Overview
Patches can appear anywhere, often around the eyes, mouth, hands, and body folds.
It's not contagious and isn't harmful to health.
Symptoms
Common signs:
- White patches of skin
- Patches of skin losing color
Less common
- Early gray hair
When to get medical care
Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayNew or worse symptoms, or symptoms with fever.
See a doctor soonNew patches.
Causes
Autoimmune.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
- It can run in families. Tell your doctor if a parent, brother, or sister has it.
Who is more likely to get it
- Family history
Diagnosis
Exam.
Treatment
Protect skin.
Self-care
- Sunscreen on patches
- Use sunscreen on patches
- Consider makeup or self-tanner
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Creams | Repigmentation |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a dermatologist (skin doctor).
Living with it
- Keep a simple diary of symptoms, triggers, and medicines to bring to visits.
- Bring a list of your medicines and questions to each visit.
- Stay active in ways that feel good to you.
- Get enough sleep and manage stress.
- Long-term illness can affect mood. Tell your doctor if you feel down or anxious.
Back to school, work, or sports
- Most people can keep working or going to school.
- Ask about changes that help, like extra breaks or a flexible schedule. Workers may be covered by the ADA. Students may get a 504 plan.
Children, pregnancy, and older adults
- People with thyroid disease: More common.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
For caregivers
- Go to visits when you can and take notes.
- Keep a list of medicines, allergies, and doctors in one place.
- Learn the warning signs that need fast care.
- Take breaks and ask for help. Caregivers need care too.
Outlook
Manageable.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- A list of your medicines and supplements
- Notes on when symptoms started and what makes them better or worse
Questions to ask
- Is ruxolitinib cream right for me?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.