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Suggest Treatment For Autoimmune Vitiligo And Ridges On Nails

Posted on Tue, 27 Jan 2015

Question: Hello,
I have autoimmune vitiligo, ridges appeared on nails, some premature grey hairs, restless leg - have times where want to move legs.
So I did a blood test. A few things were out, does blood test point towards anything here?
http://www.imagesup.net/?di=0000 - blood test results.
Also, anything else I should test? My cortisol was out on another test, testosterone a bit low but normal, DHEAs were higher.
Trying to find out if something is wrong like a nutrition or something.

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Please upload your test results on your query page.

Detailed Answer:
Hi Sir,

I understand your query and concern.

Autoimmune vitiligo has various implications.

I need your test results and images to comment further as i am unable to access your website provided.

II request you to kindly upload your test results in the"upload load reports" column on Left side your dashboard page.

Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Suresh Heijebu (4 minutes later)

Thanks, I've attached. The MCV is one thing that seems not right? Not sure.

Answered by Dr. Suresh Heijebu (12 hours later)

Brief Answer:
Additional ANA screen will be helpful.

Detailed Answer:
Hi Sir,

I have gone through all your reports.

All seem to be okay except MCV.

Elevated MCV can significantly point to underlying Vitamin B12 of Folic acid deficiency.

Hence I recommend you to get tested for Serum B12 levels.

Along with this i also suggest additional tests in the form of complete ANA screen to detect any coexistent autoimmune disorders with autoimmune vitiligo.

Post your further queries, if any.
Thank you.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Suresh Heijebu (28 hours later)

Hi,
I had an active b12 test which came back as 73 pmol/l range is 25 to 165..

Im currently taking anibiotic for acne.

The supplement b complex im having i've now been taking for around a month.

Could it be folic acid im deficent in?

I also enjoy beer two days a week, quite a lot.

Answered by Dr. Suresh Heijebu (6 hours later)

Brief Answer:
Get blood folic acid and thiamine levels.

Detailed Answer:
Hi Sir,

I understand your concern.

Your B12 levels are quite normal.

Certainly you need to get tested for folic acid and thiamine deficiency as well.

Since both are quite prevalent in the population in general.

Also beer consumption can contribute to such deficiencies.

Thank you

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Suresh Heijebu (2 hours later)

Thanks for your reply. So you would be concerned with my MCV as a doctor?
I will show it to my dermatologist too as I see him soon.

Do you recommend I take a 'high dose' vitamin b complex supplement? I am taking a b complex but there are stronger ones from where I buy also the stronger ones include something called PABA?

How long would it approx take for the b to rise to normal level?
How long would it take for the grey hair to reverse to normal and the nails to look healthy and lunulas to reappear?

Thanks

Answered by Dr. Suresh Heijebu (8 hours later)

Brief Answer:
High dose superior vitamins are helpful.

Detailed Answer:
Hi Sir,

I understand your concern.

Yes certainly a high dose multivitamin coupled with Zinc fortification(approx 60 mg /dose) is very essential.

Discuss the same with your dOCTOR

Additional PABA is also very effective.

The both MCV should settle in 12 weeks.

The nail and hair changes take longer time of 6-8 months for restoration of nail anatomy.

Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju