people with this condition.

Myth; They should be paying for something

Fact; There are some who believe it is a punishment for wrongdoing, or something called past karma. This is a lie and all these ideas are completely baseless and false. The actual cause like earlier mentioned is the loss of the pigment melanin from our skin. This is a scientifically proven biological process, totally unrelated to the nature of one’s behaviour although there are factors that can increase or aggravate the condition for example new patches can appear after a trauma like scratches/burns/cuts, emotional stress, etc

Myth; Vitiligo afftects only dark skinned people

Fact; Vitiligo affects people of all races equally although it is more noticeable in people with dark skin.

Myth; Vitiligo heals itself

Fact; Just like any other auto-immune disorders that do not heal by themselves; vitiligo needs proper and scientific care. Dermatologists tell us that the treatment is complicated and it requires years of specialisation and training. If left untreated, the condition may remain as it is or even spread gradually with the development of new patches or an increase in the size of existing patches. Journeying with a skin specialist is advisable for more information about the condition and the natural course of this condition.

Myth; Vitiligo is untreatable

Fact; Unlike the earlier decades, medical science has advanced a lot and treatments have emerged like immunomodulating drugs, steroids, Ultraviolet A, and the newer narrowband Ultraviolet B are available. Some have even gone ahead to explore multiple surgical options like split-thickness skin grafting and melanocyte transfer. 

Myth; Vitiligo is related to other skin diseases like albinism and skin cancer

Fact; Vitiligo is completely a separate condition not related to skin cancer, leprosy, or even albinism. Individuals with albinism are born with little or no melanin, whereas vitiligo onset occurs when melanocytes are destroyed and it rarely encompasses the entire body like albinism. Skin cancer on the other hand is a result of mutations in the DNA which causes cells to grow abnormally and uncontrolably. Leprosy is an infectious disease caused by the bacteria Mycobacterium leprae. It can cause nerve damage which can lead to weakness and gradual loss of function. Interestingly vitiligo is not detrimental beyond the change in skin colour and does not cause any physical impairment. It is important to reach the correct diagnosis and not mistake one disorder for another which is why you should at all times consult a skin specialist when in doubt.

What other myths have heard in your community? Share and let us burst the bubble.