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Vitiligo causes the skin, and sometimes the hair, to turn white in patches.  This is because melanocytes, the cells which give the skin its color, have either been damaged or destroyed.  The disease can spread, rapidly or slowly, to cover the entire body surface (universal vitiligo) but this is not inevitable.  The most common form of vitiligo appears in symmetrical form (generalized vitiligo) affecting both sides of the body.   In some cases only one half of the body is affected (segmental vitiligo) and this type has limited progression and is more difficult to treat.  Vitiligo can begin at any age, though about fifty percent of people develop it before the age of twenty.