What is vitiligo, broadly
how is it treated?
Vitiligo is also known as
'leucoderma'. In India, it is called 'safed kod' or 'safed dag' and is
considered as a social stigma. Vitiligo is appearance of single or multiple
depigmented patches on any part of the body.These patches gradually increase in
size & cause lot of psychological stress in the patient. It is an
auto-immune condition and may have a genetic predisposition. Treatment of
vitiligo usually takes a long time. Medical treatment helps arrest the spread
of depigmentation and in some cases, may bring back the pigmentation. In
majority of the cases, medical therapy only achieves stabilization of the
vitiligo patch but fails to cause repigmentation. However, repigmentation in
cases of 'stable vitiligo' can be achieved by various dermatosurgical
techniques.
What is is the role of
PUVA in vitiligo ?
PUVA therapy enhances skin
re-pigmentation. An oral psoralen compound is given to the patient. Two hours
later , the de-pigmented patch on his body is exposed to ultraviolet-A (UVA)
rays, for a fixed time duration. This should be supervised by a medical
personnel. If UVA is not available then the patch is exposed to sun rays. The
latter is known as PUVA SOL therapy.Treatment with UVB rays is another
option. The most recent modality is treatment with Excimer laser.
When is the patient fit
for surgery ?
When the de-pigmented
patch does not increase in size for a period of two years, it is said to be
stable. This is the right time to perform vitiligo surgery.
If the patch is growing or is in an active phase, it needs treatment with medicines and / or PUVA till it stops growing.
If the patch is growing or is in an active phase, it needs treatment with medicines and / or PUVA till it stops growing.
What are the various
surgical modalities available ?
Method to be used depends on the the type and
site of lesion. Hence, selection of the appropriate surgical technique is
important for good cosmetic results.
2. Ultra thin skin grafting.
3. Suction blister grafting.
4. Therapeutic spot or regional
derma abrasion
5. Melanocyte culture and
transplantation.
6. Tattooing.
What is miniature punch grafting ?
Multiple thin grafts of 2
- 2.5 mm diameter are taken from the donor site by special punches and grafted
on to the diseased area. Once the grafts are 'taken up' the patient is
advised to take PUVA or PUVA SOL. Re pigmentation occurs in 3 - 6 months and
good cosmetic result is obtained.
What is ultra thin skin grafting ?
A very thin skin graft
(ultra thin) consisting of epidermis is grafted onto the dermabraded or laser
ablated part of stable vitiligo. The graft falls off by 8 -10 days but there
takes place a cellular uptake of melanocytes on to the abraded skin which
gradually starts pigmenting, it takes 2 - 3 months for the pigmentation to merge
and match with the surrounding skin color.
What is suction blister
grafting ?
A prolonged suction
(negative pressure) is applied to the donor site this raises a large bleb and a
thin graft containing only the epidermis is obtained. This is grafted on to the
dermabraded recipient surface. This technique is time consuming but gives good
cosmetic results.
What is melanocyte transplantation ?
Melanocytes are cultured
in artificial culture media. The de pigmented recipient site is dermabraded or
laser ablated and the melanocyte suspension is applied to it. The area is
covered with a collagen dressing and immobilized. Large areas can be covered
with this method and excellent cosmetic results obtained.
What is tattooing ?
Tattooing is injecting
artificial pigment into the depigmented area. After selecting the pigment shade
which matches the surrounding skin color, the pigment granules are implanted
into the depigmented patch either with a manual or electrically driven needles.
Though the patch resembles the surrounding normal skin, it may permanently fade or acquire a bluish hue after 1 - 2 years which is distinctly noticeable and may become unacceptable. Hence, tattooing is usually not advised unless the patch is in an inoperable site.
Vitiligo Homeopathy Treatment
Symptomatic Homeopathy works well for Vitiligo, So its good to consult a experienced
Homeopathy physician without any hesitation.
Whom to contact for Vitiligo Treatment
Dr.Senthil
Kumar Treats many cases of Vitiligo, In his
medical professional experience with successful results. Many patients get
relief after taking treatment from Dr.Senthil Kumar. Dr.Senthil Kumar
visits Chennai at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get
appointment please call 9786901830, +91 94430 54168 or mail to consult.ur.dr@gmail.com,
For
more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers
at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
For appointment please Call us or Mail Us
For appointment: SMS your Name -Age – Mobile Number - Problem in Single word -
date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Vitiligo, – 21st Oct, Sunday - Chennai ), You will receive Appointment
details through SMS
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