Your current treatment plan is a recognized approach, but there are newer, highly effective options available today. While tacrolimus and trioxsalen (combined with light therapy) are standard, newer treatments like topical JAK inhibitors (such as ruxolitinib) have shown excellent results in restoring skin pigment. Additionally, narrowband UVB phototherapy is now often preferred over oral trioxsalen because it has fewer side effects. Topical corticosteroids also remain a strong first-line option, while placenta extract has less clinical evidence. Your regimen is a good starting point, but I recommend discussing these newer, advanced therapies with your dermatologist to see if they are a better fit for you.

Hello, There may be some confusion between Leukoderma and Leukemia because the names sound similar. Leukoderma, also called vitiligo, causes white patches on the skin due to loss of pigment and is usually limited to the skin. Leukemia is a blood and bone marrow cancer and does not typically cause patchy white skin changes. If you notice skin whitening or other symptoms, it is best to consult a dermatologist or general physician for proper examination, diagnosis, and guidance.