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Follow on Google News | Leukoderma- Recolor your skinVitiligo is a pigmentation disorder in which melanocytes (cells that make pigment) in the skin are destroyed. These can lead to depression and mood disorders. Pigment producing cells can be transferred to white patches to give them natural color.
By: Dr KD Aneja The actual causes of vitiligo are not completely known and are still to be explored. Children whose parents have the disorder are more likely to develop vitiligo. People with leukoderma may have premature graying of the scalp hair, eyelashes, eyebrows, and beard Vitiligo generally appears in one of three patterns: 1. Focal pattern - depigmentation is limited to one or only a few areas 2. Segmental pattern - depigmented patches develop on only one side of the body 3. Generalized pattern - most common. Depigmentation occurs symmetrically on both sides of the body There are a number of ways to alter the appearance of vitiligo. The choice of therapy depends on the number, location and sizes of white patches. The treatment options can be categorized under medical, surgical, and adjunctive therapies. MEDICAL 1. Psoralen photochemotherapy or PUVA therapy: Psoralen is a drug that contains chemicals that react with ultraviolet light to cause darkening of the skin. Psoralen can be taken by mouth (orally) or applying it to the skin (topically). a. Topical psoralen photochemotherapy: b. Oral psoralen photochemotherapy: 2. Topical Steroid Therapy: Steriod creams are the simplest and safest treatment for vitiligo 3. Lately, UVB narrowband has replaced PUVA since this treatment does not involve Psoralen .The effect of the UVB narrowband lamp is sufficient 4. Depigmentation: SURGICAL - Autologous Skin grafts- Melanocytic Transfer-Suction Blister Epidermal Grafts These are recommended for patients whose vitiligo has remained stable for at least 2 years. The plastic surgeon first abrades the superficial layer of the skin of white patches. Then very very thin skin grafts are harvested from the thighs by grafting handle or suction blisters. The skin grafts are then applied to the abraded areas. The melanin producing cells of the skin graft start producing pigmentation at the new areas, thus giving a natural result. Surgical treatment is not recommended for patients who lose color (pigment) when they suffer a small cut or scrape. ADDITIONAL THERAPIES • Cosmetics • Sunscreens • Tattoing The author (Dr K.D.Aneja) is a leading plastic surgeon based at Chandigarh, the capital of Punjab and Haryana. He has treated many patients of vitiligo with excellent results. # # # Dr K.D.Aneja is a premiere plastic surgeon who is dedicated to improving your quality of life through advanced cosmetic surgery. The main goal is make you as beautiful as you can be, while promising realistic results. End
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