Asked for male, 28 years old from Bangalore
It is vitiligo or leukoderma.
Vitiligo is a skin condition that causes the skin to lose its color. As the skin pigment disappears, people see white (or lighter-colored) patches. Unlike Peecher, most people see changes to their skin color, but they donât feel anything.
It is caused by auto-immune damage of melanocytes in skin in patchy distribution. Melanocytes make the pigment of skin known as melanin.
Usually it is slowly progressive.
Vitiligo is not contagious. It is not life-threatening. But, vitiligo can be life-altering. Some people develop low self-esteem. They may no longer want to hang out with friends or develop serious depression. Most people have vitiligo for life, so itâs important to develop coping strategies. Steroids may be tried to arrest it's progression but usually have not become successful in most of cases.
Sunlight stimulates formation of melanin by remaining melanocytes but may also damage the skin of white patches as melanin pigment which absorbs harmful ultraviolet radiaton from reaching deep layers of skin is absent in these patches.
You may need to apply sunscreens to white patches while going out in sun to protect damage to deep layers of skin at patches
Treatment of Vitiligo:
The type of treatment that is best for you will depend on your preference, overall health, age and where the vitiligo appears on your body. Some people choose not to treat vitiligo as it is more of a cosmetic problem than a medical problem.
1. No medical treatment (use cosmetics to add lost color):
Cosmetic options include makeup, a self-tanner and skin dye.
Offers safe way to make vitiligo less noticeable.
Often recommended for children because it avoids possible side effects from medicine.
Drawbacks: Must be repeatedly applied, can be time-consuming, takes practice to get natural- looking result.
2. Medicine applied to the skin:
Several different topical (applied to the skin) medicines can repigment the skin.
Prescribed for small areas.
The most commonly prescribed medicine is a potent or super-potent topical corticosteroid. About half, 45 percent, of patients regain at least some skin color after 4 to 6 months.
A topical corticosteroid may be combined with another medicine to improve results.
Topical medicine works best in people with darkly pigmented skin.
Topical medicines are most effective on certain areas of the body, such as the face. They are least effective on the hands and feet.
Not all topical medicines should be used on the face.
Drawbacks: These medicines have possible side effects, so patients must be carefully monitored. A possible serious side effect of using of a topical corticosteroid for a year or longer is skin atrophy. This means the skin becomes paper thin, very dry and fragile.
3. Light treatment:
Uses light to repigment the skin.
Patient may sit in a light box or receive excimer laser treatments.
Light box used to treat widespread vitiligo; laser used to treat small area.
Works best on the face; least effective on hands and feet.
Effective for many patients; about 70 percent see results with excimer laser.
Results can disappear. About half, 44 percent, see results disappear within 1 year of stopping treatment. After 4 years, about 86 percent lose some color restored by treatment.
May cause patients with darkly pigmented skin to see areas of darker skin after treatment, but treated skin usually matches untreated skin within a few months.
Requires a time commitment. Patients need 2 to 3 treatments per week for several weeks.
May be combined with another treatment such as topical corticosteroid.
4. PUVA light therapy:
Uses UVA light and a medicine called psoralen to restore skin color.
Psoralen may be applied to the skin or taken as a pill.
Bagchi (a herb also contains psoalens, and may be used.
Can treat widespread vitiligo.
About 50 percent to 75 percent effective in restoring pigment to the face, trunk, upper arms and upper legs.
Not very effective for the hands or feet.
Time-consuming, requiring treatment at a hospital or PUVA center twice a week for about 1 year.
Psoralen can affect the eyes, so this treatment requires eye exams before starting treatment and after finishing treatment.
To help prevent serious side effects, patients need to be carefully monitored.
May be an option when light therapy and medicines applied to the skin do not work.
For adults whose vitiligo has been stable (not changed) for at least 6 months.
Not for children.
Not for people who scar easily or develop keloids (scars that rise above the skin).
Different surgical procedures available. Most involve removing unaffected skin or skin cells and placing where need pigment.
Can be effective for 90 percent to 95 percent of patients.
Possible side effects include failure to work, cobblestone-like skin and infection.
6. Unconventional treatment:
Some vitamins, minerals, amino acids and enzymes have been reported to restore skin color in people who have vitiligo.
Most have not been studied, so there is no evidence to support these treatments and no knowledge of possible side effects.
Ginkgo biloba, an herb, has been studied in a clinical trial. Results from this trial indicate that the herb may restore skin color and stop vitiligo from worsening.
In the ginkgo biloba trial, 10 patients given ginkgo biloba had noticeable or complete return of skin color. Two patients taking the placebo (contains no active ingredient) also had noticeable or complete return of skin color.
Because some patients taking the placebo regained their skin color, more study is needed.
This treatment removes the remaining pigment from the skin.
Very few patients opt for this treatment.
Removing the rest of the pigment leaves a person with completely white skin.
It may be an option for an adult who has little pigment left and other treatment has not worked. Removing the remaining pigment can be an effective way to get one skin color.
To remove the remaining color requires you to apply a cream once or twice day. This cream gradually removes color from the skin.
Depigmentation can take 1 to 4 years.
Once treatment is finished, some people see spots of pigment on their skin from being out in the sun. To get rid of these spots, you can use the cream that removed your remaining skin color.
It is not possible to predict how a patient will respond to treatment. It is important to keep in mind that no one treatment works for everyone. Results can vary from one part of the body to another. Combining two or more treatments often gives the best results.
Patanjali claims that:-
Agnijith, a natural medicine for vitiligo, is scientifically proven for its capability to produce pigmentation in areas lacking color. The medicine is very effective for preventing vitiligo by blocking the loss of pigment cells from the skin. The medicine is also a cream with high anti-microbial properties, which is easily absorbed by the skin and increases blood circulation at the capillary level.
Homeopathic Remedies for Vitiligo BOERICKE- SKIN- LEUCODERMA.
Aurvedic & Homeopathic doctors very enthusiastic claims but lack any controlled clinical trials and in fact their effect on vitiligo occurs very insignificant in most of cases. Actually they are not selling remedies to you but are selling hopes to you in exchange of money for ailments for which there is inadequate treatment in modern medicine (as some call it allopathy in retaliation).
In fact truth reveals it self clearly when you go on practicals and medicine is a matter of truth, not a matter of faith as truth would treat your ailments, not the faith but faith is important as well to make you stick to treatment.