Treatment of vitiligo is a set of measures to overcome the cause and clinical manifestations of chronic autoimmune disease, manifested by the absence of melanin in some randomly taken areas of the skin of the whole body. About 1% of people all over the planet suffer from this disease. The largest percentage of patients with vitiligo live in India - up to 8% of all registered patients, and in Mexico - about 3%. The main problem of treatment is the fact that the causes of the pathology have not been reliably established.
Is there a need for treatment?
When raising this question, it is important to understand that vitiligo does not occur in a completely healthy person. Despite the incomplete study of this pathology, the conclusion about the occurrence of the disease is one - the existing parallel problem with the body. Vitiligo is an external manifestation of internal pathologies.
The basis of such manifestations can serve as autoimmune problems, helminthic invasion, diseases of the gastrointestinal tract, endocrine problems, diseases of the cardiovascular nature. By the way, when vitiligo is very often in patients diagnosed with vegetative-vascular dystonia.
In the absence of serious health problems after the survey, it is important to concentrate on your own psycho-emotional state, since mental agony can cause disruptions in the immune system and, as a consequence, the onset of vitiligo.
It is simply necessary to treat vitiligo, starting with the cause of the disease and ending with non-aesthetic manifestations of the problem under consideration. Sometimes after eliminating the cause of vitiligo, the effects themselves go away.
Treatment with modern techniques involves the process of returning the affected melanin to the affected skin. This can be achieved by a combination of drugs that increase the susceptibility of the skin to ultraviolet radiation. When irradiated with an ultraviolet lamp, especially with a light skin tone, the results can be very noticeable. Similar therapy is supported by the use of immunomodulators.
The course of treatment can last from several months; treatment is often required to be repeated many times, taking short breaks in order to avoid the emergence of drug resistance on the part of the body. The whole therapy is a multifaceted and lengthy process that the attending physician must constantly monitor, since self-healing can only be achieved by aggravating the pathological processes.
Vitiligo treatment is a long and complicated process. To appoint it and monitor the progress should be a qualified doctor. Self-medication in this case can only harm. All therapy for vitiligo is aimed at controlling the spread of disease manifestations to other areas of the skin, enhancing the natural production of melanin by stimulating the skin cells responsible for pigmentation, eliminating the causes of the disease (usually autoimmune disorders).
Medications for Vitiligo
For the purpose of treatment of vitiligo, the dermatologist examines the patient and prescribes tests and other diagnostic procedures at his discretion. Sometimes it is required to make a biomaterial collection for laboratory research. After this, a diagnosis is made and treatment is prescribed for both vitiligo directly and associated diseases that caused the skin pathology.
The most common drugs used for the treatment of vitiligo are glucocorticosteroids, suppressing autoimmune disorders and allergic manifestations. In the case of localized forms of vitiligo, glucocorticosteroid agents are used in the form of external ointments, and in case of generalized forms, in the form of tablets. Also to enhance the positive effects of ultraviolet radiation, prescribed for pathology, it is important to take drugs that have a photosensitizing effect.
The main objectives of the treatment of vitiligo are the elimination of hormonal instability in the body and the removal of the patient from a severe psychological state.
Ointments and gels
Properly prescribed therapy for vitiligo allows you to stop the process of the spread of white spots throughout the body, reduces the affected area. Systematically used external means - gels, ointments and creams will help get rid of the disease in terms that depend on many factors, in particular:
- from the area of destruction - the smaller, the faster;
- on the size of white spots on the skin - the smaller the better treated;
- from the symmetry of the location of the spots on the body - unilateral vitiligo responds better to therapeutic measures than the bilateral one;
- from the localization of manifestations - white spots on the body are better treated than their counterparts on the lips, finger tips, in the corners of the mouth.
Improvement of the patient's condition will be expressed in the resumption of pigmentation in the depigmented areas or in the cessation of the progression of the size of existing spots and the absence of new zones of damage.
To treat vitiligo, you can use 2 types of ointments or creams - hormonal and steroid. At the same time in ointments, the concentration of active substances is higher than in cream and gel, and it is able to penetrate deeper into the layers of the skin. Hormonal ointments are applied to the affected areas of the body, providing a stimulating effect on them. The immune environment changes on the area of application, the cells are able to function normally and produce melanin. Adrenal hormones - corticosteroids, are the main active ingredient in such ointments. Sometimes these ointments contribute to the suppression of adrenal function in the body.
