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Suggest Treatment For White Patch On Neck
Question: my 8 year son has recently got one white patch about 1 cm round on the neck. seems it is vitilgo. Also few very small discoloration of skin over eyebrow. have seen doctor he has suggested Dicaris 50 & topograph cream. any secondd opinion pls
Brief Answer:
Focal Vitiligo; topical tacrolimus is a good choice
Detailed Answer:
Hello. Thanks or writing to us at healthcaremagic.
I have gone through your query and I have also seen the photograph.
This seems like Vitiligo.
The topical preparation contains tacrolimus in an ointment base. I agree with this choice of treatment.
It is one of the topical treatment for focal vitiligo. It should be applied twice daily; gently rubbed in with finger tip.
Tacrolimus can either be used alone Or it can be combined with topical moderately potent steroids e.g Mometasone furoate.
Response is usually evident within 6-8 weeks, with twice daily applications of tacrolimus.
Oral tablets contain levamisole, which has an immunomodulatory role in slowly spreading vitiligo. It is usually give an weekend therapy on 2 consecutive days(Saturday and Sunday).
Regards
Focal Vitiligo; topical tacrolimus is a good choice
Detailed Answer:
Hello. Thanks or writing to us at healthcaremagic.
I have gone through your query and I have also seen the photograph.
This seems like Vitiligo.
The topical preparation contains tacrolimus in an ointment base. I agree with this choice of treatment.
It is one of the topical treatment for focal vitiligo. It should be applied twice daily; gently rubbed in with finger tip.
Tacrolimus can either be used alone Or it can be combined with topical moderately potent steroids e.g Mometasone furoate.
Response is usually evident within 6-8 weeks, with twice daily applications of tacrolimus.
Oral tablets contain levamisole, which has an immunomodulatory role in slowly spreading vitiligo. It is usually give an weekend therapy on 2 consecutive days(Saturday and Sunday).
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thx, stupid to ask , but is it curable .
Brief Answer:
Vitiligo treatment; tacrolimus is apt for it
Detailed Answer:
Hi.
Vitiligo is an unpredictable disease. The patches usually re-pigment in 3-4 months.
It may or may not recur; there is no way to predict its future course.
Treatment of vitiligo is guided by the extent of involvement and whether it is spreading or stable.
While topical treatment alone suffices for focal patches such as this; for widespread vitiligo systemic treatment is required.
Topical treatment options are topical steroid, topical tacrolimus, basic fibroblast growth factor etc
Surgical measures can be tried in stable vitiligo if medicines do not produce the desired results and include suction blister therapy; melanocyte culture and grafting etc
Having said that, limited disease has a better prognosis than widespread or extensive disease.
Since your child has just a few patches, the treatment that he has been prescribed is apt for it.
Subsequently treatment can be modified (added or substituted) if need be.
Systemic treatment for widespread involvement includes phototherapy, oral steroids etc.
Regards
Vitiligo treatment; tacrolimus is apt for it
Detailed Answer:
Hi.
Vitiligo is an unpredictable disease. The patches usually re-pigment in 3-4 months.
It may or may not recur; there is no way to predict its future course.
Treatment of vitiligo is guided by the extent of involvement and whether it is spreading or stable.
While topical treatment alone suffices for focal patches such as this; for widespread vitiligo systemic treatment is required.
Topical treatment options are topical steroid, topical tacrolimus, basic fibroblast growth factor etc
Surgical measures can be tried in stable vitiligo if medicines do not produce the desired results and include suction blister therapy; melanocyte culture and grafting etc
Having said that, limited disease has a better prognosis than widespread or extensive disease.
Since your child has just a few patches, the treatment that he has been prescribed is apt for it.
Subsequently treatment can be modified (added or substituted) if need be.
Systemic treatment for widespread involvement includes phototherapy, oral steroids etc.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
GD day Dr. Kakkar
thx for the detailed reply
Can u also suggest
1) by any chance the medicine prescribed have some major side effect or can by any chance even aggravate the more spots
2) Dietary restriction
a) Sea food
b) fresh water fish
c) Red meat ( mutton)
d) Chicken
e) egg
f) Dosa
g) Dry fruits
h) calcium & iron syrups
i) Citrus fruit
j) Banana / apple
k) Chinese (occasionally) ( concern is msg)
l) curd
m) Butter
n) XXXXXXX ghee
3) what in your view, is the timeline we sud start seeing results
4) Do we need to avoid sunlight
rgds
XXXX
thx for the detailed reply
Can u also suggest
1) by any chance the medicine prescribed have some major side effect or can by any chance even aggravate the more spots
2) Dietary restriction
a) Sea food
b) fresh water fish
c) Red meat ( mutton)
d) Chicken
e) egg
f) Dosa
g) Dry fruits
h) calcium & iron syrups
i) Citrus fruit
j) Banana / apple
k) Chinese (occasionally) ( concern is msg)
l) curd
m) Butter
n) XXXXXXX ghee
3) what in your view, is the timeline we sud start seeing results
4) Do we need to avoid sunlight
rgds
XXXX
Brief Answer:
no side effects
Detailed Answer:
Hi
-No, there are no side effects with this treatment. Some patients may complain of a slight smarting sensation or burning sensation with tacrolimus but this is usually not bothersome.
-No dietary restrictions
-Usually 6-8 weeks when you should start noticing an improvement
-Strict sun avoidance is not advisable but since these patches are devoid of melanin therefore strong sun might cause them to turn red.
Regards
no side effects
Detailed Answer:
Hi
-No, there are no side effects with this treatment. Some patients may complain of a slight smarting sensation or burning sensation with tacrolimus but this is usually not bothersome.
-No dietary restrictions
-Usually 6-8 weeks when you should start noticing an improvement
-Strict sun avoidance is not advisable but since these patches are devoid of melanin therefore strong sun might cause them to turn red.
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Shanthi.E
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