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

Alternative medicine is fast picking up with its beneficial treatment for several skin disorders. Vitiligo or patchy skin is a common skin problem that can be effectively treated by the ancient Unani system of medicine.

What is vitiligo?
Also referred to as leucoderma, it is a patchy loss of skin colour that occurs due to acquired depigmentation of the skin. The absence of skin cells called melanocytes leads to nonproduction of the melanin pigment and as a result, manifests itself as patchy skin in several parts of the body. It can affect any area of the body including the face, neck, back, hands, and legs.

Unfortunately, conventional medicine has not been able to discover a full-proof treatment for this skin disorder, except for surgical intervention. Thanks to the yesteryear s Unani medicine system, which has its foundations in the ancient Greek, Roman, Persian, and Indian medicine, certain herbal formulations help to treat conditions of vitiligo or leucoderma. The Unani system of medicine aims to create the right balance in the body by stabilizing the four humours   blood, phlegm, yellow bile and black bile, which constitute insulin, hormones and other fluid releases.

Herbal powder and capsules are prescribed for the patient s consumption depending on the severity of the disorder.
Herbal ointment for external application   The affected individual must apply the topical ointment or balm before 10:00 am and then expose it to sunlight for around 10 to 15 minutes. After that, it should be shown back in shade and kept for one hour before washing it off.
Diet for vitiligo
Certain food items like banana, beef, sea food, poultry, citrus foods, pickles and dairy products are to be restricted during treatment. Foods with excessive tamarind and cashew nuts are also to be avoided. Recommended food includes all vegetables, fruits, eggs, and organic chicken.

How effective is Unani in treating vitiligo?
For years together, Unani compound formulations for systemic as well as topical usage are catering to the needs of patients. It helps to treat and induce re-pigmentation. There are several treatment modalities available to control the spreading of the disease and minimize the chances of a relapse of the skin condition.

There have been no reported side effects of Unani medicines and they are well tolerated even after prolonged use. It usually takes about 2 to 3 months to see a visible improvement of the condition. The disease tends to become stable after regaining pigmentation.

The Central Research Institute of Unani Medicine located in Hyderabad, India has taken several measures to eradicate Vitiligo. While conventional medicine does try to offer remedies to treat vitiligo, Unani medicine offers a cost-effective approach that is more promising.

Best Unani Medicine for Vitiligo Treatment

Vitiligo is a skin condition that causes loss of pigmentation of the skin. Melanocytes, the pigment cells, within the skin are destroyed. This causes these parts of the skin to lose color and turn pale. It might affect different parts of the body including the arms, legs, face and even genitalia. It can affect a person of any age, ethnicity or gender.

Causes
The exact cause of vitiligo is not definitively known. However, there are a number of risk factors that might contribute towards the condition. These include-

Autoimmune disorders- Vitiligo might be a result of an autoimmune disorder where the overactive immune system destroys the pigment cells of the skin.
Exposure to Chemicals- Exposure to certain chemicals can increase the risk of vitiligo by causing depigmentation.
Hereditary factors- There might be a genetic pre-disposition towards vitiligo. Though a person can exhibit symptoms of the condition at any age, it is most commonly found to manifest itself around the age of 20 years.
Symptoms
Vitiligo may start with a simple spot of pale skin but over time, this spot expands and turns paler until it is white in color. Irregular in shape, the edges of these spots may inflame and cause itchiness.

Treatment
The treatment of vitiligo will be determined by a number of factors such as the number and the extent of the white patches and where they are located. Vitiligo treatment includes cosmetic, medical and surgical methods.

Cosmetic Treatment- Cosmetic and skincare products such as sunscreens, dye or makeup can help relieve and hide signs of the condition.
Medical Treatment- Oral medication or medicated ointments may be prescribed to treat Vitiligo. Photochemotherapy which involves the use of PUVA rays to induce re-pigmentation may also be prescribed. If the condition has spread to a considerable extent then the physician might advise that the color from the remaining areas of the skin also be removed in order to match the affected areas.
Surgical Treatment- Surgical treatments are at times prescribed which involve skin grafting or tattooing. This is usually prescribed for those with small patches of affected areas.
With ongoing and extensive research being conducted on this skin condition, we will in the near future be able to both understand and treat it better.

Vitiligo - What Causes It and How Can It Be Treated?

Vitiligo or Leucoderma is a genetic disorder triggered due to mental stress and constipation. Leucoderma or vitiligo is called Shivita kushta according to Ayurveda and is caused due to defect in brajak pitta. Brajak pitta is a color forming agent in body and defect in formation of brajak pitta causes vitiligo. There are many causes, which can trigger vitiligo other than stress and genetics.

There are certain food combinations , such as taking milk and sour fruits together can trigger vitiligo. Also, using excessive salty food and meat products with milk can trigger disease. Deficiency of copper and vitamin B12 can trigger this disease. So treatment of vitiligo is done taking in account many factors.

Toxins produced in body are neutralized using herbal medicines, which helps in stopping the spread of disease. External herbal application containing Wrightia Tinctoria help in repigmentation on white skin. According to modern science steroids are used in pulse therapy where steroids are used 2 times a week.

This also prevents the disease from spreading. In some severe cases integration of allopathic and Ayurveda is key to success.

There are few important points, which vitiligo patients should always take in account, such as:
When disease is spreading sitting in sun for prolonged period can trigger the spread.
Using Brinjal and raw tomatoes and excess of vitamin C is not good.
Irregular lifestyle is a trigger the disease along with consumption of alcohol.

All About Vitiligo

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 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

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