Steroid ointments are based on other types of hormones and have anti-allergic, anti-inflammatory and immunosuppressive effects on the skin. This may cause an increase in skin sensitivity, the ointment can interfere with the absorption of vitamins C and D in the body or provoke the removal of chromium from the body. Therefore, using steroid ointments, the patient needs to compensate for the possible loss of vitamins by taking vitamin-mineral complexes.
Since the active ingredient of steroid ointments is cortisone, that is, a hormone, it is necessary to use such treatment against vitiligo with caution so as not to overload the body too much. The short-term use of steroid ointments for vitiligo is very effective, but later it can cause relapses of the disease, provoked by glucocorticoids in their composition.
There are also vegetable or vitamin ointments against the disease in question. Such ointments can increase the sensitivity of the skin to the sun's rays, saturate it and stimulate the production of melanocytes.
The most popular drugs today are topical anti-vitiligo with cortisone. Sulfuric or zinc cream also helps to get rid of vitiligo, but before using it, skin areas should be treated with preparations to suppress pathogenic microflora. If vitiligo occurs on the head, sulsen shampoo or soap is most often used. In many products there is salicylic acid in the composition, which cannot be used if the patient has sensitivity to it. Pharmaceutical preparations should be wary of Protopic, since it is not recommended for children, and Prednisolone, which has the property of retaining body fluids, which is dangerous in hypertension.
The most common drugs can be summarized in the table of medicinal creams and ointments used to treat vitiligo.
|Drug name||Pharmaceutical Group||Side effects|
Antiseptic drugs of other groups
|When treating with sulsen preparations, side effects usually do not occur.|
|Tacropic||Anti-inflammatory drug for external use. Selective inhibitor of the synthesis and release of inflammatory mediators||The most frequent adverse reactions are symptoms of burning and itching on the skin, redness, pain, rash at the site of application, alcohol intolerance, there is a risk of folliculitis, acne and herpes, local skin infections, there are isolated cases of rosacea, malignancy.|
|Prednisolone||Hormones, their analogues and antihormonal drugs.|
Hormones of the adrenal cortex
|Possible obesity, hirsutism, the appearance of acne, osteoporosis, menstrual disorders, complex Itsenko-Cushing, ulceration of the digestive tract, the occurrence of a through defect of the stomach wall at the site of an ulcer, pancreatitis, hyperglycemia, decreased resistance to infection, mental disorders, increased blood clotting. With the cessation of treatment may cause withdrawal, adrenal insufficiency, exacerbation of vitiligo.|
|Akriderm||Hormones, their analogues and antihormonal drugs.|
Hormones of the adrenal cortex
|Local reactions may develop, including burning, dryness and irritation of the skin, folliculitis, hypertrichosis, striae, hypopigmentation, pruritus, perioral dermatitis, acne, and heat loss.|
With prolonged use in patients may develop maceration, prickly heat and skin atrophy, purpura, secondary infection, hirsutism.
When applied to large areas of skin, as well as use in children with excessive systemic absorption of betamethasone in patients may develop gastritis, ulceration of the mucous membrane of the digestive tract, hyperglycemia, reversible suppression of the functions of the adrenal cortex, Cushing's syndrome, glycosuria, increased intracranial pressure, suppression of the hypothalamus pituitary-adrenal system, reducing the excretion of growth hormone.
|Dermoveit||Hormones, their analogues and antihormonal drugs.|
Hormones of the adrenal cortex.
Adrenal hormones and their synthetic analogues
|It may provoke symptoms of inhibition of adrenal and pituitary function due to significant systemic absorption of the drug (more often in children), superficial vasodilation, increased hair growth, atrophic skin changes, thinning, changes in pigmentation, exacerbation of the main symptoms of vitiligo. Local reactions may be in the form of burning, redness of the skin, itching, allergic contact dermatitis and be similar to the symptoms of the underlying disease.|
|Momat||Corticosteroids for topical use in pharmacology||There irritation and skin dryness, burning sensation, folliculitis, pruritus, hypertrichosis, hypopigmentation, acne, perioral dermatitis, allergic contact dermatitis, skin maceration, accession secondary infection, striae, signs of skin atrophy, sudamen, sometimes formed papules, pustules, not excluded adrenal deficiency or Cushing's syndrome.|
|Advantan||Hormones, their analogues and antihormonal drugs.|
Hormones of the adrenal cortex.
