Vitiligo is a skin disorder that is characterized by the development of white patches on the skin. The disorder is chronic in nature; it occurs when the melanocytes (melanin production and distribution agent) which are present in the skin, die.

The area of the skin affected by this condition tends to vary from person to person. It may affect the insides of your mouth, hair, eyes and cause permanent discoloration.

Vitiligo can be classified into two types

1. Segmented Vitiligo: This type of vitiligo tends to spread fast but is stable than the other type. It is asymmetrical and affects such portions of the skin which are linked to nerves that originate in the dorsal roots along the spinal cord.

2. Non- Segmental Vitiligo: This type of vitiligo occurs in equal proportions on both sides of the body. This disorder affects the areas of the skin that are exposed to sun frequently, such as the arms, neck and the face.

Causes

There is no known cause of vitiligo; however, the likely causes are found to be trauma from a stressful event, chemical exposure and genetics. It may also result from complications in the immune system.

Symptoms:

1. The primary symptom of vitiligo is the appearance of white patches on the skin.

2. The initial patches which occur on the skin are slightly pale in color; which becomes even paler in due course of time and eventually turn white, thus making them look distinct and prominent on the skin.

3. The edge of the patches may become inflamed and cause itching.

4. Direct exposure to the skin may cause the symptoms to aggravate.

Ayurvedic View
According to Ayurveda, Leucoderma is caused due to the aggravation of Pitta Dosha. Pitta is an Ayurvedic humor which symbolizes heat or fire, and is manifested in the skin. Aggravated Pitta leads to accumulation of ama (toxins) in deep layers of the skin, leading to the condition of Leucoderma.

Pitta is of five types; one of them is Bhrajak Pitta that gives coloration to skin. In the case of Leucoderma, Bhrajak Pitta is in an imbalanced state, and therefore, the skin starts losing its color and white patches appear. Along with Pitta Dosha, deeper body tissues like Rasa Dhatu (nutrient plasma), Rakta (blood), Mansa (muscles), Lasika (lymph) are also involved in the disease.

Treatment consists of pacifying imbalanced body energies, cleansing the blood and administrating herbs that restore skin color. Poor digestion is the root cause of this disease, as it causes the build-up of toxins in the tissues. An essential part of treatment, therefore, is restoring digestion. The patient will also be advised on the correct diet and lifestyle adjustments to prevent recurrence of the disorder.

Diet & Lifestyle Advice

Increase consumption of vegetables that are bitter in taste, like drumsticks and bitter gourd.
Stay away from difficult to digest foods, sour taste, excessive salt, curd, fish, jaggery and sesame seeds.
Avoid consumption of opposite foods, such as fish and milk together.
Have sound and adequate sleep daily.
Do not over-expose yourself to excessive cold or heat conditions.

Ayurvedic Treatments For Vitiligo 

Vitiligo or White patches is medically referred as Leucoderma. It is a disease that causes loss of skin colour resulting in white patches. It can affect the skin on any part of the human body. It occurs when the melanin-forming cells called melanocytes which produce melanin die or stop functioning. The condition is not life threatening or contagious, but it is stressful and makes one feel bad about oneself.

The main sign of vitiligo is loss of skin pigment which produces light or white patches on skin. The discoloration is first visible on sun exposed areas like the hands, feet, arms, face and lips. It can also be coupled with premature greying of hair below the age of mid-thirties, colour loss of retina and inner lining of the mouth.

Vitiligo has no cure, but homeopathic treatment help to stop or slow the process of colour loss and brings back some colour to skin. The failure of melanocytes can be attributed to disorder in which immune system attacks and destroys them. It can also be triggered by sunburn, stress or exposure to industrial chemicals. People with vitiligo are at risk of Social or psychological distress, loss of hearing, sunburn and skin cancer, inflammation of the iris and dry skin.

Homoeopathic treatment enhances the natural production of pigments and Vitiligo is considered as a manifestation of an inner disturbed state of the body. The patient is analysed on mental, physical and familial attributes. The medication is then based the results. Arsenic Sulph Falvus, Arsenic Album, Baryta Mur and Baryta Carb are known to give good results in Vitiligo. Vitiligo is a chronic disorder and it takes a long time even with the best of the homoeopathic treatment.

