What is vitiligo
The Vitiligo it is
clinically characterized by the appearance of spots or hypochromic achromic to
skin level, mucous membranes and skin appendages following the destruction of
melanocytes on the involved skin. It may be associated with other
pathologies to alleged or established autoimmune pathogenesis, in particular
thyroid disease, pernicious anaemia, diabetes mellitus. It is estimated
that about 1% of the world's population is affected by this
disease. Vitiligo is not a contagious disease. It generally does not
show symptoms like pruritus but some skin irritation is felt before new lesions
appear.
Causes of vitiligo
Vitiligo is considered an
autoimmune disease in which the organism progressively eliminates the
melanocytes. Repeated traumas can trigger the phenomenon. A possible
role of genetic factors is suggested by the fact that 20-40% of subjects with
vitiligo have one or more relatives affected by this disease.
How it can be treated
How it can be treated
At the moment there are no
definitive cures. Camouflage can be used to hide light spots. Topical
medications, systemic therapy, phototherapy, surgical treatments can be useful.
Therapies in use
Vitiligo treatment
in Delhi includes the use of topical steroids or topical
calcineurin inhibitors associated with narrowband UVB phototherapy, XTRAC
excimer laser emitting light at 308 nm, or with PUVA therapy. For
localized lesions, transplantation of melanocytes extracted from the outer
sheath of the hair follicle, cultured or uncultivated, or transplantation of
superficial skin flaps can be considered. In the recovery phases of
activity, intermittent treatments with high doses of systemic steroids (mini pulse)
can be considered and for extensive lesions the depigmentation of the residual
areas with lightening creams can be considered.
The so-called "camouflage" is also recommended by dermatologist in Dwarka, Delhi, i.e. the use of opaque cosmetics to make the areas without coloration less evident.
Useful Tips:
- Promote sun exposure of unpigmented areas protecting pigmented areas to reduce colour contrast.
- Take advantage of psychological help if the condition creates emotional and social problems.
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