Adrenal hormones and their synthetic analogues
|Redness of the skin, itching, burning, the appearance of vesicles at the site of application of the drug. Less often - skin atrophy, stria, acne. Extremely rare - folliculitis, excessive hair growth, perioral dermatitis.|
|Protopic||Dermatological products||Symptoms of skin irritation at the site of application. Often there is intolerance to alcohol, an increased risk of developing folliculitis, acne and herpes infections, as well as paresthesia, burning sensation, hyperesthesia. Isolated cases of rosacea, malignancy.|
|Sinalar||Hormones, their analogues and antihormonal drugs.|
Hormones of the adrenal cortex
|Irritation at the site of application, allergies, the appearance of striae, thinning of the skin, local excessive expansion of small vessels, systemic problems due to inhibition of adrenal function.|
|Hydrocortisone||Synthetic glucocorticosteroid preparation for external use||Hyperemia, swelling and itching in places of application of ointment. With prolonged use - secondary infections of the skin, atrophic changes in it, hypertrichosis, hypercorticism, chronic overdose is possible.|
|Locoid||Hormones, their analogues and antihormonal drugs.|
Hormones of the adrenal cortex.
Adrenal hormones and their synthetic analogues
|Adverse reactions develop very rarely - skin irritation, the appearance of shiny, wrinkled skin with visible vascularization, delayed wound healing, rosaceous dermatitis, telangiectasia, hypertrichosis depigmentation. Systemic effects manifest as suppression of the functional activity of the adrenal glands. With frequent contact with the conjunctiva of the eye, cataracts and an increase in intraocular pressure may occur. The phenomenon of withdrawal is characterized by an exacerbation of dermatitis after cessation of use.|
|Elokom - C||Corticosteroids for use in pharmacology||Burning at the site of application of ointment, peeling, itching, maceration and atrophy of the skin, irritation, dry skin, acne, folliculitis, hypopigmentation, perioral and allergic contact dermatitis, prickly heat, secondary infections, the appearance of atrophic strips of skin, hypertrichosis. In children - suppression of the function of the hypothalamic-pituitary-adrenal system.|
|Vitiskin||Pigmentation regulator||No side effects were observed in patients.|
In Chinese medicine, vitiligo is not considered a verdict, because the local experts know the methods of effective treatment of the disease. All this is possible with timely diagnosis and establishing the cause of vitiligo in the body. A modern diagnostic method is the patented method of Tiens (a transnational corporation operating in China since 1995). According to the results of this survey, dermatologists prescribe medication therapy in combination with carefully selected biocorrectors, which compensate for the lack of substances necessary for the body in the tissues and provoke the cells to begin to independently deal with the problem.
The complex treatment with Tiens preparations for vitiligo includes preparations for cleaning the digestive tract, vascular walls and the normalization of metabolic processes in the form of antilipid tea, biocalcium and chitosan. Then measures are taken to restore the normal structure of skin DNA and neutralize the nervous component of the disease (Biozinc, Weikan, Calcium for the brain, as well as the already mentioned Chitosan and Antilipid tea). In the last stage of the treatment, liver function is enhanced and the cell structure is powered with natural antioxidant Icahn Tiens, Spirulina, Zinc Capsules and Tiens Tea. Each such course is designed for 3 months of use, however, on the recommendation of specialists, some elements of this program can be repeated. Tianshi specialists recommend treatment for 6-18 months.
Many Chinese drugs have a completely natural composition and no side effects. There is also a special research institute for vitiligo named after Xiancheng, where both the disease and ways to overcome it are comprehensively considered. The main cause of vitiligo here is called heat in the body or blood, humidity, wind, as well as "damp wind."This institute has created a whole series of drugs that affect the causes of vitiligo:
|Drug name||Pharmaceutical Group||Side effects|
|Xiaodian (capsules)||Non-toxic substances of plant origin (includes stoneplant psoralea)||It provokes some diseases of the heart and kidneys, cancer, hepatitis B. You can not take pregnant.|
|Xiaodianlin (tincture)||Non-toxic substances of plant origin (includes stoneplant psoralea)||Not stated, acceptable for children.|
|Xiaodian (ointment)||Non-toxic substances of plant origin||Not indicated if the ointment is used exclusively according to the instructions.|
Homeopaths do not consider vitiligo to be a separate disease from other pathologies, these specialists are always looking for the cause of the pathology in the human body. The main feature in homeopathy is that vitiligo can occur, depending on the specific constitution of the patient. Doctors-homeopaths also repel this treatment when prescribing treatment.
