Vitiligo treatment algorithm
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Vitiligo treatment algorithm - Thank you for visiting my blog, today I will share information about Vitiligo treatment algorithm. Everyone needs a lot of information there is no exception info about Vitiligo Treatment, for more details please you can read this article to completion.
White patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™", a step-by-step guide on how to cure vitiligo naturally and safely.
-----------------------------------
So my blog post with the title of article "Vitiligo treatment algorithm" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled Vitiligo treatment algorithm comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of Vitiligo treatment algorithm, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
vitiligo treatment algorithm
vitiligo treatment guideline
vitiligo treatment protocol
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Vitiligo treatment algorithm
White Patches on Skin - VitiligoWhite patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™", a step-by-step guide on how to cure vitiligo naturally and safely.
-----------------------------------
So my blog post with the title of article "Vitiligo treatment algorithm" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled Vitiligo treatment algorithm comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of Vitiligo treatment algorithm, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
vitiligo treatment algorithm
vitiligo treatment guideline
vitiligo treatment protocol
vitiligo treatment guideline - Thank you for visiting my blog, today I will share information about vitiligo treatment guideline. Everyone needs a lot of information there is no exception info about Vitiligo Treatment, for more details please you can read this article to completion.
White patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™, a step-by-step guide on how to cure vitiligo naturally and safely.
So my blog post with the title of article "vitiligo treatment guideline" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled vitiligo treatment guideline comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of vitiligo treatment guideline, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
Yadiez
11:13 AM
Admin
Bandung IndonesiaFull Information Click Here "VITILIGO TREATMENT"
vitiligo treatment guideline
White Patches on Skin - VitiligoWhite patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™, a step-by-step guide on how to cure vitiligo naturally and safely.
So my blog post with the title of article "vitiligo treatment guideline" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled vitiligo treatment guideline comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of vitiligo treatment guideline, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
vitiligo treatment guideline
vitiligo treatment guideline - Thank you for visiting my blog, today I will share information about vitiligo treatment guideline. Everyone needs a lot...
Vitiligo treatment algorithm - Thank you for visiting my blog, today I will share information about Vitiligo treatment algorithm. Everyone needs a lot of information there is no exception info about Vitiligo Treatment, for more details please you can read this article to completion.
White patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™, a step-by-step guide on how to cure vitiligo naturally and safely.
So my blog post with the title of article "Vitiligo treatment algorithm" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled Vitiligo treatment algorithm comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of Vitiligo treatment algorithm, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
Yadiez
11:09 AM
Admin
Bandung IndonesiaFull Information Click Here "VITILIGO TREATMENT"
Vitiligo treatment algorithm
White Patches on Skin - VitiligoWhite patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™, a step-by-step guide on how to cure vitiligo naturally and safely.
So my blog post with the title of article "Vitiligo treatment algorithm" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled Vitiligo treatment algorithm comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of Vitiligo treatment algorithm, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
Vitiligo treatment algorithm
Vitiligo treatment algorithm - Thank you for visiting my blog, today I will share information about Vitiligo treatment algorithm. Everyone needs a lot...
Vitiligo treatment france - Thank you for visiting my blog, today I will share information about Vitiligo treatment france. Everyone needs a lot of information there is no exception info about Vitiligo Treatment, for more details please you can read this article to completion.
Our department has a long lasting clinical experience with vitiligo. Currently, vitiligo is a target disease within the Reference Center for Rare (and Orphan) Diseases of the Skin (CRMRP) of Bordeaux. This priority was deemed necessary because of the very limited number of departments in France or abroad offering a comprehensive platform for clinical services and research in this field. Under the leadership of Dr Yvon Gauthier since the 1980s, our department has developed a comprehensive management approach, including surgical procedures and therapeutic education (camouflage techniques, prevention of the Koebner’s phenomenon).
Vitiligo is a dermatosis which is associated with a variable but sometimes considerable social and professional burden. The practice of the vitiligo clinic requires a good clinical judgement for making appropriate management choices considering also associated psychosocial difficulties. The initial consultation with a vitiligo patient needs enough time to listen to the patient's major complaints and to explain what is known on the disease and its management (around 40 minutes). This amount of time is necessary for a good understanding of the basics of treatment principles, and helps to reach a good compliance around well-defined objectives.
Our laboratory is situated within INSERM U1035 at University Bordeaux Segalen. We have developped a pigmented skin equivalent which serves as an in vitro model for vitiligo (Cario-André et al, 2007). Current research focuses on detachment of melanocytes and inflammatory pathomechanisms.
Some background about the disease.
Vitiligo is a depigmenting dermatological disease with an incidence estimated 0,5 to 1% of the general population without predominance of sex or race. This disease is generally acquired, i.e. not transmitted genetically, although a familial inherited risk is clearly identified. Various theories have been proposed immune, neural, toxic. Indeed a subset of generalized vitiligo patients experience autoimmune or autoinflammatory diseases such as thyroiditis, pernicious anemia, Addison’s disease, alopecia areata… The progression of the disease is very variable, from localized mild forms to extensive forms in which depigmentation can involve the majority of the skin surface. Dermatologists use to distinguish segmental vitiligo and generalized or nonsegmental vitiligo. This distinction is important because counselling and treatment options are somewhat different.
