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Vitiligo Health Feed

How Phototherapy Can Help Treat Vitiligo?

Dr. Vijay Gupta 87% (21 ratings)
MBBS, MD - Skin,VD & Leprosy
Dermatologist, Bareilly
How Phototherapy Can Help Treat Vitiligo?

If you see continual and long-term white patches of depigmentation on your skin, it could be vitiligo. Vitiligo is a condition that appears when melanocytes in your skin are no more alive. This bunch of cells is responsible for producing the melanin pigment that endows the skin with its colour as well as protects it from the harmful UV rays. The area which may be affected by this dermatological disease varies from person to person, and it can also affect the hair, mouth and eyes as well. In most cases, the vitiligo affected area stays discoloured for the rest of the patient’s life.

Various types of vitiligo and their symptoms


Scientists have classified vitiligo into two types: segmental and non-segmental. The non-segmental vitiligo is the most common variant and 90 percent of vitiligo affected patients suffer from this kind of disorder. In this disease, the patches take place with little symmetry on both sides of the body. It can be further broken down into 5 sub-divisions.

  1. Generalised vitiligo: It can occur at any part of the body without any rules, and this is by far the most common type.
  2. Acrofacial vitiligo: It is mostly seen on the toes and fingers.
  3. Mucosal vitiligo: In this condition, the discolouration normally takes place around the lips and mucous membranes.
  4. Universal vitiligo: This is the rarest type of vitiligo where the whole body is covered in white patches.
  5. Focal vitiligo: This is most commonly found in children. The children have white and scattered patches across the body.

Possible treatments for vitiligo

Though there are no treatments possible that will re-pigment your skin to its original colour, there are several remedies that aid in decreasing the visibility of white patches on the affected areas of the skin. Some of them include:

  1. Phototherapy with UVB radiation: This is a common form of treatment where the affected area is exposed to UVB radiation and can be performed at home too. If you have large white spots across the body, it is important to have the treatment performed by an expert at any healthcare centre.
  2. Phototherapy with UVA radiation: In this treatment, a drug is first administered for increasing skin’s sensitivity to this radiation. Then the affected area of the skin is exposed to high doses of UVA radiation.
  3. Skin camouflage: In mild cases of vitiligo, cosmetic creams and make-up can be used to camouflage the affected area. It can last for about 12- 18 hours when applied in proper techniques.

In case you are suffering from vitiligo, it is crucial to speak with an expert and opt for the best means to curb down the impact of vitiligo.


 

2610 people found this helpful

I'm having white patches on my face ,which I think is due to some deficiency and I have pale white eyes too.

Dr. Jayvirsinh Chauhan 97% (18079 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
I'm having white patches on my face ,which I think is due to some deficiency and I have pale white eyes too.
It can be because of deficiencies or fungal infections or hormones etc.. You can consult me at lybrate for homoeopathic treatment...
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Vitiligo - What Are The Causes, Symptoms & Treatments For It!

Dr. Ramakant Bembde 88% (113 ratings)
MCh - Plastic & Reconstructive Surgery, DNB (Plastic Surgery)
Cosmetic/Plastic Surgeon, Aurangabad
Vitiligo - What Are The Causes, Symptoms & Treatments For It!

Vitiligo is a skin disorder where white patches of depigmentation develop on the skin and keep enlarging. This disorder is long term and continuous in nature. The patches appear due to the death of melanocytes within the skin. Melanocytes are skin pigment producing cells, which produce melanin. Vitiligo can affect the skin of several areas, including the eyes, hair, lips, breasts, etc.

Causes:
The causes of this disease are as follows:

  1. Autoimmune disorders in which the immune system of a patient becomes over reactive and the melanocytes are destroyed.
  2. Damage to the skin from burns or injury also leads to vitiligo.
  3. Exposure of the skin to several harmful chemicals may be a cause.
  4. Neural disorders are also responsible for white patches.
  5. Vitiligo may be hereditary and passed on from family members.

Symptoms:
Vitiligo has only one major symptom. White, flat spots and patches develop on the surface of the skin. The earliest of these white patches appear on the parts of the body which are exposed to the sun continuously.
It starts off as a simple spot in the beginning and gradually, the spot starts getting pale and finally turns white. The patches have irregular shapes, and in some cases the edges get inflamed and are red in color. Itchiness may be sometimes experienced in some of the affected areas. Symmetrical patches of vitiligo can also occur.

The two major types of vitiligo are:

  • Non segmental vitiligo, which affects the back of the hand, the arms, knees, elbows, feet, mouth.
  • Segmental vitiligo, which is more stable than non segmental type but spreads faster. It is usually distributed in the areas of the skin, which are supplied by the same nerves.

Treatment:
The different methods of treatment for vitiligo are: Plastic surgery & medical line of conservative treatment.

Plastic Surgery Treatment for Vitiligo:

Indications: Surgery is very much helpful in stable vitiligo patches. Especially in marriage age group patients, if there is very slow or no response to medical treatment, then cosmetic plastic surgery is a better and quicker option.

Contraindications for surgery: In children & in active unstable vitiligo patches.

Outcome varies with the body areas involved such as lips, genitals, eyelids, bony prominences, etc.The various plastic surgical options are as below:

1) Non-cultured Autologous Melanocyte transfer technique for Vitiligo:

This surgery involves taking partial thickness skin graft from normal pigmented donor areas of patient and processing it in laboratory for 2 hours to make melanocyte-keratinocyte suspension. This suspension can then be transferred on to the depigmented & dermabraded recipient Vitiligo pathed. Melanocytes present in suspension will be taken up into the dermabrasion sites and will start producing pigment in 2 to 6 months period and patches will become near normal skin colour.This technique allows larger areas to be treated in a single session using relatively smaller donor site. Also color matching of treated areas is excellent.

2) Autologous Skin Grafts:

This is most commonly used surgical method. Plastic Surgeon harvest skin grafts from the normal, pigmented skin of patient and places these grafts on the dermabraded surface of depigmented areas of Vitiligo or leucoderma.

Such skin grafts are used as sheets of graft or as small stamp grafts with Meek Micro-grafting technique. Sheets of split skin grafts produce uniform pigmentations with no cobblstoning.

Medical or conservative line of treatment:

Phototherapy with UVB and UVA light: Exposing the affected area of the skin to UVB lamps is a popular cure for vitiligo. This treatment can be performed easily at home under guidance of a dermatologist. UVA treatment incorporates taking of a drug which makes the skin more sensitive to ultraviolet light and then the skin is exposed to high doses of UVA light.

Skin Camouflage: Cosmetic creams and makeup can be used to camouflage affected areas of the skin. These topical creams are waterproof.

Depigmentation: Depigmentation is used to treat very widespread areas affecting most of the body by vitiligo. The skin color of the unaffected areas is reduced in order to match the affected areas. It is done using topical ointments.

Vitiligo is a skin disease, the major causes of which are still to be discovered. Proper care and treatment should be taken for skin areas affected by vitiligo.

3434 people found this helpful

Vitiligo - 4 Ayurvedic Methods To Treat It Well!

Dr. Pankaj Sharma 90% (67 ratings)
Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Panchkula
Vitiligo - 4 Ayurvedic Methods To Treat It Well!

Vitiligo is a medical condition, which causes the loss of skin color due to loss of pigmentation. This usually occurs in blotches and looks very unsightly. Vitiligo is very unpredictable and can affect any part of your body. In some cases it also affects the inside of the mouth, eyes, and hair. Vitiligo is more noticeable on people with darker skin tone.

Symptoms of Vitiligo:

  1. Premature graying or whitening of the hair in your eyebrows, eyelashes, scalp, and beard. This usually occurs before the age of 35.
  2. Skin discoloration can also occur from other parts of the body such as hands, feet, abdomen, neck and other areas.
  3. Change or loss of the color of the retina (inner layer on the eyeball).
  4. Discolored patches on and around the navel, rectum and genitals.

