Vitiligo Treatment in Hyderabad,india
Vitiligo is a common condition in which the skin loses the pigment that determines its color. It happens when melanocytes , the cells responsible for colour of skin, hair and eyes, die or are unable to function.
This leads to gradually enlarging white patches of irregular shapes to appear on the skin.
The white patches are more common where the skin is exposed to the sun, but other areas like mucous membrane, hair, genital organs are also affected.
The cause of vitiligo is unknown. But some research suggests the below said reasons
Autoimmune– Mainly in Hyper Thyroidsm.
Genetic- Chance of getting if a close relative has vitiligo.
Other Reasons – Pernicious anemia, Adrenocortical insufficiency. oxidative stress, neural, or viral causes, Alopecia Areata.
Vitiligo affects all races, but may be more noticeable in people with darker skin. It usually starts as small areas of hypopigmentation that spread with time. The scalp Hair, eye brows, eye lashes etc. also tend to become white.
Clinical presentation includes depigmented patches, which are often bilateral, symmetric, and periorificial. The skin samples show no or very few melanocytes on microscopic examination
Vitiligo is not contagious, but it tends to run in family.
It is not life threatening, but can act as life altering. It plays an important role in self esteem and personality, often leading to emotional stigma and lack of confidence in public.
Generalized Vitiligo: the most common pattern, wide and randomly distributed areas of depigmentation
Universal Vitiligo: affects most of the body
Focal Vitiligo: one or a few scattered macules in one area, most common in children
Acrofacial Vitiligo: fingers and periorificial areas
Mucosal Vitiligo: only the mucous membranes
TIPS FOR MANAGING
Sun protection is inevitable as the affected area is easy vulnerable to sunburn. So always apply and Re-apply every 2-3 hrs sun protection lotion, and avoid sun bath and sun lamps.
There are many treatment options. The goal of most treatments is to restore lost skin color.
Topical agents like a potent cortico steroid, along with oral medicines
Using Make-ups like self tanner, Skin Dye etc.
Light Box for more areas and Laser for small areas
4)PUVA Light Therapy
UVA Light and a medicine called Psoralen(topical or internal) are used for this therapy.
-Autologus Skin Grafts- Mainly used for patients affected with small areas so that the un affected areas can be taken as donors.
-Melanocyte transplantation- Melanocytes are grown in a laboratory from a normal skin area from the patient,
The unaffected area is depigmented as early as possible artificially to match the white skin. This is more useful in cases of wide spread situations