Generalized non-segmental vitiligo.
nonsegmental vitiligoGeneralized vitiligo is the most frequent presentation of the disease The extension of the disease is variable and “generalized” does not mean widespead. Lesions manifest as hypochromic patches, bilateral, sometimes symmetrical. The age and mode of onset is very variable. The extension is unforeseeable, thus an attack can remain localised during many years or extend more or less quickly to various areas of the body. The examination of the lesions using the ultra-violet emitting lamp named Wood’s lamp is an invaluable tool for the assessment of t he stage and evolution of the disease. Frictions are a factor of worsening now well-recognized. Prevention of repeated skin trauma is thus important and must be well understood by the patient.
The currently available treatments for this form of vitiligo have a variable effectiveness. A most used approach is natural or artificial phototherapy. It consists on the exposure of the lesions to gradually increasing amounts of natural ultra-violets or of UV emitted by medical lamps cabins or devices. Exposure must be controlled and adapted according to the clinical response. Many other treatments exist with variable and generally poor medical validation., i.e. without controlled studies of good quality. In this respect, the antioxidant and vitamin or trace elements treatments are very popular (incl B12 Vitamin, folic acid, manganese, magnesium, selenium). Narrow band ultra-violets B can be administered as a targeted therapy directly to the lesions, tacrolimus ointment associated with phototherapy or occlusive foils are promising therapies. In some cases, a surgical treatment can be indicated but only when the disease is stabilized for at least 6 to 12 months in disfiguring areas without too much extension (<50cm ²).
Segmental vitiligo.
segmental vitiligoSegmental vitiligo is a localised form of vitiligo developing usually in the child or the young adult. The disease involves only a limited zone of the integument, which may follow the territory of a cutaneous sensory nerve. This distribution supports the neural theory advanced by some. Indeed, a history of trauma affecting the nerves in the territory in which the vitiligo appears secondarily may be found. However, other hypotheses have been suggested. Segmental vitiligo develops quickly in a few weeks or month, then remains stable without reaching other territories. Very often, the loss of pigment cells is complete and final explaining the failure of usual medical treatments noted above for generalized vitiligo. On the other hand, this form is a good indication of surgical treatment when the aesthetic embarrassment is important (Taïeb et Gauthier, 2006). Treatments with Excimer or helium-neon lasers or lamps seem promising.
seem promising.
Treatment
Autologous grafts with epidermal suspensions
UV irradiation and vitiligo
Links
Our department is working in close association with the Association Française du Vitiligo and other patient’s support groups worldwide, which are partners of the special interest group on Vitiligo of the International Federation of Pigment Cell Societies (IFPCS). This group organizes international meetings during international pigment cell conferences (Washington 2005, Sapporo 2008, Bordeaux 2011) which confront the experiences of scientists, physicians and patients. The aim of these meetings is to stimulate research to help improving disease understanding and treatment. Reports can be found on the VETF website.
Vitiligo European Task Force (VETF)
Association Française du Vitiligo (F)
Vitiligo Support International (USA)
The Vitiligo Society (UK)
Association des Pays Nordiques
Pigment Cell and Melanoma Research virtual issue on vitiligo (Blackwell)
Sources : http://www.dermatobordeaux.fr/content/view/88/103/
So my blog post with the title of article "Vitiligo treatment france" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled Vitiligo treatment france comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of Vitiligo treatment france, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at https://info4.click/vitiligo we will update the article every day.
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7:14 AM
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Vitiligo treatment france
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| Vitiligo treatment france |
Vitiligo is a dermatosis which is associated with a variable but sometimes considerable social and professional burden. The practice of the vitiligo clinic requires a good clinical judgement for making appropriate management choices considering also associated psychosocial difficulties. The initial consultation with a vitiligo patient needs enough time to listen to the patient's major complaints and to explain what is known on the disease and its management (around 40 minutes). This amount of time is necessary for a good understanding of the basics of treatment principles, and helps to reach a good compliance around well-defined objectives.
Our laboratory is situated within INSERM U1035 at University Bordeaux Segalen. We have developped a pigmented skin equivalent which serves as an in vitro model for vitiligo (Cario-André et al, 2007). Current research focuses on detachment of melanocytes and inflammatory pathomechanisms.
Some background about the disease.
Vitiligo is a depigmenting dermatological disease with an incidence estimated 0,5 to 1% of the general population without predominance of sex or race. This disease is generally acquired, i.e. not transmitted genetically, although a familial inherited risk is clearly identified. Various theories have been proposed immune, neural, toxic. Indeed a subset of generalized vitiligo patients experience autoimmune or autoinflammatory diseases such as thyroiditis, pernicious anemia, Addison’s disease, alopecia areata… The progression of the disease is very variable, from localized mild forms to extensive forms in which depigmentation can involve the majority of the skin surface. Dermatologists use to distinguish segmental vitiligo and generalized or nonsegmental vitiligo. This distinction is important because counselling and treatment options are somewhat different.
Generalized non-segmental vitiligo.
nonsegmental vitiligoGeneralized vitiligo is the most frequent presentation of the disease The extension of the disease is variable and “generalized” does not mean widespead. Lesions manifest as hypochromic patches, bilateral, sometimes symmetrical. The age and mode of onset is very variable. The extension is unforeseeable, thus an attack can remain localised during many years or extend more or less quickly to various areas of the body. The examination of the lesions using the ultra-violet emitting lamp named Wood’s lamp is an invaluable tool for the assessment of t he stage and evolution of the disease. Frictions are a factor of worsening now well-recognized. Prevention of repeated skin trauma is thus important and must be well understood by the patient.
