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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vitiligo Patches

Hi I have all over 5 patches on ma body to be more specific it s there on knees, joints and between ma legs fingers.Doctors told that it s an early stage vitiligo and will take atleast 1 or 2 yrs.He even told the areas wer I got patches will take long tym for re pigmentation.As such one of ma spot got disappeared after using white cream prescribed by my other dermatologists but now that cream is not working so I switched to other doctor.He prescribed me dermadew cream n vitiligo ointment for it.But m so confused like how ma that spot got disappeared after using white cream.I daily go early morning in Sunlight for this vitiligo.Help me out what to do with this and exactly how much time it ll take :-(
Mon, 20 Oct 2014
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Dermatologist 's  Response
Hi,

You said you suffer from vitiligo. I would like to say few things about vitiligo. Vitiligo is an autoimmune depigmenting skin disease of unknown cause. There may be genetic tendency. Trauma, burn,surgery..etc might precipitate the disease. The prognosis may be unpredictable. In some patients there may be repigmentation without treatment. In other, treatment may not improve the disease. However, one should take treatment with patience.

I usually treat my patients in following way..

- tab trimethoxsalen 25 mg in the morning
- tab levamisole 50 mg at night
- tab folic acid 5 mg at night
- tacrolimus oint 0.01% Oint to apply at night daily
- trimethoxsalen or psoralen containing cream or lotion may be applied on the patches followed by exposure to ultraviolet A rays or sun rays for 5 min. at noon

You consult dermatologist for firm diagnosis and treatment. Have treatment for long time with patience. You might get repigmentation in vitiliginous patches. I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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Suggest Treatment For Vitiligo Patches

Hi, You said you suffer from vitiligo. I would like to say few things about vitiligo. Vitiligo is an autoimmune depigmenting skin disease of unknown cause. There may be genetic tendency. Trauma, burn,surgery..etc might precipitate the disease. The prognosis may be unpredictable. In some patients there may be repigmentation without treatment. In other, treatment may not improve the disease. However, one should take treatment with patience. I usually treat my patients in following way.. - tab trimethoxsalen 25 mg in the morning - tab levamisole 50 mg at night - tab folic acid 5 mg at night - tacrolimus oint 0.01% Oint to apply at night daily - trimethoxsalen or psoralen containing cream or lotion may be applied on the patches followed by exposure to ultraviolet A rays or sun rays for 5 min. at noon You consult dermatologist for firm diagnosis and treatment. Have treatment for long time with patience. You might get repigmentation in vitiliginous patches. I hope you got my answer. Thanks. Dr. Ilyas Patel MD