Calcarea Carb is prescribed to patients of Vitiligo with milky white spots on skin. It is prescribed to free perspiration over the head, neck and chest and persons with intolerance to cold weather.
Arsenic Album is useful remedy for vitiligo in persons prone to dry, rough skin. The skin complaint coupled with asthma is a strong contender for using homeopathic medicine Arsenic Album.
Sepia is prescribed for vitiligo in persons showing unresponsive attitude towards family and life
Silicea is prescribed for vitiligo in patients with pale and waxy skin, tendency to excessive perspiration. If the main mind symptom are timidity and an under-confident nature, then Silicea is a good choice. It is known to work on patients who seem under-confident, fear public speaking.
Sulphur is considered the best for vitiligo treatment as it goes deep inside the basic root cause to exterminate the disease. The persons requiring homeopathic medicine Sulphur show a mind constantly occupied with various theories and plans due to which they suffer from mental fatigue and absent mindedness.

Homeopathic Medicine for Vitiligo or White Patches Treatment

Vitiligo is a long term skin condition characterized by patches of the skin losing their pigment. The patches of skin affected become white and usually have sharp margins. The hair from the skin may also become white. Although this disease is not life threatening or contagious, the disfigurement of vitiligo can be devastating to its sufferers, especially the ones with darker skin tone.

There are certain treatment options that can help.

Topical preparations of immune suppressing medications, creams and steroids are considered to be first-line vitiligo treatments.
Next option is to expose the affected skin to UVB lamps with the phototherapy treatment at home or get the Ultra violet (UVA) treatment at a hospital.
In extreme cases of extensive vitiligo the option to de-pigment the unaffected skin may be considered to render the skin an even colour.
However, in mild cases, vitiligo patches can be hidden with makeup or other cosmetic camouflage solutions. If the affected person is pale skinned, the patches can be made less visible by avoiding tanning of the unaffected skin.
Camouflage Treatment In Vitiligo
Camouflage is derived from the French word,  Camoufler  which means  to blind  or  veil . Also known as protective concealment, it means to disguise an object in plain view, for the purpose of concealing it from something or someone. Cosmetic camouflage is the application of make-up creams and/or powders to conceal color or contour irregularities or abnormalities of the face or body. It was pioneered during the Second World War to help pilots who were badly burnt by making use of plastic surgery and camouflage cream. These creams did not camouflage the person but were used to conceal blemishes on the skin so that they were not obvious. This kind of remedial cosmetic skin camouflage is defined as being the  the art of concealing a discoloration, blemish or scar with the application of specialist camouflage creams that are matched to the surrounding skin tone.  Nowadays, it is used to conceal abnormalities from various dermatological disorders, especially vitiligo.

Types of Camouflage
Camouflage may be permanent or temporary.

Remedial cosmetic cover creams help conceal the blemish of vitiligo at least temporarily. A high concentration of pigment is incorporated into water free or anhydrous foundations to give a color that matches the patient s skin, thereby concealing vitiligo patches.
Permanent camouflage is obtained with a cosmetic tattoo. Unlike pigments used for ritual or symbolic tattoos, cosmetic tattoos are inert iron oxides that are available in more than 15 shades. The color is implanted into the dermal layer with specialized techniques and cannot be washed off.
Camouflage improves the appearance of the individual, as the focus is no longer on the discoloration that the person wishes to hide, thereby improving their confidence and self-esteem. This makes camouflage the most popular treatment option in vitilgo.

Camouflage Treatment In Vitiligo!

Vitiligo is a condition wherein the affected person starts losing the color of the skin, resulting in white patches. It can affect people of any age, sex, class, race, and ethnicity. Though Vitiligo is a lifelong condition, it can be managed with proper care and treatment.

Understanding the problem 

Vitiligo is a skin disorder where certain areas of the skin start losing its normal pigment. The total area of the skin that can be affected by the disease may vary from one person to another. It may even affect the inner side of the mouth, eyes and in some cases, even the hair.

Vitiligo is a photosensitive skin disorder which means that the affected areas shall be more sensitive to the rays of the sun than the unaffected areas. It is very difficult to determine whether the patches will start spreading or not, and to what extent. It may take weeks to spread, or the patches may remain stable for months or even years together. The lighter patches become more visible in people with dark and sun-tanned skin.

Causes

The destruction of pigment-causing cells called the melanocytes cause Vitiligo. The exact cause of vitiligo remains unknown, some conditions that contribute to vitiligo are mentioned below:

Albinism: It is a rare genetic disorder that lead to loss of color of the skin, hair, and the eyes.
Alopecia Areata: It is an auto-immune disease that leads to hair loss in patches. It can also lead to vitiligo.
Hashimoto s thyroid: It is also an autoimmune disease that leads to discoloration of the skin. This also makes the skin more sensitive.
Symptoms

Patchy loss of skin color
Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard
Loss of color in the tissues that line the inside of your mouth and nose (mucous membranes)
Loss of or change in color of the inner layer of the eyeball (retina)
These white patches are more common in areas where the skin is exposed to the sun. The patches may be on the hands, feet, arms, face, and lips. Other common areas for white patches are:

