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 and the portion inside the mouth.
The causes of this disease are as follows:
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 is experienced in the affected areas. Symmetrical patches signify slow development of vitiligo.
The two major types of vitiligo are:
The different methods of treatment for vitiligo are:
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.
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:
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.
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.
Vitiligo is neither contagious nor life-threatening. So, it does not need emergency care, but it needs minimum 6 months to 1 year of treatment and at times, even more. Usually, it is a long term disease and starts after 20 year irrespective of the gender. Ayurveda has very effective treatment for it. 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.
People suffering from Vitiligo have patches of discolored skin on face, limbs, and body. Though the condition is neither life-threatening nor contagious, the unsightly patches may beget emotional stress.
Vitiligo may also affect hair, inside of mouth and eyes. It may turn a portion of hair white, discolor a part of the mouth and change the natural color of eyes.
There is traditional treatment for this disease, but the outcome is often unpredictable. Such treatment may also cause serious side effects. Homeopathy may treat this condition successfully. In fact, a study has shown that homeopathy may be quite effective in early stages of Vitiligo.
Vitiligo is an autoimmune condition characterized by destruction of epidermal melanin cells, leading to loss of skin pigment. It affects about 2% of the population. Both men and women are likely to suffer from this condition. It mostly develops between the ages of 10 and 30. However, in some people it may also show up around the age of 40.
The apparent reason for the disease is the destruction of melanocytes; cells that impart color to the skin. An autoimmune condition is considered to be responsible for this. An overactive immune system may turn upon the melanocytes and destroy them.
● Sporadic loss of skin color throughout the body including hair and eyes.
● One may start losing skin color quickly in several areas of the body simultaneously.
● Places like armpits and areas that were previously injured are commonly affected by discoloration.
● Doctors resort to re-pigmenting by UV light, skin lightening, and even skin graft. Even if such treatment is successful, there is no guarantee that the patches will not return. Such treatment often entails the risk of side effects.
● Homeopathic treatment rarely has any side effect. More and more people are turning to homeopathy for the treatment of Vitiligo.
Homeopathic Treatment of Vitiligo
● For people suffering from Vitiligo, it is a war in two fronts, and homeopathy has the distinction of fighting such wars.
● Since Vitiligo is most probably an autoimmune condition, patients need a constitutional remedy to prevent the immune system from attacking skin cells.
● They also need to fight the skin discoloration so that the skin can get back some of its lost color.
● A study conducted on 14 patients to assess the effect of homeopathy on Vitiligo has yielded very positive results. In this study, patients were subjected to customized homeopathic treatment. Patients in the early stages of Vitiligo were found to respond positively to homeopathic treatment.
Traditional treatment for Vitiligo is time-consuming, expensive and entails side effects. Moreover, the condition may relapse after a complete or partial cure. Homeopathy may offer complete or partial relief permanently since it offers both constitutional and symptomatic remedy.
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. The inside of the mouth and nose may also be involved. Typically both sides of the body are affected. often the patches begin on areas of skin that are exposed to the sun. It is more noticeable in people with dark skin. Vitiligo may result in psychological stress and those affected may be stigmatized.
The exact cause of vitiligo is unknown. It is believed to be due to genetic susceptibility that is triggered by an environmental factor such that an autoimmune disease occurs. This results in the destruction of skin pigment cells. Risk factors include a family history of the condition or other autoimmune diseases, such as
Hyperthyroidism, alopecia areata, and pernicious anemia. It is not contagious. Vitiligo is classified into two main types: segmental and non-segmental. Most cases are non-segmental, meaning they affect both sides; and in these cases, the affected area of the skin typically expands with time. About 10% of cases are segmental, meaning they mostly involve one side of the body; and in these cases, the affected area of the skin typically does not expand with time. Diagnosis can be confirmed by tissue biopsy.
There is no known cure for vitiligo. For those with light skin, sunscreen and makeup are all that is typically recommended. Other treatment options may include
Steroid creams or phototherapy to darken the light patches. Alternatively, efforts to lighten the unaffected skin, such as with hydroquinone, may be tried. A number of surgical options are available for those who do not improve with other measures. A combination of treatments generally has better outcomes. Counselling to provide emotional support may be useful.
Globally about 1% of people are affected by vitiligo. Some populations have rates as high as 2–3%. Males and females are equally affected. About half show the disorder before age 20 and most develop it before age 40. Vitiligo has been described since ancient history.
Signs and symptoms-
Classification attempts to quantify vitiligo have been analyzed as being somewhat inconsistent, while recent consensus have agreed to a system of segmental vitiligo (sv) and non-segmental vitiligo (nsv). Nsv is the most common type of vitiligo.