The currently available treatments for this form of vitiligo have a variable effectiveness. A most used approach is natural or artificial phototherapy. It consists on the exposure of the lesions to gradually increasing amounts of natural ultra-violets or of UV emitted by medical lamps cabins or devices. Exposure must be controlled and adapted according to the clinical response. Many other treatments exist with variable and generally poor medical validation., i.e. without controlled studies of good quality. In this respect, the antioxidant and vitamin or trace elements treatments are very popular (incl B12 Vitamin, folic acid, manganese, magnesium, selenium). Narrow band ultra-violets B can be administered as a targeted therapy directly to the lesions, tacrolimus ointment associated with phototherapy or occlusive foils are promising therapies. In some cases, a surgical treatment can be indicated but only when the disease is stabilized for at least 6 to 12 months in disfiguring areas without too much extension (<50cm ²).
Segmental vitiligo.
segmental vitiligoSegmental vitiligo is a localised form of vitiligo developing usually in the child or the young adult. The disease involves only a limited zone of the integument, which may follow the territory of a cutaneous sensory nerve. This distribution supports the neural theory advanced by some. Indeed, a history of trauma affecting the nerves in the territory in which the vitiligo appears secondarily may be found. However, other hypotheses have been suggested. Segmental vitiligo develops quickly in a few weeks or month, then remains stable without reaching other territories. Very often, the loss of pigment cells is complete and final explaining the failure of usual medical treatments noted above for generalized vitiligo. On the other hand, this form is a good indication of surgical treatment when the aesthetic embarrassment is important (Taïeb et Gauthier, 2006). Treatments with Excimer or helium-neon lasers or lamps seem promising.
seem promising.
Treatment
Autologous grafts with epidermal suspensions
UV irradiation and vitiligo
Links
Our department is working in close association with the Association Française du Vitiligo and other patient’s support groups worldwide, which are partners of the special interest group on Vitiligo of the International Federation of Pigment Cell Societies (IFPCS). This group organizes international meetings during international pigment cell conferences (Washington 2005, Sapporo 2008, Bordeaux 2011) which confront the experiences of scientists, physicians and patients. The aim of these meetings is to stimulate research to help improving disease understanding and treatment. Reports can be found on the VETF website.
Vitiligo European Task Force (VETF)
Association Française du Vitiligo (F)
Vitiligo Support International (USA)
The Vitiligo Society (UK)
Association des Pays Nordiques
Pigment Cell and Melanoma Research virtual issue on vitiligo (Blackwell)
Sources : http://www.dermatobordeaux.fr/content/view/88/103/
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Vitiligo FAQ
What is Vitiligo? Vitiligo is a skin condition characterized by loss of pigment; this results in white patches appearing on the skin and mucus membranes.
Who Is At Risk Of Developing Vitiligo? Anyone can develop vitiligo and both genders have an equal chance of getting vitiligo. All races exhibit a similar prevalence of this condition. However, you are more likely of developing vitiligo if a parent has it, if you or someone in your family has an autoimmune condition (such as hyperthyroidism), and if you experienced graying of hair before the age of 35.
What Is The Prevalence of Vitiligo? Vitiligo affects 1 to 2% of the population worldwide and it is estimated that between two to five million Americans have the condition. Generally, vitiligo develops between the ages of 10 to 30.
What Causes Vitiligo? The symptoms of vitiligo arise because the melanocytes (the cells that produce pigment which gives the skin its color) are either destroyed or stop functioning. What causes this to happen is still debatable - it may be the result of an autoimmune reaction, genetics, or possibly an event such as sunburn or emotional stress.
Is Vitiligo Contagious? No, vitiligo is not contagious.
What Are the Symptoms of Vitiligo? People with vitiligo exhibit irregular white patches on different parts of the body, and these patches of grow bigger with time. Usually, the first white patches appear on the face, lips, hands, arms and feet. Later, they spread to other areas including the armpits, eyes, genitals and nostrils. Loss of pigment can also result in the eyes and hair.
How Is Vitiligo Diagnosed? A doctor will diagnose vitiligo by doing a physical examination, taking a patient's history and possibly carrying out a biopsy and/or blood test to rule out other conditions.
How Is Vitiligo Treated? Conventional medical treatments for vitiligo include: UV light therapy re-pigmentation, corticosteroids (oral or topical), skin grafting, skin tattooing, and in extensive cases of vitiligo, de-pigmentation of the rest of the skin to match the color of the affected skin.
Is Vitiligo Treatment Effective? Unfortunately no method has a guaranteed success. Steroids may produce some improvements if used in the long-term, but this is not recommended because of side effects. Light therapy is effective to an extent, but it is very time consuming and can cause eye damage, skin burns and skin cancer. Skin grafting should in theory be very effective, but in reality many complications occur, including rejection of the graft, infection, and abnormal appearance of the grafted skin (cobblestone effect).
Is It True That Vitiligo Can Be Cured Without Any Medications Or Surgery? Yes, there has been numerous research papers published that reported that in scientific trials, patients have been cured of vitiligo using a combination of 3 vitamins, herbal extracts or a combination of herbals and vitamins. It has also been shown that dietary changes can have a pronounced effect of the condition. A lot of research on natural cures for vitiligo has been carried out in Sweden.
For more information on natural cures for vitiligo, check out Michael Dawson's step-by-step guide "Natural Vitiligo Treatment System™" Michael Dawson is a UK-based certified nutritionist, independent biomedical researcher and holistic health consultant.
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White Patches on Skin - Vitiligo
White patches on skin are a characteristic symptom of vitiligo, a skin disorder that causes the destruction and/or malfunction of the pigment-producing cells. Often these patches are present on the body parts that are most exposed to the sun, such as the arms, hands, legs, feet and face. White patches can also occur at the navel, armpits and genital region. In addition, persons with vitiligo typically exhibit early greying of the hair. It is estimated that 1% of the USA's population have vitiligo, and in total around 100 million people worldwide suffer from this condition.
It is still not known for sure what causes vitiligo. The main theory is that vitiligo is an autoimmune disease, which results in the body's immune system attacking the melanocytes (pigment-producing cells). In fact, people with another autoimmune disease such as hyperthyroidism and adrenocortical insufficiency are more likely to suffer from vitiligo. Some researchers also believe that events such as severe sunburn, certain medications, and emotional stress can trigger vitiligo. In addition, there appears to be a genetic component as well.
There are a number of treatment options for vitiligo; however, all suffer from high rates of ineffectiveness and risk of side effects. Furthermore, most are long-term therapies (e.g. PUVA therapy requires bi- or tri- weekly visits to a specialized clinic for weeks or months) and are not generally paid for by insurance companies. This often makes these treatments too expensive for most patients.
One of the most basic treatments is topical steroid therapy, which involves the use of steroid cream on the white patches of the skin. This may help to re-pigment the skin; however, results come very slowly (after several months). In addition, steroids are associated with a number of side effects, including a weakened immune system and skin irritation. A more advanced treatment involves photochemotherapy in combination with oral or topical psoralen. Although this approach is generally more effective than steroid therapy, it is also much more time-consuming, expensive and is associated with severe side effects including skin burns, eye damage and skin cancer. There are also a number of surgical therapies for vitiligo, such as skin grafting. Again, this is not always effective as the graft may be rejected. Surgical procedures can also have complications such as infections, scarring, and 'cobblestoned' skin appearance.
A much better and safer option is to cure vitiligo using a holistic, natural approach. This involves using herbal extracts to halt the spread of vitiligo and combination therapy with vitamins (three vitamins appear to be particularly effective) to stimulate the melanocytes to start producing pigment again. This should be combined with dietary and lifestyle changes (such as avoidance of certain foods) to ensure a fast and permanent cure from vitiligo. Using such a holistic approach can permanently cure vitiligo in just a few weeks. Best of all, such a method is free of side effects because no artificial chemicals or medications are used. The most famous proponent of such as system is Michael Dawson, a certified nutritionist, health consultant and independent medical research. Dawson is the author of "Natural Vitiligo Treatment System™", a step-by-step guide on how to cure vitiligo naturally and safely.
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Vitiligo treatment in ayurveda
Natural Vitiligo Treatment - The Vitiligo Cure That Doctors Don't Want You To Discover
Vitiligo is a skin disorder that causes white patches of skin to appear on different parts of the body. Common areas include the body parts most exposed to the sun (such as the hands, face and feet) as well as areas such as the armpits and the genital region. The patches tend to spread, sometimes very slowly over a number of years and sometimes in a matter of days.
Vitiligo affects about 100 million people worldwide. In the United States and Europe, the prevalence is estimated to be about 1% of the population. It affects all races and both genders equally.
Medical treatments for vitiligo are notoriously expensive, ineffective and associated with a high risk of side effects. Unfortunately, this people with this condition are often desperate for a cure, and are willing to pay any price tag, even when they are told about the problems and limitations of the therapies. Every year, the pharmaceutical industry keeps coming up with new, more expensive and still ineffective therapies. And, the profits for the industry keep increasing…
In fact, according to ASDReports.com, in 2011 the vitiligo therapeutics market was estimated to be worth $1.4 billion. By 2019, it is estimated that this market will grow to $2.7 billion, in other words, doubling the profit and this already lucrative niche.
Knowing this, if I had to tell you that there was a way to cure vitiligo naturally, without using any medications, special therapy or surgery…would you be surprised that no doctor is telling you about it? Of course not! In fact, each patient that a doctor treats for vitiligo brings in on average $2,000 to $4,000 yearly, making them one of the most profitable patients to have.
Well, guess what, there is such a cure! And it only involves the use of herbal extracts, vitamin supplementation and some dietary and lifestyle changes.
And that's not all. You see, this is not 'new', or 'cutting-edge' research. Not at all - in fact, medical scientists have published reports about how they cured vitiligo in just a few weeks using only natural extracts and nutrients as early as the 1980s! And again in the 1990s, there were several reports by Swedish doctors about how a single herb and/or vitamin supplementation can halt the spread of vitiligo immediately and cure it completely in a matter of weeks with zero side effects.
Now, you may expect such great findings to make big news right? Not so. You see, the pharmaceutical and medical industry is driven by profits, not benefits to patients. That's why they keep designing drugs that are expensive, of limited effectiveness, and that need to be taken continuously for years. That's the perfect combination for ensuring ever-increasing profits. An example of such shameless profiteering on a large scale is the wide prescription of statins for anyone with even borderline high cholesterol. Statins actually have very limited effectiveness, are associated with a number of side-effects, and…guess what…once a person starts taking them, they will need to keep taking them for their whole lives! Not so surprising is it? Same with vitiligo cures - no medical professional or anyone involved in the industry will want you to discover that you can cure yourself of vitiligo for just a few dollars worth of supplements when they can get you to pay thousands for their "latest technology" therapeutic treatments!
Well, now you know better…
If you want to know more about the natural cure for vitiligo that the medical industry is striving so hard to keep hidden from you, the go-to guy is Michael Dawson. Dawson is an independent nutritionist and biomedical researcher, who in recent years has been working hard to expose the medical industry's unscrupulous tactics. He has also published the highly acclaimed "Natural Vitiligo Treatment System™", which you can order directly from his website www.naturalvitiligotreatmentsystem.com
Vitiligo treatment in ayurveda
Etiology and Pathogenesis
Vitiligo is a multifactorial and polygenic disorder, with complex pathogenesis that is not yet fully understood. Various theories is associated with the pathogenesis of this condition, with genetic and nongenetic factors interacting that affect the function and survival of melanocytes and subsequently cause autoimmune damage to melanocytes. These theories include interference with melanocyte adhesion, neurogenic damage, biochemical damage, and autotoxicity.
The Role of Genetics in Vitiligo
Large-scale epidemiological surveys show that in part large cases of vitiligo occur sporadically, although there are 15-20% of patients who has one or more first-rate family members as well experienced vitiligo. In general, the pattern of decline in vitiligo does not follow Mendelian pattern of decline showing a polygenic decline and multifactorial. The case of vitiligo in monozygotic twins was found to be equal 23% showed that both genetic and non-genetic roles, especially roles the environment plays an equally important role in the pathogenesis of vitiligo.
Some of the genes associated with immune function are thought to play a role
the incidence of vitiligo, such as MHC locus, CTLA4, PTPN22, IL10, MBL2, and NALP1.
A recent extensive genetic study was conducted on vitiligo patients from Caucasian European race with his family and get at least 10 different genetic loci are likely to be associated with risk of vitiligo, where these 7 loci were also associated with the disease other autoimmune. Segmental vitiligo seems to be slightly different genetically with vitiligo vulgaris, with more sporadic occurrence, and unilateral distribution, suggest possible somatic mozillism that appears de novo.
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So the article that I can inform with the title of Vitiligo treatment in ayurveda, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at www.Vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
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Vitiligo treatment in ayurveda - "VITILIGO TREATMENT"
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Vitiligo is a skin disorder affecting about 100 million persons worldwide. It is characterized by white patches of skin on different areas of the body, caused by a destruction of the melanocytes, the pigment-producing cells. Current medical treatment for vitiligo includes medications and surgery. Unfortunately, all treatments are notoriously ineffective, associated with a high risk of side effects and are often unaffordable for most people.
Medical treatments include topical steroid therapy, psoralen photochemotherapy, and depigmentation therapy.
In topical steroid therapy, you are required to use steroid creams on the white patches of the skin, and this is supposed to help the skin re-pigment itself. Doctors recommend that you use these creams at least for 3 months before any improvement can be expected to be seen. However, these creams are associated with a number of side effects and are not generally recommended for children or for patches of white skin occurring on the face, armpits or genital region.
In psoralen photochemotherapy, ultraviolet light is used to re-pigment the white patches, in conjunction with psoralen cream or oral medications. This is extremely time-consuming and you will need to undergo bi- or tr-weekly sessions at a specialized clinic for several weeks or months. This type of treatment is associated with a number of severe side effects, including an increased risk of skin cancer, severe sunburn, blistering of the skin, and eye damage.
If your vitiligo is extensive, you may opt to have the rest of your skin de-pigmented, so that it matches the colour of the vitiligo-affected parts. De-pigmentation involves the use of chemicals that basically bleach the skin. Side-effects include inflammation, itchy and dry skin, and extreme sensitivity to sunlight.
Surgical Therapies
If medical therapy proves ineffective (as it often does), surgical therapies may be opted for. Unfortunately, these are not generally paid for by insurance carriers, hence making them unaffordable to most patients.
A common surgical therapy for vitiligo is the autologous skin graft, wherein a doctor takes some skin from an unaffected area (e.g. the buttocks) and attaches it to a de-pigmented area (e.g. on the arms). This operation suffers from complications such as infection, scarring, and cobblestone appearance of the skin.
Another type of surgical therapy is special tattooing. Effectively, the doctor will try to find a dye that matches the natural color of the person's skin, and apply this dye into the skin. Obviously, it is hard to find a dye that matches the natural color perfectly. In addition, whilst normal skin changes in color according to different levels of sun exposure, tattooed skin won't.
A Better, Safer Option
Although very few doctors will know or tell you about it (there is too much money involved in conventional treatment methods), you can actually cure yourself of vitiligo at home using only herbal and vitamin supplements, combined with some dietary and lifestyle changes. Indeed in the past, a number of doctors and scientists had reported such successes in medical journals, but this research is now kept hidden by the pharmaceutical industry.
For the first time ever, this research has been dug up and used to compile a comprehensive step-by-step guide on exactly what you need to do to naturally and safely cure yourself of vitiligo in just a few weeks - without any medications or surgical interventions. For more information, visit Michael Dawson's "Natural Vitiligo Treatment System™", where he explains exactly why and how this system works.
Vitiligo treatments that work
Epidemiology
Vitiligo is the most commonly found depigmentation disorder, it can occur at all ages, and gender (Birlea et al., 2012; Alikhan et al., 2011). The prevalence of vitiligo in the population is estimated to range from 0.1% -2% and shows wide variations among different ethnic groups.
Prevalence of vitiligo in Caucasian populations in the United States and Northern Europe estimated at 0.38%, while in the population in China is estimated of 0.19%. The highest incidents were reported from India (1.25% -8.8%), followed Mexico (2.6% -4%), and Japan (1.64%). The existence of these differences is likely associated with higher vitiligo patients who report primarily related to the visible color contrast and stigma received by patients are encouraged to seek treatment. Vitiligo is reported more often in women than in men who are likely to show 11 increased reporting of cases by women due to greater social consequences received.
Children and adults may experience vitiligo equally, whereby the prevalence of vitiligo in the age group of children / adolescents with adult age group does not differ (Alzolibani et al., 2011; Kruger and Schallreuter, 2012). Most cases of vitiligo are reported as developing actively with 50% of patients coming before the age of 20 years and 70-80% coming before the age of 30 years. Although there is no immune age against vitiligo, this condition is very rare at birth (Alzolibani et al., 2011). Cases of vitiligo have been reported to occur at the age of 6 weeks after birth (Nanda et al., 1989). The mean onset of vitiligo was earlier in patients with a positive family history, ranging from 7.7% to over 50%.
Vitiligo treatments that work
Vitiligo Treatment
Vitiligo is a skin disorder affecting about 100 million persons worldwide. It is characterized by white patches of skin on different areas of the body, caused by a destruction of the melanocytes, the pigment-producing cells. Current medical treatment for vitiligo includes medications and surgery. Unfortunately, all treatments are notoriously ineffective, associated with a high risk of side effects and are often unaffordable for most people.
Medical Treatments
Medical treatments include topical steroid therapy, psoralen photochemotherapy, and depigmentation therapy.
In topical steroid therapy, you are required to use steroid creams on the white patches of the skin, and this is supposed to help the skin re-pigment itself. Doctors recommend that you use these creams at least for 3 months before any improvement can be expected to be seen. However, these creams are associated with a number of side effects and are not generally recommended for children or for patches of white skin occurring on the face, armpits or genital region.
In psoralen photochemotherapy, ultraviolet light is used to re-pigment the white patches, in conjunction with psoralen cream or oral medications. This is extremely time-consuming and you will need to undergo bi- or tr-weekly sessions at a specialized clinic for several weeks or months. This type of treatment is associated with a number of severe side effects, including an increased risk of skin cancer, severe sunburn, blistering of the skin, and eye damage.
If your vitiligo is extensive, you may opt to have the rest of your skin de-pigmented, so that it matches the colour of the vitiligo-affected parts. De-pigmentation involves the use of chemicals that basically bleach the skin. Side-effects include inflammation, itchy and dry skin, and extreme sensitivity to sunlight.
Surgical Therapies
If medical therapy proves ineffective (as it often does), surgical therapies may be opted for. Unfortunately, these are not generally paid for by insurance carriers, hence making them unaffordable to most patients.
A common surgical therapy for vitiligo is the autologous skin graft, wherein a doctor takes some skin from an unaffected area (e.g. the buttocks) and attaches it to a de-pigmented area (e.g. on the arms). This operation suffers from complications such as infection, scarring, and cobblestone appearance of the skin.
Another type of surgical therapy is special tattooing. Effectively, the doctor will try to find a dye that matches the natural color of the person's skin, and apply this dye into the skin. Obviously, it is hard to find a dye that matches the natural color perfectly. In addition, whilst normal skin changes in color according to different levels of sun exposure, tattooed skin won't.
A Better, Safer Option
Although very few doctors will know or tell you about it (there is too much money involved in conventional treatment methods), you can actually cure yourself of vitiligo at home using only herbal and vitamin supplements, combined with some dietary and lifestyle changes. Indeed in the past, a number of doctors and scientists had reported such successes in medical journals, but this research is now kept hidden by the pharmaceutical industry.
For the first time ever, this research has been dug up and used to compile a comprehensive step-by-step guide on exactly what you need to do to naturally and safely cure yourself of vitiligo in just a few weeks - without any medications or surgical interventions. For more information, visit Michael Dawson's "Natural Vitiligo Treatment System™", where he explains exactly why and how this system works.
So my blog post with the title of article "Vitiligo treatments that work" may be useful, you can also read other articles and watch the blog by visiting on the title of my article on the right hand menu of this article blog. I'm sorry if this article does not please you. The article titled Vitiligo treatments that work comes from the results of his own experience, sharing with family, friends, or from reliable sources from websites, blogs, magazines, newspapers, and other media.
So the article that I can inform with the title of Vitiligo treatments that work, may be useful for you. This little information hopefully can benefit for you and your family or friends who need this information, please visit every day at www.Vitiligonaturalhomeremedies.blogspot.com we will update the article every day.
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Vitiligo treatments that work
Vitiligo treatments that work
Vitiligo treatments that work - Epidemiology
Vitiligo treatments that work
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Vitiligo treatment before and after
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| Vitiligo treatment before and after |
Laser Vitiligo Treatment Before and After Pictures in New York and New Jersey
Skin Laser & Surgery Specialists of New York and New Jersey perform laser vitiligo treatment for the residents of New York and New Jersey. Vitiligo describes a medical condition that causes white patches on your skin. Laser vitiligo treatment promotes pigment production and reduces the signs of vitiligo. Browse our before and after pictures and then call our office to schedule a consultation appointment.
Laser Vitiligo Treatment
Spurces : https://www.skinandlasers.com
Vitiligo treatment before and after
Vitiligo in general is an acquired abnormality that affects the skin and mucosa characterized by a depigmented macular boundary that occurs due to selective damage to melanocytes (Alikhan et al., 2011). According to Jain et al. Vitiligo is a commonly acquired hypomelanotic skin disorder occurs and is characterized by a creamy white macula bordered with various shapes and sizes. This condition is caused by damage melanocytes that lead to loss of pigment production in the skin and
mucosal surfaces.