With homeopathic remedies, it is often possible to slow down the spread of pigmentation throughout the body. The same applies to spots with vitiligo, especially small ones. With the help of homeopathy, you can correct the human immune system, which will lead to the restoration of the formation of melanocytes, which are responsible for the pigmentation of the skin.
Experienced homeopathic specialists see the root of all problems in the defeat of a person’s spiritual strength. Homeopathic remedies are a springboard through which the body's cells receive forces for self-healing and healing. Initially, the patient must conduct a session of psychological assistance, especially in the case of vitiligo. When long-term endocrine disorders and stresses are detected, the fact of vitiligo development in a patient is not at all surprising to homeopaths.
The most common homeopathic remedies for vitiligo experts include:
- Ammonium carbonicum or ammonium carbonate, suitable to dictators by nature with an impressionable world view and bad mood, often suffering from vitiligo near the mouth.
- Conium or hemlock spotty, intended for people with poor intellectual abilities, confused memory, depression, shyness, hormonal imbalances, marble skin, often with nodes in the thyroid gland.
- Ignatia will help emotional patients, sensitive, temperamental, self-critical, romantic, prone to illness due to severe emotional trauma.
- Bromium or bromine is a psychasthenic type intended for grumpy, depressed individuals, often with goiter, sweating, acne, boils, eczema.
- Kaulefilum or barberry family stalks, suitable for women.
- Graphite or natural graphite, intended for self-doubtful, timid, inhibited patients with sentimental inclinations, freckles and ulcers.
- Syphilinum (Luezinum) or the nosode of syphilis, intended for those who are forgetful, often crying for no reason, pessimistic, prone to alcoholism.
- Yodum or iodine, necessary for energetic personalities, poorly enduring peace, thin, dark, short-tempered, with acne, furunculosis, depression and suicidal tendencies.
- Lycopodium or spores of morass, necessary in the treatment of patients who want to stand out in society, shine, have high self-esteem and arrogance, stingy and greedy, selfish, never coming to the reception of a homeopath alone, having multiple liver pathologies, gallbladder stones, psoriasis .
- Mercurius Solubilis or black oxide, mercury soluble Hahnemann, designed for self-contained patients with an aggressive nature, prone to criminal stories, full of life, stingy.
With the inaction of traditional methods of treatment, the defeat of half of the skin surface and the despair of the patient, the skin is whitened or depigmented. The meaning of the technique is the discoloration of the melanin pigment remaining in the skin, that is, healthy skin is approximated in a shade to the color of vitiligo spots.
The whitening technique is carried out using 20% monobenzone ether applied twice a day to the skin until it is completely discolored. The method is effective, but irreversible, with a complex of side effects and increased sensitivity of the skin to ultraviolet radiation.
Skin whitening procedures make vitiligo spots almost invisible, they even out the skin tone. However, before making a decision on bleaching, it is important to consult a doctor, since such injections have a number of important contraindications and serious side effects. Injections are expensive and due to the fact that they must be carried out regularly, the material factor is also important to calculate, so as not to abandon this process half way.
Physiotherapy for Vitiligo
Acupuncture treatment of vitiligo is an unconventional method of therapy, which is often used for various diseases. There are no preferred methods of acupuncture for this pathology, you can use reflexology, Sudzhok and others, but only after the doctor makes a diagnosis and determines the cause of the appearance of blemishes on the skin.
Acupuncture can not be called a panacea for vitiligo, but the positive dynamics of the disease after such procedures can be traced often. It is expressed in stopping the growth of white spots, mainly. The beneficial tonic effect of reflexology on the body can also affect the immune component of the pathology. However, to obtain at least some effect of acupuncture, the patient must undergo at least 10 procedures, each of which is expensive.
Laser therapy for vitiligo
Vitiligo is usually treated with drugs that increase the sensitivity of the skin to light. But the most common treatment for this disease is laser therapy. The laser significantly reduces the duration of therapy, it is clearly dosed, demonstrates high efficiency and the absence of adverse events, practically has no serious contraindications.