In non-segmental vitiligo (nsv), there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area. Extreme cases of vitiligo, to the extent that little pigmented skin remains, are referred to as vitiligo universalis. Nsv can come about at any age (unlike segmental vitiligo, which is far more prevalent in teenage years).
Classes of non-segmental vitiligo include the following:
Segmental vitiligo (sv) differs in appearance, cause, and frequency of associated illnesses. Its treatment is different from that of nsv. It tends to affect areas of skin that are associated with dorsal roots from the spinal cord and is most often unilateral. It is much more stable/static in course and its association with autoimmune diseases appears to be weaker than that of generalized vitiligo. SV does not improve with topical therapies or uv light, however surgical treatments such as cellular grafting can be effective.
Chemical leukoderma is a similar condition due to multiple exposures to chemicals. Vitiligo however is a risk factor. Triggers may include inflammatory skin conditions, burns, intralesional steroid injections and abrasions.
Other conditions with similar symptoms include the following:
There is no cure for vitiligo but several treatment options are available. The best evidence is for applied steroids and the combination of ultraviolet light in combination with creams. Due to the higher risks of skin cancer, the united kingdom's national health service suggests phototherapy only be used if primary treatments are ineffective. Lesions located on the hands, feet, and joints are the most difficult to repigment; those on the face are easiest to return to the natural skin color as the skin is thinner in nature.
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.
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.
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.
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.
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-
Shwitra or Shwet-Kushtha can be co-related with skin disease "vitiligo" in modern biomedicine. According to Ayurveda view, the skin is one of the essential sense organs.
Vata and bhrajaka pitta reside in the skin (called twak in Sanskrit). As the skin covers the whole body, bhrajaka pitta should be maintained in a proper state, and it needs continuous care.
An imbalance in Vata and bhrajaka pitta may cause skin diseases.
1) Vitiligo is purification therapies (shodhana karma) using herbal decoction Vaman Virechan Basti 2) oil massage using oil selected on the basis of patient examination (rogi pariksa) and disease (roga) & lepam
3) Jalokavacharan(leech therapy) as shown in the photo
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.
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.
Vitiligo or Leucoderma is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Similar patches also appear on both the mucous membranes (tissues that line the inside of the mouth and nose), and the retina (inner layer of the eyeball). The hair that grows on areas affected by Vitiligo sometimes turns white. The most widely accepted view is that the depigmentation occurs because Vitiligo is an autoimmune disease - a disease in which a person's immune system reacts against the body's own organs or tissues.
In Ayurveda, the reason behind autoimmune diseases is mostly virudh aahar sevan, that is, eating foods that are opposite in nature (such as eating fish and milk together). This results in toxin formation inside the body, which ultimately disturbs the immune system due to which the pigment-producing melanocytes cells get degenerated, causing Vitiligo.
Additionally, Vitiligo is said to be associated with certain auto-immune and inflammatory diseases such as Thyroid, Diabetes, Psoriasis and Pernicious Anemia. Vitiligo may also be hereditary; that is, it can run in families. Children whose parents have the disorder are more likely to develop Vitiligo.
Ayurvedic Vitiligo Treatment
According to Ayurveda, Vitiligo or Shwitra is caused due to the aggravation of Pitta in the body. Pitta is an Ayurvedic humor that symbolizes fire and is manifested in the skin, along with other organs. Pitta is of five types. One of them is Bhrajak Pitta, which gives coloration to the skin. In the case of Vitiligo, Bhrajak Pitta gets imbalanced, leading to the formation of ama, which consequently impairs deeper body tissues such as rasa dhatu (nutrient plasma), rakta (blood), mamsa (muscles) and lasika (lymph). This ultimately causes depigmentation of the skin.
The disease is deep-rooted and needs specific treatment that includes the right diet and specialized herbal combinations to pacify Pitta and cleanse ama from the body.
Diet & Lifestyle Advice
Looking for top dermatologist in Bangalore to treat your skin problems. These top dermatologist in Bangalore are considered to be best doctors when it comes to treating any kind of skin or hair problems like hair fall, hair transplant, acne, pimple problems and various anti-aging treatments like botox, fillers. Below are the top 10 dermatologist in Bangalore:
MBBS, MD - Dermatology , Venereology & Leprosy
Consultation fees: ₹300
Dr Ramya M N in 4 years of her practice has made to best dermatologist in Bangalore. She currently practices at her own clinic Healios Cosmoderma. Her areas of expertise are derma roller treatment, anti-ageing treatment, vampire face lift treatment and bleaching treatment and treating various problems with hair.
