Are there any specific lifestyle or sun protection advice I should provide to patients with vitiligo?

Lifestyle modifications and sun protection advice for patients with vitiligo should focus on minimizing skin damage and reducing the risk of skin cancer due to their increased photosensitivity.

• Patients should be advised to avoid excessive sun exposure, especially during peak UV radiation times, as vitiligo-affected skin lacks melanin and is more susceptible to sunburn and damage.

• Use of broad-spectrum sunscreen with a high SPF is recommended to protect depigmented areas from UV radiation.

• Wearing protective clothing, such as long sleeves and wide-brimmed hats made from close-weave fabrics, is advised to physically block sunlight.

• Seeking shade during peak sunlight hours can further reduce UV exposure.

• Patients should be informed about the balance between sun protection and maintaining adequate vitamin D levels, as sunlight is a key source of vitamin D; supplementation may be considered if sun exposure is limited.

• Education should be culturally sensitive and tailored to the patient’s skin type and lifestyle to ensure effective communication and adherence.

These recommendations align with general sun protection advice for at-risk groups who have increased sensitivity to sunlight and risk of skin damage, such as those with lighter skin or immunosuppression, which includes people with vitiligo.