Yes, vitiligo can remove most, if not all, of the pigment in someone’s skin, such that they have no skin color. However that is very rare, and it usually takes many years to do this, with spots appearing during the process. So it’s not likely that vitiligo alone was responsible for his significant transformation in skin color. There is a treatment, though, that can remove the remaining pigment in someone’s skin if they have vitiligo. The treatment is a skin cream called monobenzyl ether of hydroquinone (monobenzone, or Benoquin), and it is, in fact, the only FDA-approved treatment for vitiligo. But in most cases, using this cream doesn’t work unless you have vitiligo, so it is not as simple as someone “wanting to look white” and using the cream. It is a bona-fide vitiligo treatment, approved by the FDA, for people who would rather remove their remaining pigment than continue to look spotted. I have prescribed this for vitiligo patients, and they have always been happy with the results. So it is not too surprising that Michael Jackson would use Benoquin to treat his vitiligo, and this is why he went from having clearly black skin to very white skin. In fact, Oprah commented in an
interview after Michael Jackson’s death that he had no pigment in the skin of his hands, that they were essentially translucent. Benoquin would do that, and could do it relatively quickly, after about 12 months of use. From available pictures of Michael Jackson, his skin color seemed to change significantly sometime in the late 1980’s, which would make sense if he was diagnosed in the early 80’s, tried to treat it for a while, and then decided to go the other way and use Benoquin.
Did Michael Jackson have vitiligo? After his death, his
autopsy report stated that there were “patches of light and dark pigmented areas” on examination of his skin, and vitiligo was listed as a diagnosis in his medical history. In addition, a tube of Benoquin 20% cream was noted among his medications, revealing that he did use this FDA-approved treatment for vitiligo. He also had a tube of BQ/KA/RA (Benoquin 8%, Kojic acid 1%, and retinoic acid 0.025%), another effective formulation for Benoquin, as well as hydroquinone 8% lotion (which would help to lighten any remaining pigment), and UVA Anthelios XL sunscreen, a good idea for anyone with vitiligo, especially if they had depigmented their skin. Microscopic examination of his skin revealed a lack of pigment and reduced number of melanocytes, which is most consistent with vitiligo, with or without the use of Benoquin, and vitiligo was the official diagnosis on the report. Rare photos of him when his skin was exposed appear to show his depigmented skin, and one (above) shows his largely depigmented arms with some remaining spots of pigment.
So there is no question that Michael Jackson had vitiligo, by his own admission and according to his autopsy after his death. He did appear to use Benoquin to help depigment his skin, but not because he “wanted to be white”, but as an FDA-approved treatment for his vitiligo.