MD - Dermatology, MBBS
Consultation fees: ₹500
Dr. Rasya Dixit,runs her own practice at Dr Dixit Cosmetic Dermatology and has more than 16 years of experience and expertise in this field. After pursuing her MD, she further trained herself in aesthetic plastic surgeons. Years of international experience, she has specialised in botox, fillers, laser hair reduction, laser skin rejuvenation. She keeps herself up to date with latest technologies and new advancements in the treatment.
Consultation fees: ₹500
Kaya Ltd is more than 15 years old and has centers all across India as well as in the Middle East. Kaya offers a number of services and when it comes to hair and skin problems in Bangalore, it is considered as one of the best. They specialise in laser treatment, medical cosmetologist, breast lift/augmentation/reduction.
FRGUHS, DDVL, MBBS
Consultation fees: ₹400-450
Dr. Vignessh Raj is a reputed dermatologist with 10 years of practice. He is a professional member of the Indian Association of Dermatologists Venereologists and Leprologists (IADVL). His areas of specialization are Anti-Ageing Treatment, Chemical Peel Treatment, Derma Roller Treatment, Hair Mesotherapy Treatment, Restylane Vital Treatment, Vampire Face Lift Treatment, Acne Treatment, Botox Treatment, Wart Removal, Electrocautery Therapy, Collagen Induction Therapy, Atopic Dermatitis Treatment, Skin Rejuvenation, and Facial Hair Transplant. He is associated with multiple clinics and hospitals.
MBBS, MD - Dermatology , Venereology & Leprosy
Consultation fees: ₹300
Dr. Prem, has 36 years of experience and is associated with many hospitals and clinics across Bangalore. He has treated many cases of skin problems using procedures like chemical peeling, anti-aging treatment, derma roller treatment, laser treatment for tattoo and facial hair removal. He is a member of many national and international associations.
MBBS, MD - Dermatology, Venereology & Leprosy, FRGUHS (Cosmetology)
Consultation fees: ₹400-450
Dr. Sankeerth Vijayakumar is a consultant dermatologist and a cosmetologist with 8 years of practice.He is currently associated with Dermaville Skin Clinic and Fostr Healthcare and Diagnostics, Bangalore. He is academically very sound and has presented many papers on national and international level and is member of many associations. His areas of keen interest are general dermatology, acne treatment, anti-hair fall PRP therapy, hair transplant, lasers for scars/ pigmentation and hair reduction, botox, fillers, thread lifts, chemical peels, and skin rejuvenation.
DNB, MD, MBBS
Consultation fees: ₹400
Dr. Rajeshwari K.A Bhat is a reputed dermatologist with 13 years of practice and is a member of the Indian Association of Dermatologists Venereologists and Leprologists (IADVL) and the Association of Cutaneous Surgeons of India (ACSI). She has several years of experience from different parts of India and has treated thousands of patient. She specialises in various treatments like Derma Roller Treatment, Hair Mesotherapy Treatment, Bleaching Treatment, Glycolic Peel Treatment, Dimple Creation, Lactic Peel Treatment, Photo Facial Treatment, and Electrocautery Therapy. She is also considered very good at Collagen Induction Therapy and Skin Refinement Treatment.
MBBS, DVD, MD - Dermatology
Consultation fees: ₹750
Dr. Shetty has been practicing from 32 years and currently practices at Dr Shetty's Medical & Aesthetics Skin Solutions Pvt Ltd, Bangalore. One of his greatest achievement is being among the early pioneers in the use of Lasers in Dermatology and Cosmetology in India. He is known for use of advanced procedures and techniques for hair transplant. Apart from hair disorders, he is also known for his anti-ageing treatments using lasers.
MD - Dermatology, MBBS
Consultation fees: ₹350
Dr. Rashmi Ravindra has 16 years of experience and is considered to be excellent at Facial Rejuvenation Treatment, treating Vitiligo, Eczema and Acne. She is currently affiliated to Meenakshi Cosmo Derma Care. She is associated with some of the most reputed institutes and associations in India.
MBBS, Diploma of the Faculty of Family Planning (DFFP), Diploma in Practical Dermatology, MRCGP
Consultation fees: ₹750
Dr. Shuba Dharmana is amongst the most popular name in the field. She has several awards in her 19 years of career including “Woman Entrepreneur of the Year 2012”. She is the founder and CEO of Lejeune Group of Medspas where she currently practices. She expertises in anti-ageing treatment, aesthetic medicine and Hair Transplantation. She has opened few clinics in different parts of London and UK and is a visiting consultant at different clinics at Bangalore, Vizag and Hyderabad.