Laser treatment leads to a decrease in the number and size of pigmented areas, prevents the emergence of new spots and their growth. The action of laser therapy is aimed at inhibiting the activity of T-lymphocytes damaging the skin. This state of affairs suggests that the treatment of vitiligo by laser therapy is more effective to begin in the early stages of the disease with the preservation of part of the melanocytes. In this case, the area of vitiligo lesion is already reduced to 3-6 laser therapy procedures.
Immediately after using the laser, erythema occurs at the spots, disappearing after a day. It is necessary to undergo a full course of laser therapy, which includes 10-20 procedures carried out no more than 1-2 times a week.
PUVA therapy as a treatment
The method of PUVA therapy is based on the use of a photosensitizer methoxalene or psoralen, followed by ultraviolet irradiation using waves of a length of 320-400 nm. The technique is used only in persons older than 18 years.
The photosensitizer is used orally in capsules or tablets, as well as topically in the form of applying the composition directly to the skin area affected by vitiligo (using the drugs Xantotoxin or Bergapten). The duration of treatment can range from 15 to 100 effects.
Contraindications for PUVA therapy are age up to 18 years, cataracts, pathological conditions of the gastrointestinal tract, including the liver.
In addition to non-invasive techniques, vitiligo is also treated by transplanting a tissue culture of the epidermis to diseased areas of the body. Operations are carried out by the laser, places for transfers are preliminary prepared. A skin grafting technique is used in the most severe cases when depigmentation on the patient's body reaches 70-90%. Testing of the method took place on 21 patients, 18 of whom had a stable positive effect after the procedure. At the same time, before testing the patients, they were checked for the absence of autoimmune pathologies, it was also important that vitiligo did not progress for 18 months before skin grafting.
Marshland has numerous therapeutic effects due to the presence of bromine and iodine salts in its composition. With the help of infusions of dry grass duckweed can cure various diseases, including vitiligo.
According to one of the recipes, a duckweed tincture is made on the basis of vodka. For her, take 1 teaspoon of grass, washed under running water, and 50 grams of vodka. The grass is placed in an opaque jar and filled with vodka, infused week at room temperature in a dark place, then filtered using gauze. The finished infusion is stored in a cool dark place and consumed in a diluted form in proportion to ¼ cup of water 20 drops of tincture, drink 3 times a day.
Another prescription medicine suggests adding a tablespoon of honey to a tablespoon of chopped duckweed in a meat grinder, stir, put the mixture in a glass container with a lid and put in the refrigerator. Every day you need to eat 1 teaspoon of the mixture for breakfast, lunch and dinner for 2 years. Unfortunately, such treatment should be long, otherwise it will not give good results.
Black and red peppers
In Britain, it has been found that piperine, which is contained in black pepper and ensures its memorable taste and smell, can help fight vitiligo. This disease disrupts skin pigmentation by inhibiting melanin production. And piperine from black pepper just affects the stimulation of melanin production in the skin.
In laboratory conditions, piperine was applied to the skin of vitiligo mice. After 6 weeks of such experiments, the shade of mouse skin became even and darker. Some mice after application of piperine were subjected to ultraviolet irradiation. In their case, the skin at the end of the experience became more saturated. Scientists have concluded that the effect is achieved due to the ability of piperine to form melanocytes (skin pigment cells). On the basis of these experiments, a special medicine based on piperine will be developed in the future, allowing treatment of vitiligo without the use of huge doses of ultraviolet radiation, leading to skin melanoma.
In folk medicine, black pepper from vitiligo is used in this recipe:
- take equal proportions of black pepper and baking soda and mix them;
- rub the mixture into light spots on the skin until the formation of pigment and smoothing the skin color.
Also used in traditional medicine and red pepper for the treatment of vitiligo spots. In the pharmacy, you can buy a special tincture of red capsicum and three times a day to smear vitiligo spots for 5-10 minutes. Burning and rush of blood to discolored places is considered normal. After such a rubbing of the skin for 30-40 minutes, it is desirable to place under the sun's rays. After 2 weeks, the spots will gradually begin to decrease and disappear.
Hypericum against vitiligo
Hypericum oil against vitiligo has been used for many years. Often this oil is made very simple. Vegetable oil is poured into a jar of chopped grass and infused for several weeks. However, this recipe is not very effective, since the concentration of Hypericum in it is low. Hypericum flowers are used to prepare concentrated oil. They are tightly placed in a jar, leaving 4-5 centimeters free from the upper edge of the container, to which refined sunflower oil is then added (either almond, sea buckthorn, or any other). A can of flowers and oil is placed in the sun for 14 days and shaken occasionally. After 2 weeks, the oil is squeezed out and a new portion of flowers is added to it for another 14 days. Thus, the oil is saturated for 5-6 laps, but more is possible.
