Vitiligo

Vitiligo - a disorder of skin coloring, characterized by the appearance of discolored, often symmetrically located spots of various sizes and outlines, milk-white color; Spots detect a tendency to edge growth.

Content

Causes of vitiligo

Manifestations of vitiligo

On healthy skin, multiple or single discolored (ivory colors appear
bones) spotted rashes inclined to edge growth. On the edge of the stains celebrate
condensation of pigment, which contributes to the sharpening contrast contrast
rashes and healthy skin. Gradually the rash applies, and some
Patients big areas of skin become snow-white. Vitiligo can be placed
on any sections of the skin (except the skin of the palms and soles) and mucous membranes
Shells. Hair on vitiligo spots are also discolored; In 35% of patients
There is a premature Sedina. Subjective sensations are usually absent,
However, 10% of patients celebrate itching.

In 50% of cases, vitiligo disease begins at the age of 10—30 years. In children usually
limited forms of vitiligo develop, often on the background of autoimmune and endocrine
diseases (for example, thyroid diseases, rheumatoid arthritis, etc.). In the elderly, the disease is usually,
does not develop.

Treatment of vitiligo

In the treatment of vitiligo use
Preparations that increase the sensitivity to light in combination with
Puv-therapy (ultraviolet light irradiation). Preparations,
Raising sensitivity to light: Beroxan, Puvalen, Metoksalen,
Occaled, Lamadin, Ammifurin, Meladinin, Psoralen, Psoberan. Preparations
produced in the form of tablets, alcohol solutions for outdoor
Applications, masses. The presence of contraindications for the PuU-therapy:
Pregnancy, malignant tumors, increased sensitivity to
irradiation, diseases of the stomach, liver, kidneys, cardiovascular
Systems, blood, age up to 5 years and over 60 years.

There is information about the successful combination of drug reception,
increasing sensitivity to light, with the irradiation of the discredited
Skin sites helium neon laser in the treatment of vitiligo. Application
Laser during vitiligo has a number of advantages over the method of the PuUP therapy:
High efficiency, significant reduction in treatment time, clarity
dosing, lack of adverse reactions, limited
Contraindications.

Due to insufficiency in patients with vitiligo trace elements
copper necessary to generate a skin pigment recommended
Introduction of copper in the hearth vitiligo. So, there are data on the inclusion in
Complex therapy of vitiligo Cupira, copper sulfate (reception inside or
Introduction by electrophoresis), which increases the effectiveness of treatment.
The simultaneous purpose of ascorbic acid eliminates the deficit
Vitamin C, observed in patients with vitiligo, and contributes to successful
Treatment.

Due to the insufficient activity of adrenal glands in patients
Vitiligo prescribe intramuscular injections of hormone corticotropin
(daily at a dose of 10–20 units for treatment — 200–300 units) in combination with
PuU-therapy.

Vitaminotherapy is recommended to be carried out according to the scheme: 10–fifteen
Vitamin B1 injections, alternating with nicotine acid, and intake
Vitamin A, ascorbic acid with riboflavin.

Surgical treatment of vitiligo: transplanting donor sites
leather pre-prepared by the PuV method (which stimulates
Synthesis of leather pigment and improves the transplant adhesion),
It is a rapid treatment method, allows to achieve homogeneous coloring
skin and is effective in the treatment of patients who did not help
Methods of conservative therapy.

Patients vitiligo recommended the exclusion of direct solar irradiation, the use of sunscreens.

Diet therapy during vitiligo: the main goal of the diet – recovery
Normal metabolism, increase in copper,
zinc, iodine, iron and vitamins, as a possible cause of appearance
diseases in the absence of an explicit source or as an additional
strengthening during treatment. Copper products:
Cod Liver, Fish, Seafood, Mushrooms, Pineapples, Bananas, Cherry,
Raspberry, buckwheat, parsley, celery, figs, apricot, pear, blackberry,
Malina, Cherry, Walnut Walnut, Melon, Bean (peas, beans, lentils).

Prognosis and course of vitiligo