Dr. Vivekananda Bhat MBBS, MS., Consultant Cosmetic Surgeon. Having 14 years of Experience in Cosmetic Surgery
Fill the right details below. Our concern team will contact you and confirm your appointment.

How To Diagnose Vitiligo and Is Vitiligo Hereditary?

How To Diagnose Vitiligo and Is Vitiligo Hereditary?

As we all know Vitiligo is a long-term skin problem that yields white patches of depigmentation on certain areas of skin.

So, before we jump into diagnosing vitiligo and to understand if vitiligo is hereditary, let’s first understand key facts about vitiligo.

Facts About Vitiligo

  • Vitiligo is a condition in which the pigment cells of the skin, melanocytes, are demolished in specific regions.
  • Side effects and signs of vitiligo consists of loss of skin pigment and becomes depigmented, or turns into white, patches of skin in any area on the body.
  • Vitiligo can be central and confined to one portion of the body, or it might influence a few unique zones on the body.
  • 15-25%of individuals who are suffering from vitiligo are also affected by another auto-immune disorder. (Source)

How To Diagnose Vitiligo

To test or diagnose vitiligo, specialist checks your medical history.

Medical history and exam

In case your dermatologist suspects you having vitiligo, they will get some information about your medical history, examine and attempt to examine other medical issues, for example, dermatitis or psoriasis. Your dermatologist may utilize a special light to sparkle ultraviolet light onto the skin to decide if you have vitiligo.

Skin biopsy and blood draw

In addition to collecting your personal and family medical history and looking at your skin, your dermatologist may:

  • Take a little biopsy of the affected skin.
  • Take a small amount of blood for lab tests to search for basic immune system conditions, for example, diabetes or anemia.

This is how to diagnose vitiligo in patients. Now let’s just understand is vitiligo hereditary and if gene plays any role in causing vitiligo.


Is Vitiligo Hereditary?

Around 30% of individuals with vitiligo likewise have a family with it. This implies that hereditary can be one of the possible reasons behind vitiligo. But this is certainly not the only factor, there are other determinants that need to be factored as well.

On an average 1 in every 100 individuals have vitiligo. Your chances of having vitiligo might increase to 1 in every 20 if any of your family members have it. Considering these stats to be true, there are a 5% risk chances of you transmitting vitiligo to your children.

Though we are going with these statistics, we cannot anticipate what could happen in a specific case. As vitiligo is confusing, each and every case is going to be a bit different.

Vitiligo and Gene

Gene is the main functional and physical unit of heredity. They are made up of DNA, which has instructions to make protein.

There is one gene that makes insulin utilize sugar. And another gene that makes hemoglobin to carry oxygen in the blood to the entire body.

Researchers analyzed the genomes (entire group of genes) of a set of individuals with and without vitiligo. They discovered more than 10 genes are connected with vitiligo. As we may have assumed, few of these genes are associated with the immune system. And, few with melanocytes.

It is critical to mention that individuals with vitiligo don’t have genes that other individuals have. There is no vitiligo gene. These people simply have diverse adaptations of these 10 genes that we all share. Diverse adaptations mean distinctive guidelines, which implies an extraordinary protein that’s created.

These extraordinary proteins may look or act uniquely in contrast to the ones made by individuals without vitiligo. Therefore, these distinctions cause the elimination of melanocytes.

How about we examine two distinguished qualities and perceive how they may cause vitiligo. These two give a decent review of how safe the framework can get befuddled.


Which gene causes vitiligo?

There are two genes which cause vitiligo – MHC gene and TYR gene. Now let’s understand how these genes play a role in causing vitiligo.

Role of MHC gene in causing vitiligo:

MHC is also known as major histocompatibility complex gene. This plays a crucial role in the immune system of human body. MHC mark cells as self or non-self, so as to prevent the immune system to target its own cells.

For instance, when microscopic organisms infect a cell, MHC can show bits of bacterial proteins nonself cell – similar to a warning. At that time, when the immune system sees this, it attacks any cell that has the warning. This involves the microscopic organisms.

Individuals with vitiligo have an alternate adaptation of one of these MHC genes. The thought is that this MHC sees a melanocyte as a warning. This influences the immune system to feel that the melanocyte is a trespasser.

So the immune system attacks and eliminates the melanocytes. The final product is vitiligo.

Role of TYR in causing vitiligo:

TYR genes provide instructions for making an enzyme called tyrosinase. This helps in creating a pigment called melanin in melanocytes.

Individuals with vitiligo have an alternate variant of the TYR genes. Researchers believe that the immune system attacks the melanocytes since this TYR protein looks suspiciously like a warning to them. An instance of mixed up identity that prompts the elimination of melanocytes which prompts vitiligo.

So things can turn out badly on either end. In some cases, a gene in an immune cell influences it to attack the melanocyte. Also, in some cases, a gene in the melanocyte influences the immune system to attack it.

A large number of alternate genes that researchers discovered act likewise. Some work in the immune system and others in melanocytes.

Know more about how to treat vitiligo you can checkout Symptoms and treatment