Treatment methods for vitiligo. For oral administration. There are three stages of vitiligo

Vitiligo disease, which can be treated with different methods, is a disease of the skin, such a disease is characterized by the presence of white spots on the body, this occurs due to total loss or a decrease in melanocytes (special pigment cells), which are found in retina, hair. If you have vitiligo, the hair on your head may be white or have characteristic white spots. The disease can develop and progress in people of any age, but vitiligo mainly appears in young people under 20 years of age.

The causes of the onset and development of vitiligo disease have not yet been fully identified, but doctors can identify some factors that may contribute to the development of the disease. For example, the reasons could be:

• malfunction of the thyroid gland, gonads or adrenal glands (endocrine system);
• insufficient amount of copper in the human body;
• recently transferred infection;
• system disease internal organs(chronic);
• disorders associated with the gastrointestinal tract;
• genetics;
• Adoption medicines;
• sunburn;
• consequences of pregnancy, abortion or childbirth.

Treatment of vitiligo

Pigment spots cause discomfort; they arise as a result of a disease such as vitiligo, treatment of this disease can be done using various methods. The question is whether it is possible to cure vitiligo on your own at home, with medications, or with the help of therapy.

Since many factors are involved in the onset of the disease, in order to stop the progression of the disease and get rid of vitiligo, you need to use an integrated approach to treatment. Dermatologists treat this disease, but this moment even they do not know how to treat the disease accurately and effectively. Basically, therapeutic measures are aimed at preventing the progression of the disease, and to reduce the number of age spots on skin.

In the treatment of vitiligo, as well as in order to stop the growth of the disease, they use special methods treatments for vitiligo are:

• proper nutrition;
• drug treatment;
• therapy;
• treatment with physiotherapy;
• treatment with folk remedies;
• surgical intervention.

Treatment for vitiligo with diet is effective method. In order to defeat vitiligo, a sick person should start breakfast, lunch and dinner with fresh fruits, vegetables, eggs, meat, seafood, grain foods, you should refrain from taking spicy, salty foods, it is advisable to take less fried foods, can be replaced by baking, boiling or steaming.

How to overcome vitiligo with the help of medications? You can recover from the disease with the help of various ointments, creams, gels and lotions, which can be found on the shelves of any pharmacy. For example, hormonal ointment slows down the breakdown of substances such as melanin in skin cells. There are means that stimulate the production of such a substance. You can use a cosmetic drug that masks white spots on the skin.

Vitiligo is treated with hormonal level with potent drugs, for example, Fluticasone and Flixotide. They begin to use them as soon as the initial stage of development of the disease occurs, and are used for three months every day, or six months, taking into account breaks. Before using lotions, you need to know how to treat vitiligo with them and what they are for.

They are used to stimulate the synthesis of pigment substances in skin cells. One of these products is Melagenin; it is applied to the pigmented area of ​​the skin once a day and used until noticeable improvements appear. In addition, you can use this medicinal product, like Elidel or Protopic, which contains calceneurin. This remedy must be used 2 times a day, the course of treatment is six months.

Therapy methods

How to get rid of a disease with the help of therapy is of interest to many people who are faced with the disease. Of course, the disease requires specific treatment for everyone, depending on individual characteristics. The following medications may be used:

1. Photosensitizer.
2. Coricosteroid.
3. Immunomodulator.
4. Vitiligo can be treated with vitamins, minerals, and nutritional supplements.

The photosensitizer helps increase the sensitivity of the skin and body to solar radiation. Vitel is such a medicine; it needs to be taken for about six months; children under 12 years of age are advised to take 1 tablet 2 times a day, and adults – 1 tablet 3 or 4 times a day. A drug can stop the growth of the disease hormonal action, a coricosteroid helps stop the progression of the disease, such drugs include Betamethasone, Dexamethasone.

An immunomodulator is effective remedy in the treatment of vitiligo, which stimulates and supports the human immune system, Echinacea can be such a remedy. The drug is taken 1 tablet about 4 times a day. When treating with vitamins you can take ascorbic acid, vitamin B1 or vitamin B2. To determine how to cure vitiligo and prescribe the exact dose of medication, you need to donate blood for analysis.

Treatment with physiotherapy and folk remedies

Treatment of vitiligo with physical therapy is a very effective method. The best effect is provided by:

1. UVB therapy. Irradiation is carried out using ultraviolet rays, which are aimed at the affected areas of the skin.
2. PUVA therapy. A photosensitizing drug is combined with ultraviolet radiation; this new drug helps balance the level of pigmentation.
3. Laser therapy method. When treating vitiligo using this method, the laser affects the skin with varying powers.

Treatment of vitiligo on the face with laser

Quite a lot of people ask the question whether vitiligo can be treated with folk remedies. After sick people have tried a lot of different methods and means in order to prevent the growth and progression of the disease, they turn to traditional medicine. Folk remedies for the treatment of vitiligo include many recipes for decoctions, ointments, etc.

