If your doctor suspects you have vitiligo, he or she will ask about your medical history, examine you and try to rule out other medical problems, such as dermatitis or psoriasis. He or she may use a special lamp to shine ultraviolet light onto the skin to determine whether you have vitiligo.
Skin biopsy and blood draw
In addition to gathering your personal and family medical history and examining your skin, your doctor may:
Take a small sample (biopsy) of the affected skin
Draw blood for lab tests
Other exams
Your doctor may recommend that you see an eye specialist (ophthalmologist), who may check for inflammation in your eye (uveitis). Your doctor may also suggest that you see a hearing specialist (audiologist) to undergo a hearing evaluation because people with vitiligo may have an increased risk of hearing loss.
Sometimes, a health care provider may use a Wood's light. This is a handheld ultraviolet light that causes the areas of skin with less pigment to glow bright white.
In some cases, a skin biopsy may be needed to rule out other causes of pigment loss. Your doctor may also perform blood tests to check the levels of thyroid or other hormones, and vitamin B12.