What causes vitiligo?

A medical disorder where your immune system destroys and attacks the melanin forming pigments in your skin. This is known as an autoimmune disorder and by far is the most common cause behind vitiligo. An event such as sudden or prolonged stresssunburn, or being exposed to industrial chemicals. A history of family members or relatives having vitiligo in the past.

Ayurvedic Treatments for Vitiligo:

  1. Mustard and Turmeric Oil: A paste made with mustard and turmeric oil can be applied on the affected area. This is also good for the skin and reduces vitiligo. Do this at least 2 times a day to reduce the patches considerably.
  2. Duckweed: This is a type of water plant and is very rich in a mineral called lignin. It is considered a natural treatment for skin disorders and vitiligo. It will also help to restore your natural skin color.
  3. Sun screen: If you already have vitiligo, exposure in the sun can make it worse, so applying a sunscreen with SPF 30 or above (or an appropriate level of sunscreen protection) can protect your skin from further damage.
  4. PapayaThis fruit is great for restoring and reviving melanin (responsible for skin pigmentation). Drinking papaya juice or rubbing papaya on the affected area can reduce vitiligo to some extent
3437 people found this helpful

Leucoderma - 3 Causes And Its Treatment!

Dr. Gaurav Nakra 87% (69 ratings)
MD - Dermatology, MBBS
Dermatologist, Delhi
Leucoderma - 3 Causes And Its Treatment!

Leucoderma is more commonly known as vitiligo. It is characterized by white patches developing on your body and it can happen to any part of the body. The reason why vitiligo occurs is because melanocytes, which comprise the pigment known as melanin, get damaged. Melanin imparts your skin its color, hence, a lack of it results in vitiligo. Here are the exact causes, symptoms and treatment of vitiligo:

Causes

1. Vitiligo occurs when the melanocytes, which comprise the pigment "melanin", get damaged.

2. However, it is worth note that the exact cause of vitiligo is unknown although it does affect dark skinned people a lot more. There have been many theories about what causes this disease however.

3. Vitiligo, being an autoimmune disease, is caused when the melanocytes attack your immune system.

Symptoms

1. The most common symptom of leucoderma is that white patches develop on the body.

2. The white patches appear rapidly at first followed by a rather stable period where the disease does not progress any further.

3. Leucoderma can even affect the hair and eyelids and it is extremely rare for pigmentation to come back to normal.

4. Finally, it is worth note that leucoderma has high chances of occurring to the areas of the body which are exposed more to the sun, areas where there were injuries before as well as the area around moles.

Treatment

Leucoderma can be easily cured with Ayurvedic treatment. Photo-therapy and laser also help to treat the condition faster.

Who is at risk?

Men and women are equally likely to suffer from vitiligo. However, factors such as having a family history of vitiligo or leucoderma and having autoimmune disorders make you more susceptible to leucoderma.

3735 people found this helpful

Vitiligo - How To Avoid It?

Dr. Pradnya Aptikar 92% (186 ratings)
B.A. Sanskrit, BAMS, M.A. Sanskrit, MS -Gynaecology Ayurveda
Ayurveda, Thane
Vitiligo - How To Avoid It?

Vitiligo or Leucoderma is a genetic disorder triggered due to mental stress and constipation. Leucoderma or vitiligo is called Shivitra kushta according to Ayurveda and is caused due to defect in brajak pitta. Brajak pitta is 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 like 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 produces 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:

  1. When disease is spreading sitting in sun for prolonged period can trigger the spread.
  2. Using Brinjal and raw tomatoes and excess of vitamin C is not good.
  3. Irregular lifestyle is a trigger along with alcohol.
5057 people found this helpful

Hi doctor I am 20 years old. I am from kashmir, I have white marks on my body like on my back, chest,legs, private parts etc. Doctors called it vitiligo and suggested me a medicine called trioxen. Does this medicine work properly without sunlight as here is winter for three months so no sunlight.

