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Vitiligo is a disorder in which the skin loses its pigment cells (melanocytes). Consequently, the skin, hair, and mucous membranes on various body parts may develop discoloured patches. The kind of treatment you get will depend on your age, the location and amount of skin affected by the illness, how fast it develops, and how it impacts your life. Before you discover the course of therapy that works best for you, you may need to try a few different ways or perhaps a mix of approaches. Even if the treatment is effective for a time, new patches may develop, or the effects may not endure. Your doctor may suggest a skin-applied medicine as a maintenance treatment for vitiligo in Hebbal, Bangalore to stop recurrence.
Medications
The loss of pigment cells that occurs in vitiligo cannot be stopped by medication. However, several medications may assist in recovering some colour,
Inflammation-controlling drugs: A corticosteroid cream might restore the afflicted skin's colour. This works best when vitiligo is still in the early stages. It can take months to see changes in your skin. Skin thinning or the formation of wrinkles or streaks on your skin are potential adverse effects.
Drugs that impact the immune system: People with minor patches of depigmentation, particularly on the face and neck, may find relief with calcineurin inhibitor ointments such as tacrolimus (Protopic) or pimecrolimus (Elidel).
Therapies
Light therapy: It has been shown that phototherapy using narrow-band ultraviolet B (UVB) may halt or decrease the growth of active vitiligo. It could be more effective when used with calcineurin inhibitors or corticosteroids. 2 to 3 times a week will be required for treatment. Before you see any difference, it can take 1 to 3 months; the complete impact might take six months or more.
Combining light therapy with psoralen: This treatment combines light therapy (photochemotherapy) with a plant chemical called psoralen to restore colour to the light patches. You are exposed to UVA light after taking psoralen or applying it to the afflicted area of your skin.
This therapy may be an alternative if your vitiligo is severe. A depigmenting substance is applied to unaffected skin. The skin becomes paler and merges with the discoloured areas, and Depigmentation persists forever.
Surgery
Some patients with stable illnesses may be eligible for surgery if light treatment and medicines have failed. By restoring colour, the following methods aim to balance out skin tone,
Grafting of skin: Your doctor uses this process to transplant tiny pieces of your healthy, pigmented skin to locations where the colour has faded. This technique may be used if you have minor vitiligo spots.
Blister grafting: In this surgery, your doctor uses suction to create blisters on your pigmented skin, then transfers the tips of the blisters to discoloured skin. Suction-induced skin injury may result in the development of a new vitiligo patch.
Transplant of cellular Suspension: Your dermatology doctors in Hebbal, Bangalore at Manipal Hospitals performs this surgery by removing some pigmented skin tissue, putting the cells in a solution, and then transplanting the cells onto the prepared damaged region.
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