Segmental vitiligo treatment

Written by Liu Gang
Dermatology
Updated on September 04, 2024
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There are currently multiple ways to treat segmental vitiligo, with the most conventional being a combination of oral medication, topical medication, and 308 laser treatment. If the disease is in the stable phase, melanocyte transplantation can also be considered. The stable phase refers to the condition where, after repeated treatments, there are no changes, no recovery, and no further expansion for a year. This disease is somewhat related to personal immunity, so it is important to regularly exercise to strengthen immunity, consume more dark-colored foods, and avoid eating too much food rich in vitamin C. Proper treatment at a qualified hospital's dermatology department can lead to a complete cure of the disease with persistent treatment.

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Written by Liu Gang
Dermatology
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What are the early symptoms of vitiligo?

The early symptoms of vitiligo generally appear as a white patch on a localized area of the skin. Initially, the color is not very white, appearing as a vague, hazy white patch. As the condition gradually progresses, the color of the patch becomes whiter and its area expands. If the white patch appears in areas with hair, such as eyebrows, armpits, or the scalp, the hair in these areas will also gradually turn white. Some patients with vitiligo may experience localized itching, but most patients do not experience any discomfort. Once vitiligo is discovered, it is crucial to seek formal treatment at a hospital. Generally, a combination of oral and topical medications, along with 308 laser therapy, yields relatively good results. Treatment can be more challenging if the affected area is large, whereas smaller areas are relatively easier to treat.

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Written by Liu Gang
Dermatology
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Patients with vitiligo should see the dermatology department.

Vitiligo belongs to the category of dermatological diseases, and its treatment requires seeking care from the dermatology department of a reputable hospital. This disease is associated with factors such as decreased immunity, family genetics, ketone deficiency in the body, or local trauma. If white patches appear on the body, it is necessary to visit a dermatology department at a reputable hospital and use a Wood's lamp for diagnosis to confirm whether it is vitiligo. If confirmed, active treatment should be pursued, typically involving oral medication, topical medication, and laser therapy. During treatment, it is important to exercise to strengthen the immune system, avoid spicy and irritating foods, and consume more black-colored foods, while limiting the intake of foods rich in vitamin C. After recovery, it is advisable to use a Wood's lamp again to check that the pigmentation is even. Regular exercise post-recovery can effectively prevent the recurrence of the disease.

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Written by Liu Gang
Dermatology
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What elements should be supplemented for vitiligo?

Most patients with vitiligo have a certain relationship with a deficiency in copper in their bodies; copper aids in the synthesis of melanin, so it can be somewhat helpful for vitiligo patients to appropriately supplement with copper for treatment. However, for some patients, their condition is not related to a lack of copper, but rather due to a simple reduction in immunity, family genetics, or localized trauma. These patients can receive symptom-targeted treatment, and the use of 308 laser during treatment can enhance results. It is important to regularly exercise, boost immunity, consume more black-colored foods, and avoid eating too many foods rich in vitamin C, such as strawberries, oranges, tomatoes, pineapples, and mangoes. Generally, after complete recovery from vitiligo, the rate of recurrence is relatively low.

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Written by Liu Gang
Dermatology
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Does vitiligo spread through contagion?

Vitiligo is not contagious, and it will not be transmitted to others through contact once it appears. However, this disease does tend to have a genetic predisposition. The main factors contributing to vitiligo include decreased immunity, a deficiency of copper in the body, localized trauma, or genetic heredity. There are also some reasons that cannot be fully identified through medical examination. After vitiligo appears, its progression varies from person to person. Some patients experience rapid development, with the affected area expanding significantly within a few months, while others see slower progression. Generally, if the spread is quick, it is necessary to seek routine treatment promptly. If the affected area is small and the progression is very slow, it might be reasonable to observe for a while to monitor the development of the patches before deciding on the treatment approach. In any case, it is crucial to take vitiligo seriously upon its onset, continuously observe its progression, consult a doctor to assess the severity of the condition, and receive appropriate treatment.

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Written by Zeng Xian Fu
General Surgery
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Is the effect of epidermal grafting surgery for vitiligo good?

Vitiligo can be treated with epidermal grafting. Currently, patients with stable conditions, including localized vitiligo and segmental vitiligo, can achieve good results from the transplantation of epidermal pigments. The treatment method involves selecting the skin epidermis from the thigh or abdomen, using an epidermis separator to detach the epidermis, and attaching the skin flap to the depigmented spots, which are polished. This method can effectively treat localized or stable vitiligo and achieve satisfactory results. Therefore, skin grafting surgery for vitiligo can be quite effective. However, the occurrence of vitiligo is related to the immune system, and there is still a possibility of recurrence after successful treatment.