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Vitiligo is caused by a loss of pigment in the skin, due to destruction of pigment forming cells known as melanocytes. Although vitiligo affects all races equally, it is more noticeable in dark-skinned people. Vitiligo can cause cosmetic problems.

There is no way to predict if vitiligo will spread. Vitiligo is usually progressive, however, and over time will usually spread to other areas of the body. Some people report pigment loss following periods of physical or emotional stress

The risk of getting vitiligo increases if a person has: A close blood relative who has vitiligo. An autoimmune disease, especially Hashimoto's disease, a thyroid disease or alopecia areata which causes hair reduction.