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  5. I have vitiligo on about 60 per cent of my body, and there is no family history of the condition. Please recommend some treatment.

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I have vitiligo on about 60 per cent of my body, and there is no family history of the condition. Please recommend some treatment.

Asked by Female, 30 ยท 2 months ago

For widespread vitiligo without a family history, doctors may consider systemic treatments such as oral corticosteroids or immunosuppressants to help slow further depigmentation. Phototherapy, especially Narrowband UVB, is often effective for large areas and can support repigmentation. If repigmentation does not occur and the condition stays stable, depigmenting the remaining normal skin may be an option to achieve an even skin tone.
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  1. Overview of Vitiligo Treatment Goals

    • Aim to stop progression, restore skin color, and improve appearance.
  2. Medical Treatments

    • Topical corticosteroids: Reduce inflammation and promote repigmentation.
    • Calcineurin inhibitors: Suitable for sensitive areas like the face.
    • Phototherapy: Narrowband UVB light stimulates pigment cells.
    • Systemic treatments: Consider oral steroids or immunosuppressants if needed.
  3. Surgical Options

    • Skin grafting: For stable patches.
    • Cellular grafting: Alternative method.
  4. Cosmetic and Supportive Measures

    • Use camouflage makeup and self-tanning products.
    • Psychological support and counseling are beneficial.
  5. Lifestyle and Monitoring

    • Sun protection is crucial to prevent further damage.
    • Regular dermatologist follow-ups to monitor and adjust treatment.
  6. Relevant Medical Specialties

    • Dermatology is the primary specialty for managing vitiligo.
  7. Personalized Approach

    • Treatment plans should be individualized, considering 60% body involvement and patient preferences.

Answered 2 months ago

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