What are the instruments for vitiligo examination?

Written by Liu Gang
Dermatology
Updated on November 24, 2024
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The most commonly used instruments for diagnosing vitiligo currently are the Wood's lamp and the dermatoscope, with the Wood's lamp being used slightly more frequently in clinical settings. After the appearance of white patches on the body, one can first visit the dermatology department of a formal hospital for an examination with the Wood's lamp. If it is vitiligo, the patches will appear brightly white under the lamp, with clear edges. This disease has a certain degree of recurrence, and it is crucial to undergo formal treatment once diagnosed. During treatment, it is advisable to enhance physical exercise, boost immunity, and largely avoid eating spicy and irritating foods. Treatment can include oral medication, topical medication, and the use of a 308 nm UVB laser, which can accelerate recovery. It's beneficial to consume foods rich in black pigments, and it is advisable to avoid consuming excessive amounts of Vitamin C-rich foods. Persisting with the treatment usually yields good results.

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Written by Xie Ming Feng
Dermatology
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What fruits can people with vitiligo eat?

Any type of fruit can be consumed as long as it is done normally, appropriately, and in moderation. Even fruits rich in vitamin C have little impact on vitiligo. Consuming fresh fruits normally provides various vitamins and trace elements, which are beneficial to the human body. However, long-term excessive intake of vitamin C-rich foods, medications, or fruits may trigger vitiligo.

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Written by Liu Gang
Dermatology
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What are the advantages of epidermal grafting for vitiligo?

Epidermal grafting is suitable for vitiligo in its stable phase, where patches on the body have not changed for at least six months and have not improved with treatment. At this stage, one can opt for epidermal grafting, which involves relatively minor trauma and is not too costly. The local growth of melanin is rapid, and the results tend to be favorable for patients in the stable phase. During the treatment period, it's essential to avoid spicy and irritating foods, consume more black-colored foods, avoid excessive intake of vitamin C-rich foods, enhance physical exercise to boost immunity, and keep the treated area dry and free from friction to prevent melanin loss.

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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 Xie Ming Feng
Dermatology
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Can people with vitiligo eat apples?

People with vitiligo can eat apples, however, long-term excessive intake of vitamin C is one of the inducers of vitiligo. Generally, consuming vitamin C in daily amounts exceeding 1-3 grams for several months could potentially trigger vitiligo. Nevertheless, vitamin C is also an antioxidant, which can help eliminate oxygen free radicals in the body. Excessive oxygen free radicals can also damage our melanocytes. Therefore, eating an appropriate amount of fruits containing vitamin C does not greatly affect vitiligo, and there is no need to completely avoid fresh fruits and foods containing vitamin C.

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Written by Liu Gang
Dermatology
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Segmental vitiligo treatment

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.