Which Institution Provides the Best Treatment for Vitiligo?

Update Date: 2024-08-27 Source: Network

Treatment of Vitiligo: An Overview

Clinically, there is no definitive statement on which hospital is the best for treating vitiligo. Typically, patients can seek treatment at reputable tertiary hospitals. The treatment approaches vary based on the type of vitiligo:

1. Localized Vitiligo

This type is confined to a specific area of the body, commonly found on the back of hands, fingers, wrists, etc. It often results from neuropsychiatric factors that disrupt melanocytes in the local skin. Early-stage localized vitiligo can be treated with glucocorticoid medications prescribed by a doctor, such as halometasone cream and mometasone furoate cream. For more severe cases, phototherapy may be necessary.

2. Segmental Vitiligo

Segmental vitiligo refers to patches scattered across multiple areas but not exceeding 50% of the body surface area. Patients can be advised to use topical treatments like calcipotriol ointment and tacrolimus ointment under medical supervision. When necessary, narrowband ultraviolet B (NB-UVB) phototherapy can be combined for physical therapy.

3. Generalized Vitiligo

Generalized vitiligo involves widely distributed patches of varying sizes throughout the body, potentially linked to autoimmune disorders. Drug therapy is the primary approach, with common medications including prednisone tablets and dexamethasone acetate tablets. Supplementation with vitamins B and P can also aid in treatment.

4. Segmental Vitiligo (Along Dermatomal Lines)

This type of vitiligo presents as clearly defined white patches along the dermatome of a particular nerve segment, possibly caused by genetic or neuropsychiatric factors. Autologous epidermal grafting surgery is an effective treatment option for these patients. Additionally, maintaining a balanced diet and avoiding spicy or irritating foods is crucial to support recovery and prevent exacerbations.

In case of notable discomfort or worsening symptoms, prompt medical attention is essential to prevent disease progression.