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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Lupus, Had Vitiligo , Spots On Body. Treatment?

I was diagnosed with Lupus when I was 19 years and have been in remission for 23 years.I have had vitiligo for almost 30 yrs. It was just a spot on each arm up until 15yrs ago.The spot on each arm grew bigger. 4 years go, I began getting spots all over my body.Mainly, underneath my clothes but in the last year,it is visible on arms and legs. I don't want to wear make-up it would take hours. How can I speed up the process?
Thu, 2 May 2013
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Rheumatologist,  's  Response
Hi !



Thanks for you query .



Both lupus and vitiligo are diseae that belong to autoimmune category although many other etiologies are suggested for vitiligo it is possible to see them both in combination. For vitiligo control many options are available but since you suffer from lupus i would suggest you consult a dermatologist and rheumatologist both before starting any therapy because PUVA therapy is not recommended in patients with lupus as it uses UV rays which are a known causative factor for lupus and thus exacerbate the existing disease leading to flare. Plus you must be taking some drugs for lupus they need to be assessed , organ involvement and disease activity must be determine before taking any decision . Till then skin camouflaging creams can be used in consulatation with skin specialist which seems to be the best option considering that it will not affect lupus in any ways making it the safest way out.



Take Care.

Thanks a lot for choosing HCM for you query.

Dr. Shruti
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Diagnosed With Lupus, Had Vitiligo , Spots On Body. Treatment?

Hi ! Thanks for you query . Both lupus and vitiligo are diseae that belong to autoimmune category although many other etiologies are suggested for vitiligo it is possible to see them both in combination. For vitiligo control many options are available but since you suffer from lupus i would suggest you consult a dermatologist and rheumatologist both before starting any therapy because PUVA therapy is not recommended in patients with lupus as it uses UV rays which are a known causative factor for lupus and thus exacerbate the existing disease leading to flare. Plus you must be taking some drugs for lupus they need to be assessed , organ involvement and disease activity must be determine before taking any decision . Till then skin camouflaging creams can be used in consulatation with skin specialist which seems to be the best option considering that it will not affect lupus in any ways making it the safest way out. Take Care. Thanks a lot for choosing HCM for you query. Dr. Shruti