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Это происходит из-за разрушения или резкого снижения количества меланоцитов — пигментных клеток — в очагах поражения [10](https://ProBolezny.ru/vitiligo/). \n\n**Особенности**: \n- Не заразно, заразиться витилиго невозможно [2](https://www.medicina.ru/patsientam/zabolevanija/vitiligo/)[3](https://doct.ru/diseases/vitiligo.html). \n- Не несёт опасности для жизни, проблемы носят эстетический характер [2](https://www.medicina.ru/patsientam/zabolevanija/vitiligo/)[5](https://www.starclinic.ru/zabolevaniya-i-lechenie/vitiligo-prichiny-i-lechenie/). \n- Не является инфекционным [2](https://www.medicina.ru/patsientam/zabolevanija/vitiligo/). \n\n\n\n## Причины\nОднозначной причины возникновения витилиго не выявлено [5](https://www.starclinic.ru/zabolevaniya-i-lechenie/vitiligo-prichiny-i-lechenie/). Некоторые факторы, которые могут спровоцировать заболевание: \n* **Аутоиммунные заболевания** (системная волчанка, ревматоидный артрит, сахарный диабет, заболевания щитовидной железы) [4](https://www.fdoctor.ru/bolezn/vitiligo/). \n* **Генетическая предрасположенность** (примерно в 15–20% случаев наблюдается наследственный характер заболевания) [4](https://www.fdoctor.ru/bolezn/vitiligo/). \n* **Эндокринные нарушения** (гормональные сбои, вызванные нарушением работы желёз внутренней секреции) [4](https://www.fdoctor.ru/bolezn/vitiligo/). \n* **Трофические изменения кожных покровов**: повреждения кожи (порезы, рубцы, микротравмы), ожоги, контакт кожи с химическими средствами, длительное пребывание на солнце [4](https://www.fdoctor.ru/bolezn/vitiligo/). \n\n## Симптомы\n**Типичный признак** — пятно молочно-белого цвета с чёткими границами, часто неровными и зазубренными краями [10](https://ProBolezny.ru/vitiligo/). По форме может быть округлым, овальным или неправильным, по размеру — от нескольких миллиметров до нескольких сантиметров в диаметре [10](https://ProBolezny.ru/vitiligo/). \n\n**У некоторых пациентов** возможно поражение волос, которые на отдельных участках также теряют пигмент и становятся белыми или серыми [12](https://gutaclinic.ru/articles/vitiligo/). \n\n**Кожа на поражённых участках** обычно не изменяет текстуры [12](https://gutaclinic.ru/articles/vitiligo/). Боль и зуд не возникают, но может появиться покалывание [12](https://gutaclinic.ru/articles/vitiligo/). \n\n## Диагностика\n**Диагностику витилиго проводят на основе клинического осмотра и анамнеза пациента** [12](https://gutaclinic.ru/articles/vitiligo/). Дерматолог оценивает характер и распределение депигментированных пятен, чтобы исключить другие кожные заболевания [12](https://gutaclinic.ru/articles/vitiligo/). \n\n**Для подтверждения диагноза** может использоваться **лампа Вуда** — ультрафиолетовый источник света, в котором поражённые участки кожи проявляются более ярко, что позволяет лучше различать границы депигментации [12](https://gutaclinic.ru/articles/vitiligo/). \n\n**В некоторых случаях** назначают **биопсию кожи** для исключения других заболеваний, при которых также может наблюдаться утрата пигментации [12](https://gutaclinic.ru/articles/vitiligo/). \n\n## Лечение\n**Витилиго невозможно вылечить полностью** [1](https://voronezh.sovamed.ru/zabolevaniya/vitiligo/)[15](https://gemotest.ru/info/spravochnik/zabolevaniya/vitiligo/). Однако терапия направлена на восстановление пигментации кожи и замедление прогрессирования болезни [12](https://gutaclinic.ru/articles/vitiligo/). Выбор метода зависит от размера и локализации пятен, а также от индивидуальных особенностей [12](https://gutaclinic.ru/articles/vitiligo/). \n\n**Некоторые методы лечения**: \n* **Медикаментозная терапия** — кремы и мази с кортикостероидами помогают восстановить пигментацию на ранних стадиях заболевания [12](https://gutaclinic.ru/articles/vitiligo/). \n* **Облучение поражённых участков ультрафиолетовым излучением** [12](https://gutaclinic.ru/articles/vitiligo/). \n* **Эксимерный лазер** — используют для целенаправленного воздействия на небольшие участки кожи, его действие способствует восстановлению пигментации [12](https://gutaclinic.ru/articles/vitiligo/). \n* **В некоторых случаях** — хирургические методы пересадки меланоцитов с нормально пигментированных участков кожи на поражённые зоны [12](https://gutaclinic.ru/articles/vitiligo/). 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