Vitiligo is also known as ‘Leucoderma’ in India, it is considered as a social stigma. Vitiligo is the appearance of single or multiple depigmented patches on any part of the body. These patches gradually increase in size & cause lot of psychological stress in the patient. It is an auto-immune condition and may have a genetic predisposition. Treatment of vitiligo usually takes a long time. Medical treatment helps arrest the spread of depigmentation and in some cases, may bring back the pigmentation. In the majority of cases, light therapy is helpful in treating vitiligo, in getting repigmentation. However, repigmentation in cases of ‘stable vitiligo can be achieved by various dermatological techniques.
Phototherapy includes treatment with UVA (Ultraviolet A) or UVB (Ultraviolet B) radiations. UVA therapy enhances skin re-pigmentation. An oral psoralen compound is given to the patient. Two hours later, the de-pigmented patch on his body is exposed to ultraviolet-A (UVA) rays, for a fixed time duration. This should be supervised by a medical personnel.
Treatment with UVB rays is another option. The advantage of Phototherapy is can be taken on the day and also at night time, parameters monitored, privacy is maintained. Targeted phototherapy- when vitiligo patch is restricted to particular part of the body and stable then we can give this.
Treatment Modalities :
- No steroid therapy
- DAAVLIN 48 Tubes Computerised Chamber ( USA)
- Narrow Band UVB Phototherapy
- PUVA – Ultraviolet – ‘A’ Light With Psoralen Tablet
- Targeted Phototherapy
- Surgical Management
- Miniature Punch Grafting
- Suction Blister Grafting
- Non-Culture Melanocyte Transfer
- PRP – Platelet Rich Plasma Therapy.