Since the St. John's wort blooms throughout the summer, it is possible to gather a lot of raw materials for this recipe, and prepare a highly effective medicine from it that will be used not only for vitiligo, but also for osteochondrosis, sore throat, tumors, burns and so on. Hypericum oil also helps with problems of the gastrointestinal tract, if you use it with a teaspoon inside once a day before eating.
Known and numerous recipes of folk remedies against vitiligo based on apple cider vinegar. These medicines are recommended to be used both externally and internally. When used externally, apple cider vinegar wipes stains of vitiligo until a visible improvement in skin pigmentation. When used internally, 2 teaspoons of apple cider vinegar and 2 teaspoons of honey are added to a glass of water. The mixture is drunk three times a day, half an hour before meals.
Black cumin oil
Black cumin oil in the East has been used for medicinal purposes for more than 3,000 years. Even Hippocrates mentioned this tool in his treatises. Ancient healers believed that with the help of this medicine it is possible to increase vital energy, to overcome fatigue, overwork.
According to modern research, black cumin has a mass of properties that are beneficial to the human body. You can buy this oil in special health food stores. Use for vitiligo it is necessary in the form of external applications: first, the skin with stains wipe with gauze soaked in vinegar, and then smeared with black cumin oil. Smeared skin for 30 minutes must be exposed to the sun. You can also additionally and internally use medicine based on black cumin oil. In its pure form, a teaspoon is added to ½ cup of water and drunk.
Acetylsalicylic acid or Aspirin is often used in folk remedies for vitiligo. Before using, Aspirin tablets are thoroughly ground to a powder and mixed with petroleum jelly or ordinary perfume-free baby cream. The mixture is pounded until a homogeneous mass appears, is applied to the white skin areas, which are then substituted under the sun's rays. Acetylsalicylic acid provokes the production of melanin in the skin cells, returning the necessary pigment to the spots.
Treatment in children
Vitiligo is very difficult to any therapy. However, in medical circles there are known cases of self-extinguishing manifestations of the disease. Doctors do not expect mercy from nature, but use this information in order to cure sick children as soon as possible, in which vitiligo can be cured faster and easier than in adults. The fact is that the immune system of children is subject to changes in the process of growth, therefore, sometimes it itself can turn into a state in which vitiligo will almost disappear before our eyes. The difficulty in treating children from vitiligo is the fact that up to 5 years many patients with a complex composition that are considered effective in this issue are not put to patients. Most medicines have a mild healing effect and are based on herbs or placental properties.
When vitiligo occurs on infant skin, do not panic.
These processes can either go through independently or as a result of the treatment prescribed by a dermatologist. However, even if the child still has traces of vitiligo on the skin, it must be maintained, explaining that this is just a cosmetic feature of the body.Some wise parents even manage to make the flaw an advantage in the child's appearance.
Most often, when diagnosing vitiligo in newborns, doctors immediately take a waiting position, watching how the pathology will behave as the child grows. If vitiligo does not pass by 5 or 12 years, experts prescribe medication therapy and treatment with the help of physiotherapy. Very rarely, experts recommend that children treat vitiligo surgically, but this is not done in infancy and only with certain indications.
Treatment of vitiligo should always be supported by proper nutrition. The ration is obliged to normalize the metabolic processes in the body, to ensure the flow of vitamins and to restore the patient's psycho-emotional state. Nervous disorders greatly affect the occurrence of the pathology in question. Vitiligo can occur due to nerve shocks and nervous breakdowns can also be triggered by the presence of vitiligo on a person’s skin.
Vitamins and dietary supplements
Vitamins are not an individual means of treating vitiligo, but they are able to strengthen the basic therapy and maintain the strength of the body. There are no special vitamin complexes for patients with vitiligo, as well as dietary supplements - dietary supplements, but doctors already know which substances are missing in such patients, and give their recommendations on vitamin therapy.
Be sure when vitiligo occurs to use vitamins B, C and E:
- ascorbic acid (vitamin C);
- folic acid (vitamin B9) and vitamins B6, B1;
- tocopherol (vitamin E);
- pantothenic acid (vitamin B5).
