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Vitiligo

Vitiligo is an autoimmune disorder. Basically, it causes white patches to appear on the skin. Certain reasons damage melanin-producing cells called melanocytes.

Vitiligo

Vitiligo is a non-contagious disease that is caused by an autoimmune disorder. In fact, this causes the immune system to become overactive and destroy melanocytes. Therefore, this results in white patches on the skin. It may also happen because of genetic causes, injuries, exposure to harmful chemicals or neural causes. White patches that appear on the hands, feet, arms, face, and lips are the main sign. These patches do not itch or pain.

Do & Don't for Getting Vitiligo

DO: Use fabrics that absorb moisture
DO: Make use of natural oils to keep your skin healthy
DO: Bathe with mild, non-acidic body wash, glycerin-based soaps.
DO: Apply moisturisers
DO: Use a broad-spectrum sunscreen.
DO: Take physical sun protection like scarves and umbrella.
DO: Join support groups.

DON’T: Don't wear clothes made of synthetic fibres
DON’T: Avoid exposure to direct sunlight
DON’T: Don't use hair dyes, lipsticks, perfumes
DON’T: Avoid things made out of rubber
DON’T: Don't eat unhealthy food
DON’T: Don’t get tattoos.
DON’T: Avoid sunbathing.
DON’T: Don’t isolate yourself.

Affected areas are

  • Armpits
  • Groin
  • Around the mouth
  • Elbows
  • Ankles
  • Knees
  • Lower back
  • Eyes
  • Nostrils
  • Navel
  • Genitals
  • Fingers and toe tips
  • Rectal areas
  • Back of the hands

The most common type of vitiligo is the non-segmental vitiligo and is found in up to 90 per cent of cases.

In the cases of non-segmental vitiligo, patches often appear equally on both sides of the body and are also symmetrical. In most of the cases, these spots appear on parts of the skin which is commonly exposed to the sun, such as the face, neck, and hands. However, patches can also appear in other areas.

Types of Vitiligo

  • Generalized:
    This type of vitiligo appears as multiple patches all over the body. Moreover, it may occur in mirror images on the left and right sides of the body.
  • Acrofacial:
    This type of vitiligo appears mostly on the face, especially around the nose and lips.
  • Mucosal:
    The mucosal vitiligo appears mostly around the mucous membranes and lips and genital mucosa.
  • Universal:
    This occurs in extremely rare cases. However, in such a scene depigmentation covers most of the body.
  • Focal:
    Scattered white patches may develop in a single, localised area. Moreover, this type of vitiligo occurs very young children.

Treatments of vitiligo 

Vitiligo is not curable. It is only treatable. Moreover, it is not even preventable. This is because it is an autoimmune condition. When you visit a skin specialist, you need to provide your entire medical history to your doctor. In fact, your doctor will assess your skin to first rule out any other skin ailment. 

The doctor may do the following things to assess whether you have Vitiligo or not: 

  1. Use a special lamp with ultraviolet light to determine whether you have vitiligo.
  2. Skin biopsy and blood draw

Finally, your doctor will determine if you have Vitiligo. Further, he will also determine how extreme or severe your condition. He will decide on a treatment plan accordingly. 

In fact, before choosing a treatment method, doctors generally take a blood test to assess the health of the thyroid gland. This is because people who have vitiligo often have thyroid diseases. If the patient has a thyroid disease, treatment can successfully control it.  The treatments will take multiple sessions.  In fact the results will be visible over a period of 6-12 months.

The treatment approach for Vitiligo can be either one of the below treatments alone, or in combination: 

  • Topical applications

These medicines aim to restore the skin tone. However, none of these medicines stop the process of vitilig or the loss of pigment cells (melanocytes). Dermatologists may prescribe either of the following creams: 

  1. Creams that control inflammation: These creams are usually corticosteroid creams. They help affected skin to return to its original color. This is especially true in the early in the disease. However, you may not see a change in your skin's color for several months.
    These cream are effective. In fact they are the easiest to use. However, these creams may cause side effects like skin thinning. 
  2. Ointments that affect the immune system: These ointments contain tacrolimus or pimecrolimus (calcineurin inhibitors. Moreover, they are effective for people with small areas of depigmentation on the face and neck.These creams  may have fewer side effects than corticosteroids. 

