Treatment is unsatisfactory.
Advice High protection factor sunblocks will protect the involved areas from sun damage and hopefully will prevent the normal skin from getting darker and so enhancing the cosmetic disability. If the vitiligo is of recent onset, it might be worth trying Betnovate Cream Full Strength twice a day for several months but patients should be warned that atrophy of the skin may result which may be permanent. PUVA and UVB phototherapy is very rarely effective and we now rarely use them.