The existence of various definitions and differences in clinical assessment methods vitiligo encourages the formation of Vitiligo European Task Force (VETF) on in 2003 that proposed a consensus on definition and classification vitiligo. Vitiligo European Task Force classifies vitiligo into two Large groups ie vitiligo vulgaris or vitiligo non segmental and vitiligo segmental.
According to VETF vitiligo vulgaris or common generalized vitiligo or non-segmental vitiligo is defined as a chronic pigmentation disorder obtained, characterized by white macules, often symmetrical and increased wide over time, resulting from a meaningful loss of function epidermal melanocytes and sometimes hair follicle melanocytes.
This group 10 covering focal vitiligo, mucosal vitiligo, acrofacial vitiligo, vitiligo generalis, and vitiligo universalis. Whereas, segmental vitiligo is defined equally with the above non-segmental vitiligo except for its unilateral distribution which can partially or completely follow the dermatomal pattern (Taieb and Picardo, 2007).
The classification of the revised VETF adds a mixed vitiligo group defined as a combination of early segmental vitiligo lesions which then develops with the emergence of bilateral depigmentation lesions of non-segmental vitiligo in the months to years (Ezzedine et al., 2012).
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Vitiligo treatment before and after
Vitiligo treatment before and after
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Vitiligo treatment options
Vitiligo is a disease characterized by melanocyte damage, especially in the skin, and provides a depth of macular and patch depigmentation that gives rise to cosmetic complaints in patients.
The course of the disease is generally unpredictable, the depigmentation patch may be widespread, undergoing spontaneous or persistent repigmentation. Vitiligo can occur in all races and ages.
The prevalence of vitiligo is about 0.1-2% of the population worldwide and about more than half of it occurs at the age of 20 years.3,4,5 Based on records
register in Polyclinic Skin and Gender sub section Eritroskuamosa and Autoimun RSUP Dr. Sardjito Yogyakarta, the number of new cases of vitiligo during the period October 2008 - August 2011 as many as 136 new cases.
Sixty-eight cases were treated with NBUVB phototherapy, forty cases of which received NBUVB monotherapy, sixteen cases of which were combined with topical immunomodulators, twelve cases of which were treated with a combination of systemic steroids.
Treatment of vitiligo is still a challenge for clinicians. A number of existing therapies provide unsatisfactory results with the limitations of incomplete and consistent therapy responses, side-effects of therapy and the ongoing course of vitiligo disease that have so far been unpredictable. Numerous studies combine NBUVB phototherapy with certain preparations, including vitamin D3 analogues, topical takrolimus, pseudocatalase and antioxidants, to improve the efficacy of therapy.
Ultraviolet B (NBUVB) narrow-band phototherapy (NBUVB) is one of the most effective treatment options for vitiligo with minimal side effects, but to achieve optimal results, 6-12 months of therapy is required.
In this paper will be reported combination therapy of NBUVB phototherapy, 0.1% takrolimus ointment, and alpha tocopherol in one case of vitiligo segmental. Aim making this paper is in order to provide insight into one of the options of combination therapy of NBUVB phototherapy on vitiligo.
CASE REPORT
A 53-year-old woman, housewife, domicile in Kalasan Sleman, MR 1447482 came to the Skin and Gynecologist RSUP Dr Sardjito Yogyakarta on December 7, 2009 with complaints of white patches on the face area. These white patches appear since 4 months ago. Early spots appear as white dots on the nose rapidly extending to the cheeks and forehead. Since 2 months ago, the patient went to SpKK and received Stenirol® 16 mg daily and Medicort® and Calacort® concoction ointment that was applied every morning and evening. White patches are not reduced, but the expansion is somewhat slowed down.
Patients went to Polyclinic Skin and Gender RSUP Dr. Sardjito Yogyakarta in therapy 0,1% takrolimus ointment and planned fototerapi. But phototherapy is temporarily suspended because the tool is under repair. Complaints felt no improvement but felt did not increase. Patients then returned control to the Skin and Gynecology Polyclinic of Dr. Sardjito Yogyakarta.
A previous similar complaint history was denied. History of previous wounds or skin diseases on white patches is denied. A similar family history of diseases denied. The history of diabetes mellitus suffered in patients and families is denied. Dermatological status in the facial area around the left nose extends to the cheeks and forehead obtained patches depigmentation firm bounds irregular shape, seen in some lesions obtained very minimal erytem, in the lashes on the left looks polyiosis.
On examination with Wood lamps appear depigmentation area, borderless, colored like white chalk. The work diagnosis is vitiligo segmental with value of Vitiligo Area Score Index (VASI) of 45. It is planned to give combination therapy fototerapi NBUVB 3 times a week with initial dose 200 mJ / cm2, takrolimus ointment 0,1% applied twice daily, and alpha tocopherol 400 mg per day. Phototherapy is increased 50 mj / cm 2 per week. In the 5th week felt by the patient the complaints improved.
On dermatological examination of the facial area around the left nose, left cheek and forehead, a patch of irregularly irregular borderline depigmentation with diffuse repigmentation, appears as a contrasting area between the lesion and surrounding skin which decreases with the VASI value to 40.
