Diagnosis of Vitiligo Clinical Examination
Depigmented patch is usually the diagnostic features of Vitiligo. There may be a predisposing history of a rash/sunburn or trauma at the site of patch 2-3 months prior to the onset or History of auto-immune disease in the family. A biopsy of affected skin confirms Vitiligo.
Skin disorders are one of the hardest ailments to get accustomed to especially when it is located in a place that is difficult to conceal like the face, even with make up. The problem becomes more worrisome if the ailment does not respond to skin disorder treatments...
Vitiligo Laser Treatment Vitiligo Laser Treatment is the latest and most effective treatment for this skin disease. For the most part, other treatments are ineffective or merely cover up the loss of pigment while not helping repigment the skin. However, laser treatment offers a promise of excellent results.
Vitiligo laser treatment involves using a xenon-chloride excimer laser, sometimes called an XTRAC system, the first excimer laser system approved by the FDA. This Vitiligo Laser Treatment system uses a special fiber optic device to carefully focus a beam of light on the area affected by vitiligo. Notice that it only concentrates light on the affected areas – that is very important, because it allows the system to deliver enough light to the affected areas to effectively treat the area without risking over exposure to ultraviolet rays.
Other vitiligo treatment used is exposure to ultraviolet light rays, which are what stimulate production of skin pigment. The drawback to this solution is that since the UV rays are not focused as in laser treatment, you are subject to all of the dangers of exposure to UV rays.
Vitiligo laser treatment works by stimulating the melanocytes in your skin. Melanocytes are the cells in your skin that produce melanin, a pigment that colors your skin and hair. Once your melanocytes have been stimulated by this treatment, they can resume normal production of melanin,which will then cause a re-pigmentation of your skin, effectively treating vitiligo.
Several studies have been conducted and published on Vitiligo laser treatment, and they certainly show promising results. For example, two pilot studies were published in the May 2002 issue of the Journal of the American Academy of Dermatology.
In one of the Vitiligo laser treatment studies, the researchers found that out of the 23 vitiligo patches that receive at least 6 treatments, 57% of the treated patches showed somewhere between 5% and 25% re pigmentation. Of the 11 vitiligo patches that received all 12 treatments, 82% of the treated patches showed some repigmentation. Untreated patches were also used a controls to ensure the accuracy of the study. These control patches were unchanged.
Vitiligo laser treatment is a completely painless treatment. The only side effect is that the skin may turn light pink for a day of two after treatment, due to the ultraviolet light exposure. The skin will then gradually begin to darken after subsequent treatments.
Topical corticosteroids: is a vitiligo treatment that can possibly put back a little colour into the affected skin most especially if this vitiligo treatment is taken at the early stage. The ingredients that are used in this vitiligo treatment are similar to the hormones that are produced by the adrenal glands.
Topical psoralen plus ultraviolet A. This type of vitiligo treatment is a good choice for patients who only have a small incidence of vitiligo patches – those that affect only 20 per cent of the body. This form of vitiligo treatment is done by putting the patches under artificial UVA light. The affected areas are applied with a psoralen before the light treatment is done. This vitiligo treatment has a few short-term side effects, like severe sunburn or blistering.
Oral psoralen photochemotherapy is used if the affected areas of the body are more than 20 per cent. Psoralen is taken orally in this form of vitiligo treatment, which is not recommended for children that are ten years old or younger. Aside from sunburn, other side effects of this vitiligo treatment is itching, nausea, vomiting and abnormal hair growth.
Autologous skin grafts are a form of surgical vitiligo treatment that uses grafts of your own healthy skin. Small patches of healthy skin are removed from one area and then grafted into an area that is affected by vitiligo.
Blister grafting is a vitiligo treatment that seeks to promote the growth of blisters in a normal skin area by means of suction. The blisters are then cut and transplanted to the cut blister area of the affected site.
Several methods of treatments are available with varying success rate. The most commonly used is called PUVA therapy where in patient is given oral/topical psoralens followed by exposure to ultra-violet light. The success rate is limited (Only 60% achieve more than 30% repigmentation) & difficult areas like hands, fingers, feet, ankles, lips do not pigment.
This should be considered for patients in whom
Vitiligo has not changed o ver a period of one year.
Failed medical line of treatment.
No New hypopigmented patches should develop in this one year period.