Observed as World Vitiligo Day, 25th June is a day we celebrate and spread awareness about the vitiligo community. Started in 2011, this day was highlighted to support people who have this condition and spread awareness about it. According to Yale medicine, vitiligo is a disease that causes patches of skin to lose color, causing white spots. There is a lot of stigma around the condition and Yale Medicine experts have shared how vitiligo patients are often treated as ‘untouchables’, due to general lack of awareness. An interesting fact about this skin condition is that many people started learning about it and understanding the nuances of the disease due to the public figures who opened up about it. Most notably, Micheal Jackson, who was under extreme scrutiny and suspicion for the change in his skin color. It wasn’t until his body autopsy report that people finally understood he had vitiligo and the extent of its impact. The Micheal Jackson Effect For years, people wondered why Michael Jackson's skin seemed to get lighter. He later confirmed that he had a skin condition called vitiligo. According to Vitiligo Clinic & Research Center, he publicly talked about it for the first time in a 1993 interview with Oprah Winfrey. He explained that his skin started changing around 1982, when he was about 24, and by the time of the interview, it had been progressing for about 10 years. Vitiligo can indeed cause someone to lose most or all of their skin color, making them appear very white. However, this is rare and usually takes many years, with spots appearing gradually. So, it's unlikely that vitiligo alone caused his entire skin to turn so dramatically white. Did Micheal Jackson Have Vitiligo? There is a specific treatment for vitiligo that can remove any remaining dark pigment from the skin if a person has the condition. This treatment is a skin cream called monobenzone (also known as Benoquin). It's the only FDA-approved medication for this purpose for vitiligo. This cream doesn't typically work on people without vitiligo. It's a real vitiligo treatment for those who prefer to have an even, very light skin tone rather than a spotted appearance. After his death, his autopsy report confirmed "patches of light and dark pigmented areas" on his skin, and vitiligo was noted in his medical records. Additionally, a tube of Benoquin cream was found among his medications, confirming he used this FDA-approved vitiligo treatment. How Aware Are People About Vitiligo? While Micheal Jackson may be the most known for this disease, there are other people who have this condition, like model and public figure Winnie Harlow. In a 2019 medical article published in the Journal of Clinical and Aesthetic Dermatology, the authors explained how awareness about diseases increases when a public figure goes through one. The authors explain the Micheal Jackson & Winnie Harlow Effect. They conducted their research using Google Trends to see how often people searched for "vitiligo," "Michael Jackson," and "Winnie Harlow" all over the world from January 2004 to December 2018. Google Trends shows how popular certain search terms are over time and in different places. The highest number of searches for vitiligo happened between June 28, 2009, and July 4, 2009, right after Michael Jackson passed away on June 25, 2009. This was the biggest surge in vitiligo searches in 14 years. His autopsy later confirmed he had vitiligo. While his death caused a huge spike in vitiligo searches, it was hard to see a strong connection between him and vitiligo searches before or immediately after his death when compared directly. However, the overall impact of his passing on vitiligo searches was still very noticeable, especially when compared to other skin conditions during that time. Celebrity Impact on Disease Awareness The study explained that both Michael Jackson and Winnie Harlow are very well-known people who have had vitiligo. However, Michael Jackson mainly affected vitiligo searches after his death. After that peak, searches went back to normal levels. In contrast, Winnie Harlow is famous because of her vitiligo. She openly shows her skin patches, appears in public, and uses social media to encourage and support others with the condition. Vitiligo searches increase whenever she is in the news Understanding Vitiligo – Can It Be Passed Down Genetically?The Mayo Clinic explains that family history could play a part in vitiligo. If someone in your family has had vitiligo, it increases your chances of developing it significantly. Other factors include having an immune disorder, or going through a trigger event such as stress, severe burn or skin trauma, such as coming in contact with a certain chemical.A 2018 Dermatology Clinic study concluded that it is an autoimmune disease in which the immune system mistakenly attacks healthy cells—in this case, melanocytes. There is a complex relationship between how the immune system is programmed, how melanocytes are targeted, and how the immune response becomes unregulated.Common Myths About Vitiligo Many medical professionals and researchers have been actively debunking common myths about the disease and helping people learn more about the skin condition. In a 2022 study published in the Journal of Clinical and Aesthetic Dermatology, the authors debunk common myths about the disease.Myth 1: Vitiligo is More Common in People with Darker Skin It's a common belief that vitiligo affects people with darker skin more often. However, this isn't true. While the white patches of vitiligo are much more noticeable on darker skin, the condition affects people of all skin tones at similar rates. Myth 2: Vitiligo Only Affects Adults Many people think vitiligo is mainly an adult condition, but that's incorrect. Nearly half of all people who get vitiligo develop it before they turn 20 years old. Myth 3: Mental Health Issues Are the Same for Vitiligo Patients and Others This is a big myth. People with vitiligo are much more likely to experience anxiety and depression compared to those without the condition. For example, one study found that 62% of vitiligo patients suffered from depression or anxiety, compared to only 25% of healthy individuals. Myth 4: Only People with Darker Skin Feel the Emotional Toll of Vitiligo The emotional and social challenges of living with vitiligo affect everyone, no matter their skin color. While the overall emotional burden is similar across all patients, there can be some differences in what concerns them most. Myth 5: All Body Areas Repigment at the Same Speed Different parts of the body can regain color at different rates. Two main factors influence how quickly a vitiligo patch repigments. Areas that get more sun exposure tend to repigment faster. Areas with more hair follicles tend to repigment more quickly because hair follicles contain pigment-producing stem cells.
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