In the 19th month felt by the patient the complaints continue to decrease. Dermatological examination of the facial area around the left nose, cheeks and forehead
left, a reduced depigmentation patch with an irregularly irregular border with diffuse repigmentation, appears to be a contrast area between the lesion and surrounding skin decreasing with the VASI value being 10. (Figure 3). The VASI value in the first patient was 45 and the end of evaluation at month 19 was 10. During treatment there were no complaints of side effects from the therapy.
Vitiligo is the disease characterized by destruction of melanocytes, especially in the skin, and clinicaly showing depigmentation macula and patches. A number of therapies do not provide satisfactory results, thus a combination therapy
is required. Purpose: To evaluate the choice of combination treatment of NBUVB phototerapy in vitiligo. Case: A woman,53 year-old, complained about white patches on the left of her forehead, nose, around the eye and cheek. The white patches appeared 4 months ago. Dermatological status showed well-defined and irregular-shaped of depigmentation patches with slight erythem on some lesions.
Poliosis was seen on the left eyelashes. Wood's lamp examination showed well defined and white chalk-like coloures depigmentation. Working diagnosis was segmental vitiligo. Case management: The initial dose of NBUVB 200 mj/cm2, 0,1% tacrolimus ointment twice daily, and alpha-tocopherol 400mg pe day for nineteen-months. NBUVB works synergistically with topical tacrolimus by inhibiting proinflammatory cytokines and stimulating the proliferation and migration of melanocytes. Alpha tocopherol works as a radical scavenger and has the fotoprotecting capability. Conclusion: Combination therapy for 19 months demonstrated satisfactory result of repigmentation (Vitiligo Area Score Index 45 to 10).
Vitiligo treatment options
What is Vitiligo?
Vitiligo is a skin disorder that causes patches of white skin to appear on different parts of the body. It can occur in anyone, and affects all races and both genders equally. Worldwide, about 100 million people suffer from this condition and its prevalence in the United States is estimated to be around 1%.
What Causes Vitiligo?
In vitiligo, the cells responsible for giving the skin's its color (the melanocytes) are destroyed, hence the appearance of white patches. There may be several factors that can cause these cells to be destroyed, and sometimes the exact cause is unknown. It is believed that vitiligo may be an autoimmune disease, which causes the immune system to start attacking the melanocytes. It can also arise due to a disorder in the melanocytes themselves, causing them to trigger pathways that result in 'cell suicide'. Some researchers also believe that sunburn and chronic stress can cause vitiligo.
Symptoms of Vitiligo
The main symptoms of vitiligo are white patches on the skin. These patches often spread and become larger with time. The rate of spreading is highly variable - some people report very quick spreading while in others they spread slowly over several years. These patches tend to be found mostly on the areas that are exposed to the sun, such as the hands, feet, face and around the lips. However, they are also commonly found in the armpits and groin, at the navel, in the genital area, and at the nostrils. In addition, people with vitiligo often suffer from early graying of the hair.
Diagnosis of Vitiligo
White patches of skin are tell-tale signs of vitiligo, but there are other factors that confirm this diagnosis. These include whether the patient has a parent who suffers from vitiligo, whether autoimmune diseases run in the family, and whether the patient experienced grey hair before the age of 35. Sometimes, a biopsy and a blood test will be used to rule out other medical conditions.
How is Vitiligo Treated?
Treatment for vitiligo is still a highly-researched and changing area. Treatment will depend on the extent of the condition, and also how much the patient can afford, as many treatments tend to be very expensive. In addition, even the most specialized treatments are not always effective and are associated with a number of side effects.
Usually, one of the first treatment options recommended is steroid therapy and/or immunomodulators. However, both these pharmaceutical treatments can only be used in the short term and are notoriously ineffective and suffer from a high incidence of side effects. Another treatment option involves the use of ultraviolet light coupled with medications. However, this involves bi- or tri- weekly visits to a specialized clinic for weeks or months, is very expensive, and side effects include eye damage and an increased risk of skin cancer.
Yet another treatment option involves surgical skin grafting, but sometimes this causes skin trauma that ends up aggravating vitiligo even more. For very small patches of white skin, tattoos are sometimes used to cover these up.
It is interesting to note that as early as the 1980's, medical researchers had reported that they cured people of vitiligo using herbal extracts, mega doses of vitamins or a combination of herbs and vitamins. Several such reports were also published in the 1990s; for example, there was a group of Swedish doctors who cured patients of their vitiligo in just 3 weeks using only vitamin supplementation. However, nowadays such research has been hidden both from the general public and from the scientific community itself. This is because there is too much money involved in the more expensive treatments, and indeed vitiligo accounts for a large chunk of the pharmaceutical and medical industry's annual revenue. Doctors who know about the natural cures for vitiligo will not mention it as doing so will cause them to miss out on thousands of dollars from each patient. Worse, young doctors may never know about the natural alternative, as this research has been removed from all modern medical textbooks.
Due to the pharmaceutical and medical industry's wide-reaching influence and the money involved for all health professionals who deal with vitiligo, very few are willing to publicize findings that vitiligo can indeed be treated naturally, safely, extremely cheaply and in just a few weeks. One of these few medical researchers who dares to go against the current is Michael Dawson, a UK-based researcher and certified nutritionist who is doing a lot of work to try to make these findings available to the general public. He is the creator of the "Natural Vitiligo Treatment System™", a step-by-step guide to self-curing vitiligo holistically using an amalgamation of all the research done in the area together with his own research and self-experimentation.
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Vitiligo treatment options - What is Vitiligo?
Vitiligo treatment options
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