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 

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 is a disease that causes the loss of skin shading and colour in patches. The degree and rate of colour loss from vitiligo cannot be determined. It can influence any part of the skin on your body. It might also influence one s hair, inside of the mouth and even the eyes. 


Ordinarily, the shade of one s hair, skin and eyes is measured by melanin. Vitiligo happens when the cells that create melanin quit working or die. Vitiligo influences individuals of all skin types; however, it might be more common in individuals with a darker skin. The condition is not contagious or life threatening.


Numerous medicines may be used to restore the skin shading or level out the skin tone. A few medicines might have some serious side effects on some people. So your specialist may propose that you first try to improve your skin by applying self-tanning products or make-up. Here are some of the top ways to treat vitiligo:


Medicines 
Creams that control aggravation: A topical corticosteroid may cause the skin to return to its natural shade (repigment), especially if you begin utilising it right at the start of the disease. 
A type of vitamin D: Topical calcipotriene (Dovonex) is a cream that can be used with corticosteroids. Possible reactions include dry skin, rash and itching. 
Medicines that influence the immune system: Treatments containing tacrolimus or pimecrolimus (calcineurin inhibitors) might be compelling for individuals with little ranges of depigmentation, particularly on the face and neck.
Therapies
Light therapy: This uses a narrow band of UVB light. You may get treatment in a specialist s office up to three times each week. 
Laser treatment: This technique brings the shading back to the patches of light skin by treating them with an excimer laser, which utilises a particular wavelength of UVB light. 
Depigmentation: A solution with monobenzone is connected to the unaffected zones of the skin. This progressively lightens the skin so that it blends with the affected areas.
Surgery
Skin grafting: In this system, your specialist removes little segments of your ordinary, pigmented skin and joins them to regions that have lost colour. 
Rankle grafting: In this system, your specialist makes blisters on your pigmented skin with suction. He or she then removes the highest points of the blisters and transplants them to a range of stained skin. 
Micropigmentation: In this method, your specialist utilises an extraordinary surgical instrument to embed colour into your skin. 
Other treatments
Shield your skin from the sun and UV light. In case that you have vitiligo, especially in case you have light skin, use a wide range of waterproof sunscreen with an SPF of not less than 30. 
Abstain from tattoos that are not associated with treating your vitiligo. 
Make-up concealers may enhance the appearance of the skin and help you feel better about yourself, particularly if your vitiligo patches are on uncovered skin.


4 Top Ways You Get Vitiligo Treated

The main pigment responsible for the hair and skin color is melanin. Melanocytes are the cells involved in the formation of melanin. Vitiligo is a dermatological condition (depigmentation) characterized by white spots or patches that appear in the body. Lack or absence of melanin is often responsible for the appearance of the white patches. Improper functioning or destruction of the melanocytes may interfere with the cell's ability to produce melanin. The condition can also affect your hair, scalp, eyebrows, and eyelashes, resulting in their premature graying or whitening.

Vitiligo can be localized (only one or very few body parts are affected), generalized (affecting many body parts) or segmented (the condition affects only one side of the body). An autoimmune condition such as Diabetes (Type-1) or Hashimoto's thyroiditis may trigger the destruction of the melanocytes. Vitiligo may also be a hereditary condition. In some cases, stress or exposure to harmful chemicals may be responsible for the destruction of the melanocytes.

While many people confuse vitiligo with leucoderma, there is a small difference between the two. Like vitiligo, the white watches in leucoderma appear due to the destruction of the melanocytes. However, the destruction of the melanocytes in the case of leucoderma may result from an accident, a cut, burn or tear.

When it comes to the treatment, many people prefer homeopathy over conventional treatments and medications. Being natural with negligible or no side effects are the main USP of homeopathic treatment. People with vitiligo and leucoderma have benefitted immensely from the treatment. The treatment may not provide you with immediate results, but it is worth your time and patience. Most of the homeopathic medicines activate the melanocytes. This activation triggers the formation of the melanin, thereby resulting in re-pigmentation.

The following homeopathic medicines are very effective against vitiligo and leucoderma.

Silicea 30: Silicea 30 is helpful for people with a sensitive skin that appears waxy and pale. In such patients, the patches or spots are not typically white but slightly rose-colored. There is extensive sweating of the hands and feet. The fingertips also appear cracked with brittle nails.
Arsenic Album: In some patients with vitiligo or leucoderma, the skin may appear dry and rough. In addition to the white patches, a person may complain of exhaustion and asthma (not in all patients). The person may show signs of extreme restlessness and anxiety. They freak out over cleanliness and neatness. Such patients benefit immensely from Arsenic Album.
Calcarea Carb is used to treat vitiligo where the patches appear milky white in color. There may be a weakness in the bones as well.
Sepia: Sepia is used when people with vitiligo distant themselves from their families and loved ones.
Nitric Acid 30 is used in the case of the white spots appearing at the mouth, nipples, nose, eyes, penis, vulva (mucous junctions).


Also, Sulfur, Psoralea Coryl 3X, Staphysagria, Borax, are equally helpful in treating vitiligo and leucoderma. To play it safe, use the medicines only after consulting a specialist. Self-medication may not be a wise idea.

Vitiligo And Leucoderma - Homeopathy Remedies Help In Treating Them?

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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