The main essential trace elements for vitiligo doctors include:
- zinc oxide, which can be used in external treatment (as an ointment);
- copper sulfate, which is included in various multivitamin complexes and can be used internally also in the form of a solution;
- zinc sulfate, which is used both internally in the form of tablets, and externally in the form of drops and solutions.
Experts say that the effectiveness of ultraviolet therapy can be increased by 2.5 times, if you take vitamin C in parallel with drugs containing copper in the composition.
Also, the body needs vitamins that will come from food. To enhance the photodynamic effect, it is useful to eat buckwheat, nettle, parsley, sorrel, celery, spinach, rosehip and figs. Sources of copper in food are cheeses, peas, beef liver and shrimps, as well as phytomeans such as mountain arnica or series.
Diets for Vitiligo Treatment
Observe a certain diet in vitiligo is essential for maintaining the immune system and all biological processes in the body in a healthy mode. Before each meal, you need to drink a glass of water, and begin to eat only 20 minutes after that. The first should be used salads from vegetables and vegetable oils, then comes the turn of boiled porridge from any allowable cereals. For breakfast, it is important to eat enough berries and fruits directly on an empty stomach, and only after they have mastered (after 30 minutes), start eating cereals or low-fat cottage cheese.
Eating is necessary in small portions at least 6 times a day. Instead of sugar, it is recommended to use various dried fruits, instead of coffee, fresh juices or green tea. It is very useful to add fresh or dried ginger to any food or drink. You can eat meat and fish dishes, but only if they are made from low-fat products by cooking or stewing. It is strongly recommended not to overeat.
Ways to Mask the Stains
Depigmented areas on the skin during vitiligo can simply be masked. If you have a responsible or solemn outing, you can apply to the skin in the right places tanning, tonal tool that will smooth the difference between different skin areas. In the medical environment, if desired, the patient is treated permanently with a permanent make-up and micropigmentation procedure.
All of the above methods of camouflage spots do not have any therapeutic effect on the skin. It is impossible to recover the natural pigment in this way, but the risk of uneven distribution of camouflage and color discrepancies is very high. In addition, all of the above methods can cause allergic reactions on the skin.
In the case of vitiligo, you can try the spa treatment, which will focus on the improvement of human skin. Dermatologists in this case determine the order and time of sunbathing, will choose a course of therapy and methods to be used. Usually modern spa treatment is carried out using advanced equipment that provides high-quality and fast effect.
When choosing a sanatorium-resort treatment, experts recommend using balneotherapy and thalassotherapy, treatment at the hot springs with sea water with useful algae, salts and other, mud wraps, photodynamic therapy based on the selective effect of light pulses on biological tissues in the infrared part of the spectrum, and acupuncture when using vitiligo. , aeroionotherapy or oxygen treatment.
When treating vitiligo, it is very important to pay attention to the psychological factor. Stress is one of the factors that provoke the disease. But the presence of pathology provokes additional stress in the patient, so the interdependence of these states is very obvious.
In order to choose the right resort for treatment of vitiligo, it is necessary to take into account the season of the year, the accompanying pathologies of the body, the climate of the area. Habitual climatogeographical conditions are more versatile with sanatorium-resort treatment. Sulfide baths may be prescribed to some patients, but heat and active sun are contraindicated. To avoid severe burns on the skin, it is important to avoid long periods of insolation.
It is very effective to treat vitiligo at the Dead Sea due to the complex health effects on the skin of its waters and the unique climatic factors in the area of its dislocation. However, the treatment program must always be individually selected by the attending physician. Typically, for 1 month in the Dead Sea, patients with vitiligo treat with thalassotherapy or heliotherapy. With repeated courses more persistent and effective results of treatment of such a disease are observed.
Which doctor to contact
At the first manifestations of pathology, it is necessary to apply for an appointment with a dermatologist. The dermatologist will prescribe a comprehensive examination, for which you will have to pass a general and biochemical blood tests, urinalysis, blood for the detection of autoimmune pathology, hormones, and concomitant infections. In this case, the diagnosis is carried out during the inspection with the use of the Wood's lamp, in the rays of which the pockets of vitiligo are painted in an intense white-blue tint.
The doctor also conducts a differential diagnosis in order not to confuse vitiligo with pathologies similar in clinical picture, such as albinism, tuberous sclerosis, lupus erythematosus, common psoriasis, versicolor and others.