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Suggest Treatment For Vitiligo In An Elderly Person
Question: Hi Doctor !
I am 67 years old Male and since 7 years now I have a vitiligo disease (which starts age 60 ) .
Initially, the small white patches appeared on the private areas on my body (wrist area, groin area and my armpits ) and now its slowly spreading .
White patches appear symmetrically in the same areas on my body. (for example: both side of the left and right hands )
I have consulted with skin doctor and try couple different medicines such as ( MELGAIN PLUS 25 ml made in Cuba ) and (MELANOCYL-OINTMENT 25g) seems like a treatments not helpful and I want to change the treatment. Please suggest what I should do ?
I am 67 years old Male and since 7 years now I have a vitiligo disease (which starts age 60 ) .
Initially, the small white patches appeared on the private areas on my body (wrist area, groin area and my armpits ) and now its slowly spreading .
White patches appear symmetrically in the same areas on my body. (for example: both side of the left and right hands )
I have consulted with skin doctor and try couple different medicines such as ( MELGAIN PLUS 25 ml made in Cuba ) and (MELANOCYL-OINTMENT 25g) seems like a treatments not helpful and I want to change the treatment. Please suggest what I should do ?
Brief Answer:
Management of progressive vitiligo
Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have gone through your complaints as well as reviewed the attached photographs.
You are having symmetrically progressive vitiligo for which I recommend my patients to take oral medication along with topical medicines.
If I was your treating doctor I would recommend you to take oral steroids like tablet betamethasone 0.5 mg per week body weight per day on 2 consecutive days in a week.
This needs to be continued for a long time but under the supervision of the dermatologist.
Besides this I would recommend you to apply tacrolimus 0.1 ointment on the affected area once daily at night and clobetasol propionate cream on the affected areas in the morning.
These are prescription drugs and you need to see the doctor in person to get them.
Regards
Dr Asmeet
Management of progressive vitiligo
Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have gone through your complaints as well as reviewed the attached photographs.
You are having symmetrically progressive vitiligo for which I recommend my patients to take oral medication along with topical medicines.
If I was your treating doctor I would recommend you to take oral steroids like tablet betamethasone 0.5 mg per week body weight per day on 2 consecutive days in a week.
This needs to be continued for a long time but under the supervision of the dermatologist.
Besides this I would recommend you to apply tacrolimus 0.1 ointment on the affected area once daily at night and clobetasol propionate cream on the affected areas in the morning.
These are prescription drugs and you need to see the doctor in person to get them.
Regards
Dr Asmeet
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Dear Dr Asmeet
Great Thanks for care
Could you please explain me: What was the reason of appearing vitiligo on me. what means if person has vitiligo in simmetrically.
and may you tell me, Does this vitiligo can be cured out, or not.
Waiting your detailed answer
Thanks
Great Thanks for care
Could you please explain me: What was the reason of appearing vitiligo on me. what means if person has vitiligo in simmetrically.
and may you tell me, Does this vitiligo can be cured out, or not.
Waiting your detailed answer
Thanks
Brief Answer:
Vitiligo is an autoimmune disease, can occur at any age in any individual
Detailed Answer:
Vitiligo is basically an autoimmune disease which can occur in any individual at any age. It is basically related to destruction of the pigment producing cells by various mechanisms.
It has been seen that 10 percent of the affected individuals have a positive family history.
Even symmetrical distribution of vitiligo is very common and there are no specific reasons for it.
Vitiligo has an unpredictable course in different individuals.
Looking at your photos their is a possibility of it resolving but with a prolonged supervised treatment.
The main aim of treatment in initial stage is to stop progression followed by repigmentation of the patches.
Vitiligo is an autoimmune disease, can occur at any age in any individual
Detailed Answer:
Vitiligo is basically an autoimmune disease which can occur in any individual at any age. It is basically related to destruction of the pigment producing cells by various mechanisms.
It has been seen that 10 percent of the affected individuals have a positive family history.
Even symmetrical distribution of vitiligo is very common and there are no specific reasons for it.
Vitiligo has an unpredictable course in different individuals.
Looking at your photos their is a possibility of it resolving but with a prolonged supervised treatment.
The main aim of treatment in initial stage is to stop progression followed by repigmentation of the patches.
Above answer was peer-reviewed by :
Dr. Yogesh D
Do these tablets and ointment enought for the beginning?
and Do you know any trusted online drugstore where i can buy thoese tablets and ointments.
Do I need to keep diet while treating? can I eat Bitter or sweet foods?
Waiting answer
Thanks
and Do you know any trusted online drugstore where i can buy thoese tablets and ointments.
Do I need to keep diet while treating? can I eat Bitter or sweet foods?
Waiting answer
Thanks
Brief Answer:
Tabs & ointment enough for beginning, no need to avoid any food
Detailed Answer:
Yes these tablets and ointments are enough for the beginning.
I can't comment on any online store for buying these medicines (these mostly require prescriptions).
Take a balanced diet. No need to go for dieting.
No need to avoid any foods.
Yes you can take bitter and sweet foods.
Regards
Tabs & ointment enough for beginning, no need to avoid any food
Detailed Answer:
Yes these tablets and ointments are enough for the beginning.
I can't comment on any online store for buying these medicines (these mostly require prescriptions).
Take a balanced diet. No need to go for dieting.
No need to avoid any foods.
Yes you can take bitter and sweet foods.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
And sorry that i want to ask once again question.
Is it okay to drink some alchohol drinks?
Is it okay to drink some alchohol drinks?
Brief Answer:
Yes you can have alcohol
Detailed Answer:
Yes you can take alcohol in moderate amounts.
Yes you can have alcohol
Detailed Answer:
Yes you can take alcohol in moderate amounts.
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. Nagamani Ng
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