 

  • Therapies

  1. Psoralen and light therapy: This treatment is a step-step process. The first step is to take psoralen orally or apply it topically. Psoralen is a plant-derived substance. After you take the psoralen, you're exposed to ultraviolet (UVA) light, UVB light or excimer light. One may need to repeat this treatment as per the dermatologist’s advice. 
  2. Depigmentation: This therapy involves the removal of the remaining color. Dermatologists may recommend this option if the vitiligo is widespread or other treatments haven't worked. 

This treatment involves the application of a depigmenting agent to the unaffected areas of skin. This area gradually lightens. Eventually, it blends with the discolored areas. The therapy is usually done once or twice a day for at least nine months, sometimes longer.

This treatment may cause certain side effects.These may  include redness, swelling, itching and dry skin. 

However, depigmentation is permanent. Although, you'll always sensitive to sunlight. As a result, you will have to take strict measures to protect yourself from the sun. 

Both these approaches tend to have better results than just medications. 

 

  • Surgery 

Dermatologists will recommend you surgery neither medications nor light therapies have worked for you. However, they may also suggest surgery in combination with other therapies. Surgery aims to even out your skin tone. It also aims to restore your skin colour.

  1. Skin grafting:  In this procedure, your doctor will remove or graft small sections of your pigmented skin. He will then attach those grafts to areas that have lost pigment. This procedure is effective for small patches of vitiligo.
    It is important to remember that this possible is risky. If not done by a well-trained dermatologist, it can result in infection, scarring, a cobblestone appearance, spotty colour or even failure of the area to recolour.
  2. Blister grafting: In this procedure, your doctor shall create blisters on your pigmented skin. Thereafter, he shall remove the top of the blisters to transplant them to the area of discoloured skin.
    There are some side effects of this surgery too. These could include scarring, a cobblestone appearance and failure of the area to recolour. Any skin damage due to the blister grafting can trigger another vitiligo patch.
  3. Tattooing (Micropigmentation): In this technique, the doctor uses a special surgical instrument to implant pigment into your skin. This procedure is most effective in and around the lips in people with darker complexions.
    However, it might get difficult to match skin color. If the procedure is not done properly, it can trigger another patch of vitiligo.

These treatments will be recommended by a dermatologist or a skin specialist. 

Lifestyle Changes

It is important to also make some lifestyle changes. 

    1. Sun protection: One must take complete protection from all kinds of UV light. Use a broad-spectrum, water-resistant sunscreen with an SPF 30. Apply sunscreen well. In fact, it is important to reapply it every three to four hours. 
    2. Make sure you take physical protection too. This includes wearing a scarf, stole, long-sleeved clothing, using umbrellas. 
    3. Don't sun-bathe. 
    4. Don't get a tattoo ever. 

Vitiligo isn’t a threatening disease. However, it affects one’s self-esteem. Many individuals feel ashamed or sad and distressed due to Vitiligo. It is even more frustrating because it recurs.

Moreover, if the condition is not letting you lead your life properly, it can become stressful. You need support to cope with it. 

    • Find a doctor who can truly help you deal with this condition. 
    • Learn and be aware about everything you need to know about the condition. Make sure you are aware about the myths and don’t believe them. 
    • Communicate your feelings with your doctor. 
    • Confide in others. Join support groups to talk to people who are going through the same issue as you. 
    • Reach out for support from your loved ones. 
    • Don’t isolate yourself ever.

TREATMENT MODALITIES


Many treatments help restore skin color or even out skin tone. However, these results vary. Moreover, they are unpredictable. READ MORE

TREATMENT VIDEOS

TIMELINE

In individuals with vitiligo, the skin may lose pigment rapidly in several areas. In fact, there may be cycles of pigment loss and stability.

PATIENT SPEAK

Patient Speak 36

Jaya More ,Kharadi, Pune

Treatment:Acne Pimples Date: Oct 18, 2019 Sessions: 4

“ Excellent guidance and neat treatment .”

Vitiligo – Q&A

Vitiligo on lips

Hello sir, Thank you for your valuable inquiry. As per your question, there may exist a possibility of vitiligo, need to examine you personally to diagnose your problem. However, “Vitiligo “ or white patch is an autoimmune skin condition. In this disease, our body’s...

read more

Popular Videos for Vitiligo

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Important Announcement

Covid-19

Video Consultation Service

Video Consultation Protocol
Hello Sir/Mam,

Clear Skin & HairMD Clinics team is pleased to offer ONLINE VIDEO Consultation facility to to help patients with their skin and hair problems.
Our expert Dermatologists, will discuss your queries related to Skin & Hair Problems & guide you regarding medication and care

Video Consultation  - Day & Time will be scheduled according to the mutual convenience of our Dermatologists & you, our esteemed patient.

Basic Information related to Video Consultation Sessions

  1. Counselling will be done with Prior appointment, which should be taken at least 2 days before the session
  2. Consultation session slot will be finalised post the payment confirmation from our accounts team
  3. Video Consulatation session duration - 15 min
  4. Consultation Fee for each session - Rs 700 (Payment Details are shared below for your reference)
  5. Sessions will be done through Whatsapp video call
  6. Before the session, you will need to share your Images and questions related to your skin/hair ailment on WhatsApp of our with our Patient Support Team at +91-74989 06403
  7. Images of the area should cover all sides. Images should be in good light with focus. For e.g. image of face should cover left and right side chin, forehead and cheeks. This will help us contextualise the discussion.
  8. Medicines will be prescribed as per the latest Medical Council of India guidelines for Telemedicine (March 2020) and sent over email and WhatsApp,
  9. Please understand that teleconsultation has its limitations as compared to in-person consultation. Because it is not possible to do detailed physical examination, the teleconsultation process comes with its limitations. The patient agrees with this limitations of teleconsultation. Also because of the inability for detailed physical examination, some medicines cannot be prescribed in a teleconsultation process, as per Government of India - Medical Council of India - latest Guidelines.Some dermatological diseases may require procedural interventions too along with the medicines. It is required by the patient to visit the clinic for the same. In such cases medicines may not be able to give maximum result.

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Timeline for Vitiligo

The doctor can diagnose vitiligo by examining the patient's skin. It is a lifelong condition. Once the skin loses the pigment, it is very rare that it will return. The vitiligo patches usually start to appear around 20 years of age. Once they appear, the size may remain stable for a while, however, with time they will get bigger and spread over the skin. It may be controlled with modern medical treatments but there is always the possibility of recurrence.

Do & Don't for Tattoo Removal

DO: Keep the affected area clean and dry.
DO: Apply antibiotic ointment 2-3 times a day.
DO: Keep it covered for the first 2-3 days.

DON’T: Take hot baths.
DON’T: Expose it to direct sunlight.
DON’T: Use any cosmetics, since they can irritate the skin.
DON’T: Scrub the treated area since it is sensitive.

Do & Don't for Getting Aging

DO: Consult your dermatologist before trying any product or treatment
DO: Use broad-spectrum sunscreen to prevent photodamage.
DO: Maintain a healthy skincare routine.
DO: Drink 2-3 litres of water daily.
DO: Eat a healthy & balanced diet

DON’T: Use sulphate and petroleum jelly based skin care products.
DON’T: Use skincare products that don’t suit your skin type.
DON’T: Leave the house without sun protection.
DON’T: Smoke and drink.
DON’T: Overuse anti-ageing products.



We are working on the content. For more information contact
Our patient support team on the number given below.
Kindly co-operate with us.

Call : +91-7798 022 622