Vitiligo affects millions of people in the United States, billed as the color porcelain white patches on the skin. While some patients simply cover their Vitiligo suncreens and / or cover-ups, there are effective treatments for often brings the background color.
First, you need to eat a balanced diet containing proteins. The body, especially the needs of two proteins, phenylalanine and glutamine for the production of melanin, the pigment in the skin. An alternative is to take these pills. Antioxidant vitamins have also helped some patients. There are prescription creams that can be applied at night to set the background color. Cortisone and tacrolimus most frequently used. These take months to work. When the color begins to recover what starts as small spots that gradually enlarge.
There is a new Topical treatment is the pepper oil that contains piperine. Recent studies show promise. The cream work alone but the best results when combined with narrow band ultraviolet light. This is best done with the excimer laser or a light box. An older treatment is occasionally used PUVA. Narrowband UVB is better tolerated so that narrow-band UVB PUVA here there are complications such as abdominal pain and the need for eye protection necessary to PUVA. PUVA patients take an extract celery by mouth or applied the chemical in the skin and UVA tanning rays are delivered to the skin. Sometimes we use surgery to treat areas white.
Normally pigmented skin is removed and cultured in the laboratory. On the same day they are transplanted to the white spots. This is called MK and can Noncultured done in all areas, including in sensitive areas like the eyelids, genitals, hands and feet. If patients have more than 50% of lost pigment and do not want to undergo treatment, all organs of pigment can be removed. This is achieved with a topical cream called monobenzone. This is a drastic step and only wants to do the patient understand the permanence of this action.
cultural orientation before doing this is important. If a vitiligo patient chooses to use a cosmetic cover-up then they must shun self tanners contain dihydroxyacetone. Recent evidence that self-tanning with this chemical may prevent the effectiveness of the treatments discussed above. Remember that there are treatments for vitiligo. Find a doctor who understands their concerns, their illness and its treatment.
For more information about acne treatments laser http://www.laser18.com/vitiligo-treatment.html
Sandy Milgraum, MD
Associate Professor of Dermatology
Robert Wood Johnson Medical School
East Brunswick, NJ 08816
732-613-0300
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