The armpits and groin (where the leg meets the body)
Around the mouth
Eyes
Nostrils
Navel
Genitals
Rectal areas
Complications

If leaft untreated, patient can have an increased risk of:

Sunburn and skin cancer
Social or psychological distress
Hearing loss
Eye problems, such as inflammation of the iris (iritis)
Treating vitiligo
Vitiligo is described as more than a cosmetic problem; it is rather a health issue requiring clinical attention. Several remedies can aid in making the condition less visible, and some of them include:

Using sunscreen regularly: Using sunscreen protects the lighter areas of the skin which are more sensitive to sun rays. Since there are several types of sunscreen available, consulting with a dermatologist is safe before choosing a sunscreen.
Phototherapy using UVB light: Controlled exposure to UVB light is an effective treatment option for vitiligo. When this treatment is done at a clinic, you will need around 2 to 3 visits in a week, and the time required for the treatment will also be longer. UVB phototherapy can also be used when there are numerous white spots all over the body. Since this is a full-body treatment, it is performed in a hospital. This treatment, together with other treatments can have a substantial effect on vitiligo, but it is always necessary to have realistic expectations about the treatment.
Skin camouflage: Those who are suffering from mild instances of vitiligo can greatly benefit from the camouflage treatment done with cosmetic creams or white patches.
Laser therapy: People suffering from limited, stable patches of vitiligo can immensely benefit from vitiligo. Laser therapy is a safe and effective way to treat this condition. It may not be very cost effective, but the results are totally worth it, a patient may have to be treated twice a week and take 24-48 session to treat the localised lesions of vitiligo.
It is best to start the treatment of vitiligo as soon as possible to manage the condition to a substantial extent. So, visit a dermatologist today and understand which treatment option would work best for you.

Vitiligo - How Can The Condition Be Treated?

Vitiligo is a condition in which white patches appear on the skin. It can affect any part of the body. It can affect the inside of the mouth and the hair as well. It happens when the skin cells (melanocytes) that make or produce pigment (colour) of the skin die or stop functioning. This disease is not contagious or life-threatening, it cannot be caught from another person having vitiligo. All types of skin can be affected by vitiligo but it may be more evident in people with darker skin. It develops between the ages 10 to 30 and it often appears before the age of 40.

Causes

The main cause of this disorder is still not clear, why the cells die or fail. For some reason, the colour or pigment-forming cells called melanocytes dies. However, these are the following reasons that can cause this problem:

An autoimmune disorder, where the defences of the body turn on their own cells instead of attacking the germs that destroyed the melanocytes

A trigger or stressful events such as exposure to industrial chemicals, stress, or sunburn

Family history (heredity)

A neural cause

A virus

A genetic oxidative stress imbalance

Symptoms

The one and only symptom of this condition is the appearance of white patches or flat white spots on the skin. Those white patches are irregular in shape. They may stay the same for a while but may get bigger with time on different parts of the body. It generally affects body folds such as armpits, around body openings, or around moles. It can also affect hair and eyelids. It does not cause any irritation, dryness, discomfort, or soreness in the skin.

Treatment

There is no known way to cure or prevent the condition but the appearance of the affected skin can be improved with corticosteroid creams and cosmetics. The doctor can recommend melanocyte transplant surgery which includes a new needling micro-grafting technique. The surgery includes a split-thickness skin graft that is taken from the normal area. Later, it is cut into very small pieces in diameter ranging from 0.1 mm-0.3 mm. The local anesthesia is given to the recipient area to implant the micro-grafts into the dermis by using the needling technique. This new method of treating this condition delivers satisfactory and rapid pigmentation.

Takeaway

Vitiligo is a disorder in which flat white spots or patches appear and can affect any area of the body. It happens when the melanocytes die or stop functioning. The condition can be managed by cosmetics, corticosteroid creams, therapies, and surgeries. Out of all these methods, melanocyte transplant surgery is a new and effective technique to manage this disease. However, it is always advisable to consult a doctor before opting for any of these methods. 

Vitiligo - Its Causes, Symptoms And Treatments!

Vitiligo is a disease which results in the loss of skin colouring pigment and ultimately the person loose his or her skin colour in blotches. The rate and to what extent the colour loss will happen is always unpredictable. When the Melanocytes cells lose their ability or get destroyed completely, the human skin starts losing it's skin colour produced by these Melanocyte cells. Vitiligo can generally affect skin present of any body part. Vitiligo is a common disease and it affects almost one million people every year all over the world. The disease can affect a person of any age.

