Is there any treatment available to cure vitiligo completely?
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Is there any treatment available to cure vitiligo completely. I have white patches near eyes, on forehead, back, neck, forearms. It started from eyelids..@19years ago (when I was 12 year old) In early stages it was moving around eyes.. Before that I had typhoid. Typhoid cured after @45 days. Immediately after that white patches appeared. I had early morning dirhea many times. Then I went thru' many treatments but the patches are still uncontrolled. Medicines prescribed were: Alopathy: placentrex injections, melanocin tablets & lotion (with sunray exposure), pigminto tablets, etc for 3-4years Homeopathy: XXXXXXX Bich, silicia, sulphur, natrum mur, etc Ayurveda: XXXXXXX bhasma,khadirarisht, & many more.
Posted Wed, 26 Mar 2014 in Skin Hair and Nails
Answered by Dr. Kakkar S. 40 minutes later
Brief Answer: NB-UVB phototherapy Detailed Answer: Hello and Welcome to healthcaremagic I am Dr. Kakkar. I have gone through your concern and understood it. Vitiligo is a condition characterized by the autoimmune destruction of melanocytes, resulting in loss of pigmentation. In vitiligo, there is a partial or total destruction of melanocytes, initially only of the epidermis and later even of the hair follicle, which acts as a reservoir for providing melanocytes during repigmentation. Vitiligo can be of various types depending on the distribution of lesions: 3 types commonly seen are: -Focal Vitiligo -Segmental Vitiligo -Generalised Vitiligo Judging from the distribution of the lesions, you seem to be having a generalised type of vitiligo, where patches are widespread and symmterical involvement is common (e.g Bilateral arms, bilateral legs etc) Medical therapies are the primary treatment for vitiligo. To enumerate them, they can be divided into topical and oral. --Topicals e.g Topical steroids, Topical immunomodulators like Tacrolimus, Topical PUVA (Melanocyl lotion)etc --Oral e.g Oral PUVA(Melanocyl tablets), NB-UVB phototherapy, Oral steroids etc. For generalised vitiligo, as seems the case here, Phototherapy remains the mainstay of treatment e.g NB-UVB and PUVA. NB-UVB is the most preferred form of therapy for patients with generalised vitiligo since it is safe, effective, well tolerable and gives long lasting results/re-pigmentation. It can also be given in children and even pregnant ladies because of its safety profile. Disadvantages with NB-UVB Phototherapy are: -It requires to be adnministered 3 times in a week for several weeks. -It is expensive in private set up though in government hospitals it is free of charge. Topical are an adjuvant to systemic treatment and include topical steroids and topical immunomodulators like tacrolimus. They accelerate the response to systemic therapy. At last, I would want to say that Vitiligo is a remitting and relapsing condition and no one can predict the future course of the disease. Treatment is directed at repigmenting the already existing patches with the most appropriate modality suitable for the particular type of vitiligo. Sometimes it responds very well at certain body sites like trunk, limbs and face but remains resistant at certain body areas like lips(perioral), fingers, palms, soles and scalp etc Since you have already tried PUVA (melanocyl tabs and lotion and pigmento tabs), though you did'nt mention about the response to this form of therapy, I would advice that you talk to your dermatologist and explore the feasibility of NB-UVB Phototherapy in your case. Hope this answers your query regards
Follow-up: Is there any treatment available to cure vitiligo completely? 40 minutes later
Sorry I forgot to mention... I have tried excimer laser treatment for @ 6months. But burn injuries & swelling red marks appears @ the spots. & puva affected to other areas. Means other skin became darker n the spots remained as it is. Thanx for your advice I just wanted to confirm if the prescribed treatment has any effects like the laser treatment? Also any preferred specialist in pune-maharashtra? & The specialists in this field in Pune
Answered by Dr. Kakkar S. 12 hours later
Brief Answer: Vitiligo Detailed Answer: Hi. NB-UVB phototherapy has no side effects as such. It is first line treatment modality for generalised vitiligo. It is generally available in all hospital based set-ups and is a very popular modality for treatment of generalized vitiligo. You can visit an experienced dermatologist of your own choice, in pune. regards