Patchy loss of skin pigmentation can have significant consequences for affected individuals, who often experience difficulty functioning as socially active individuals and may not achieve the lifestyle they desire simply because they have white spots on their skin. In some countries with a predominantly dark-skinned population, leukoderma (white skin) can result in social stigmatization, leading to major difficulties in getting married and obtaining work.1 I have worked in India on several occasions and observed some of the social problems that this type of skin disorder can cause. In addition, the white areas, which lack melanin pigmentation, are very sensitive to sun exposure; in the summer, affected individuals must wear protective clothing and sunscreens.