Dr. Jayvirsinh Chauhan 97% (18079 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
It will not work with sunlight even. It may improve the spots Little but no proper solution. Take homoeopathic treatment for better results.
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Dear doctor, I am suffering from small white patches appearing on face since I moved to hostel.

Dr. Jayvirsinh Chauhan 97% (18079 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Dear doctor, I am suffering from small white patches appearing on face since I moved to hostel.
It is mostly pytiriasis. You can consult me at lybrate for homoeopathic treatment.. It will come back if treated with only creams. Homoeopathic treatment can cure it permanently.
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Leucoderma - How Homeopathy Can Help?

Dr. Anuj Kumar 94% (67 ratings)
BHMS, ND, Reiki Level 2
Homeopath, Noida
Leucoderma - How Homeopathy Can Help?

Leucoderma in the medical world is also referred to as Vitiligo. Leuco means white and derma means skin. Leucoderma is an autoimmune skin disorder wherein parts of the skin start to lose colour. This leads to the appearance of patches of white skin. The human skin contains a pigment referred to as Melanin, which is produced by cells known as melanocytes. The pigment is dark in colour and gives the skin its colour. Melanin when present in our skin also helps to provide protection to the skin from harmful ultraviolet rays of the sun.
When there is deficiency or destruction or loss of the melanin pigment the skin loses whatever colour it had initially and in its place leads to the appearance of the white patches. The patches have no fixed shape and size and over time they tend to keep growing in size unless due treatment is received.

The areas of the body that are most prone to losing skin colour are:

• Body fold areas such as the armpit or groin
• Body openings such as hands or face

Leucoderma is neither infectious nor does it cause any pain.

Causes:

The causes of Leucoderma’s occurrence are not definite. However, some of the most common associated reasons are:

• Mental Stress
• Poor Immune System
• Acute Gastric Disorder
Hepatic functions such as jaundice
• Defective sweating mechanism
• Deficiency of either calcium, protein, or cupro minerals
• Presence of defective enzyme Tyrosinase
• Injuries sustained as a result of a burn
• Long-term disorders such as dysentery
Diabetes mellitus
• Addison’s disease
• Hereditary factors

Homoeopathy Treatment of Leucoderma:

In the medical world homoeopathy treatment of Leucoderma has shown positive results because homoeopathy true to its nature goes to the root of the issue and tries to give holistic treatment. It aids in improving the immune system and in due time restores the lost pigment melanin back to the skin and in turn, the white patches disappear.
Homoeopathy believes that Leucoderma is merely the skin’s way of expressing that there is some system disturbance on about. In some cases, homoeopathy requires a detailed understanding of the patient’s medical history and mental condition.
The duration of treatment and as well as the success of Leucoderma is a long-drawn process and depends on the extent of the white patches and the time taken by the illness to persist. As logic would say the bigger patches take a longer time to disappear whereas the smaller ones disappear faster. Generally, the time taken to treat Leucoderma can range from one year to a couple of years and even a lifetime, if in the latter case, the white patches have spread to more than 60 per cent of the body.

The Treatment Procedure:

• Once the treatment has begun the white patch areas will turn pink and then brown and then will slowly begin repigmenting.
• As part of the treatment procedure, the white patch areas need to be exposed to the sun in the early morning for about half an hour.
• A mild medicated soap should be used.
• Avoid or limit the use of cosmetic products on the skin
• Ensure that your daily diet contains sufficient portions of vitamins and proteins derived from food
• Avoid consuming citrus fruits, red meat, prawns, crabs and sour food items such as tamarind
• Try to keep yourself stress-free as much as possible
• And maintain a positive attitude

If the above-mentioned rules are followed then over time it is possible that your Leucoderma condition can be treated.


 

3167 people found this helpful
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