Causes of Vitiligo

There are different causes due to which Vitiligo is caused. Let us have a look :

Vitiligo can happen due to an autoimmune disorder, when the immune system becomes overactive and results in the destruction of the colour pigment-producing cells i.e. the Melanocytes.
Vitiligo is also believed to affect people because of genetic factors. The immune system can get affected by the genes and results in a loss of skin colouring melanocytes. It can be hereditary and gets passed on. However, it is not at all contagious and cannot be passed on to someone else.
Harmful exposure to UV rays can cause the body to loose melanocyte cells. Heavy sunburn is also a common cause of the disease.
A stressful life schedule or oxidative stress imbalance can easily make the melanocyte cells to go weak and eventually wither away.
A foreign virus or bacteria which may enter into the immune system and if not destroyed affects the melanocytes in different parts of the body.
Treatment for Vitiligo-

Vitiligo Treatment or White Patches Treatment is based on improving your skin s appearance by restoring its colour. Re-pigmentation treatment is most successful on face and trunk; hands, feet and areas with white hair respond poorly. Compared to long-standing patches, new ones are more likely to respond to medical therapy.

The treatment can be classified into

Medical

Medicines applied to the skin, such as:
Corticosteroid creams or ointments
Immunomodulator creams or ointments, such as Elidel & Protopic
Topical drugs such as methoxsalen (Oxsoralen)
Oral Medical treatment includes the use of immune-modulating drugs such as systemic corticosteroids, levamisole, cyclophosphamide, azathioprine, vitamin supplements (especially vitamin B12 and folic acid).
Phototherapy NBUVB full body   A medical procedure in which your skin is exposed to ultraviolet A (UVA) or ultraviolet B (UVB) light from a special lamp in full body chambers.
Excimer (Targeted Phototherapy)   Targeted phototherapy, also called concentrated phototherapy, focused phototherapy and microphototherapy, involves delivery of ultraviolet radiation directly focused on, or targeted at, the skin lesion through special delivery mechanisms.
Surgical Procedures

Surgical treatment   Normal skin is used as donor tissue and then grafts are surgically transplanted on areas of Vitiligo treatment. The new skin grafts start producing pigment. Patients who are candidates for this procedure must have stable Vitiligo, or Vitiligo that has not changed for at least one year. The criteria of stability is taken as (a) no new White patches, (b) no extension of existing White patches and (c) no loss of pigmentation of previously repigmened patches for at least 1 year. This procedure can be used for patients with limited areas of Vitiligo and also in those with more extensive disease.
Melanocyte cell transplantation   In this procedure, a skin graft is taken from the patients own thigh, this skin is then treated with an enzyme known as trypsin which separates all the layers of the skin and thus Melanocytes and Keratinocytes are concentrated. The Vitiligo (Skin White Spot) skin is then removed with the use of diamond burs or Lasers and the cells are transplanted. The advantage of this procedure is that cell culture is not needed and that skin harvesting from the donor area, preparation of cell separation and application of Melanocytes can all be undertaken in a single 3-h procedure.
Blister Grafting   In this procedure, blisters are created on your pigmented skin primarily by using suction. The tops of the blisters are then cut out and transplanted to a depigmented skin area where a blister of equal size has been created and removed.
Punch grafting  Punch grafting is the simplest and the least expensive of all the grafting procedures in Vitiligo. The procedure involves the transfer of circular pieces or punches of skin tissue from the donor area into similar shaped pits that are made on the recipient skin. The size of these punches can range from 1 mm to 2 mm and they are spaced 5-10 mm apart on the recipient skin.
De-pigmentation  Depigmentation involves fading the rest of the skin on your body to match the already-white areas. If you have vitiligo on more than 50 percent of your body, depigmentation may be the best treatment option. In this procedure, the drug monobenzone (Benoquin) is applied twice a day to the pigmented areas of your skin until they match the already-depigmented areas. Some patients who are resistant to depigmentation with drug monobenzone (Benoquin) will need Q Switch NDYAG Laser to destroy the pigment cells. Depigmentation in most patients is a permanent technique in which the whole body is gradually turned white.
Color (Camouflage)   Camouflage used to treat vitiligo can be classified into two- temporary and permanent. 
Temporary colouring is the method which intends to blend the white patches with the rest of the body s colour. The method is done using coloured creams to the affected skin. Those creams will have the same shade as that of the natural skin. Applying the creams make the patches less noticeable.
Tattooing (permanent coloring)   Tattooing is injecting artificial pigment into the depigmented area. After selecting the pigment shade which matches the surrounding skin color, the pigment granules are implanted into the depigmented patch either with a manual or electrically driven needles. Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1   2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.

Best Vitiligo Treatment  - Medical & Surgical Methods

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