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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Having White Patch Of Skin And Facial Hair Suggestive Of Having Vitiligo?

Hello, I am a 32 year old fairly light skinned male of Irish decent. I recently went to a sunbed prior to going on holiday. Afterwards I noticed a White patch on my left cheek about the size of a quarter. I went to a dermatologist who said I have vitaligo because my facial hair was white in the affected area. My facial hair is usually dark brown / reddish. I never noticed any rash beforehand and the skin is not scaly or itchy. I am unsure about the accuracy of the diagnosis. I was not given a skin biopsy or woodlamp inspection. The doctor made the diagnosis instantly when looking at my face. The doctor prescribed me cutivarte (a mild steroid cream) and silkis cream to mix together in equal amounts and apply to the affected are twice daily. It has now been two weeks and I have noticed that: 1. my facial hair in the affected area is retiring to normal, with less white hairs each day. Though there are still a few white hairs. 2. The colour of the patch is looking much more like my normal pigmentation (there are even a few freckles in the area. I have freckles usually on my face). Given the speed with which my symptoms are restored is it likely that I have been misdiagnosed with vitaligo? I was told it usually takes 3 months to restore the pigment. Many thanks, Jonny
Fri, 12 Jul 2019
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General Surgeon 's  Response
Hi,

First, some drugs used alone or with light therapy, can help restore some skin tone. These include creams that control inflammation.

Applying a corticosteroid cream to affected skin may help return color, particularly if you start using it early in the disease.

Milder forms of the drug may be prescribed for children and for people who have large areas of discolored skin.

Medications that affect the immune system such as ointments containing tacrolimus or pimecrolimus (calcineurin inhibitors) may be effective for people with small areas of depigmentation, especially on the face and neck.

This treatment may have fewer side effects than corticosteroids and can be used with ultraviolet B (UVB) light.

And last: Combining psoralen and light therapy. This treatment combines a plant-derived substance called psoralen with light therapy (photochemotherapy) to return color to the light patches.

Surgery may be an option for you if light therapy doesn't work. Surgery can also be used with those therapies.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Are Having White Patch Of Skin And Facial Hair Suggestive Of Having Vitiligo?

Hi, First, some drugs used alone or with light therapy, can help restore some skin tone. These include creams that control inflammation. Applying a corticosteroid cream to affected skin may help return color, particularly if you start using it early in the disease. Milder forms of the drug may be prescribed for children and for people who have large areas of discolored skin. Medications that affect the immune system such as ointments containing tacrolimus or pimecrolimus (calcineurin inhibitors) may be effective for people with small areas of depigmentation, especially on the face and neck. This treatment may have fewer side effects than corticosteroids and can be used with ultraviolet B (UVB) light. And last: Combining psoralen and light therapy. This treatment combines a plant-derived substance called psoralen with light therapy (photochemotherapy) to return color to the light patches. Surgery may be an option for you if light therapy doesn t work. Surgery can also be used with those therapies. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon