** Thanks for contacting HCM with your health concern 1. Autoimmune disorder are more common if one is suffering from Thyroid problem [and Vitiligo is one of them] which seems to bee the case in your daughter. 2. As she has been seen by a skin specialist, thus consult with an Endocrinologist for Thyroxine medicine dosage since if thyroid comes normal then these white patches will also fade away slowly. 3. In the mean time [for white patches]: DIET: - Do s: take old brown rice,barley, neem,potatoes,honey,garlic, expose affected area to early morning sunray, pomegranate, old ghee. - Don t: black gram,radish,newly harvested rice,milk,white sesame seeds, salt,sour,jaggery,alcohol,day time sleeping, heavy/cold/oily food, opposite food, mental exertion. B. Management . Copper Water to be taken regularly . Lemon, oranges, mangoes, grapes, apple, papaya, sugarcane, guava, to be avoided strictly . No use of perfume,Deo, or agarbatti should be there. . Soyabean,Methi are rich sources of copper, so should be eaten in more amount . Bottle gourd to be eaten daily . Mix white onion seeds powder in white onion juice and apply it for 3 months. 3.Treatment You can ask for prescription medicines like Pigmento,Visora,Sutone (tablet and cream) or if interested in taking classical medicines I can courier you the same.