The most effective are:

• St. John's wort oil;
• black cumin oil;
• black pepper;
• treatment for vitiligo with sesame;
• Walnut.

Black cumin medicinal oil

In order to make St. John's wort oil, you need the flowers of this plant. Glassware small sizes you need to fill it with these flowers, leave a little empty space to the neck, then you need to fill it with ordinary sunflower, sea buckthorn or almond oil. The oil should infuse for two weeks, then it is necessary to squeeze out the oil and add new flowers, then infuse again for several weeks. This procedure is repeated about 5 times.

Cumin oil increases a person's energy, helps overcome signs of fatigue and overwork, and, of course, prevents the growth and development of vitiligo. You can prepare this oil yourself at home, or you can purchase it at any pharmacy. affordable price. Application can be both internal and external, for internal use - 1 tsp. oils are taken 2 times a day, diluted with water. Externally: affected areas of skin are lubricated cotton swab, previously soaked in oil.

Treatment for vitiligo with black pepper is carried out as follows: mix pepper and baking soda in a 1:1 ratio, this powder is rubbed into the affected area of ​​the skin, after some time dark spots begin to change and even out the color to the identical color of the skin itself.

Sesame has many medicinal substances, you need to use it like this: grind the grains to make about 10 tbsp. l., in the morning on an empty stomach and in the evening before bed, you need to take 1 tsp. If you take sesame seeds every day, then after 3 months, the symptoms of the disease will no longer bother you.

Vitiligo can be treated with walnuts, or rather, with the help of their leaves. Dried leaves you need to mix in a 1:1 ratio, add vodka, leave for two weeks in dark room With the resulting tincture, you need to wipe the affected skin 1 or 2 times a day, the course of such treatment is about 3-4 months. In order not to touch healthy areas of the skin, they need to be lubricated with a phytoprotective cream; it is applied around the affected skin.

Treatment of vitiligo with surgical intervention has been used for a long time, but there are certain contraindications; this method cannot provide any guarantee that the disease will be completely eliminated. Exist following methods this type of treatment:

Most parents are concerned about whether vitiligo in children can be treated. Treatment of vitiligo in a child can be done using any of the above methods, the system is the same as for an adult, only the dosage of medications is reduced. In addition, it should not be used in the treatment of a child. hormonal drugs. Children under 12 years of age should not have skin areas irradiated. For example, PUVA therapy and UV irradiation are contraindicated.

Prevention measures

To ensure that the disease does not progress or return after treatment, you need to follow certain preventive measures, for example, you need to protect your skin from various damages(burns, cuts, insect bites), do not wear clothes that compress the body, uncomfortable shoes, or jewelry that rubs the skin. It is not recommended to sunbathe, it is advisable to avoid sun and ultraviolet rays (unless this is a method of ultraviolet treatment), you should monitor your lifestyle and diet (it must be balanced and correct), take the prescribed dose of vitamins, it is imperative to undergo medical examinations.

So, the disease vitiligo is a disorder of pigmentation of the skin on the human body, the causes can be absolutely any factors (taking medications, genetics, sunburn, causes associated with the disorder). gastrointestinal tract and many others). Of course, when the first symptoms appear on initial stage development of vitiligo disease, you must immediately contact a specialist (such as a dermatologist) so that he can carry out full examination body and skin areas, made a diagnosis, decided how to deal with the disease, and prescribed a specific course of treatment.

Treatment methods for vitiligo can be very varied ( correct mode nutrition, medication, therapy, folk remedies and surgery). There are also certain preventive measures, following which, you can prevent the growth and further development diseases, or simply reduce skin pigmentation.

Before taking some medications you need to consult a doctor.

Vitiligo is a disease in which pigment disappears in certain areas of the skin. This causes the affected area to appear pale pink or whitish in appearance. Vitiligo is especially noticeable in people with dark skin, because the contrast is very strong.

Causes of vitiligo

Scientists still have not figured out the exact cause of vitiligo. However, there is strong evidence that the disease is caused by genetics and environmental factors.

It is likely that vitiligo even has an autoimmune nature (the immune system attacks pigment-containing skin cells - melanocytes). Many people (especially women) get very upset about external manifestations vitiligo and therefore suffer from stress-related disorders.

Research has shown that stress can accelerate the development of vitiligo symptoms. The main symptom of vitiligo is the appearance of light pink (white) patches of skin.

What is vitiligo and what causes it?

Today, there are approximately 50 million patients diagnosed with vitiligo, and the number of patients is growing every year. Depigmented areas of skin appear regardless of skin color and race. However, female representatives are much more likely to be exposed to this pathology.

Traditional methods of diagnosing and treating vitiligo

Before treating a patient, doctors prescribe a number of diagnostic procedures. Special attention while paying nervous system, thyroid and liver. In addition to the physical examination, the dermatologist will prescribe the following examinations:

• laboratory blood test - general and biochemical;
• additional examinations by a neurologist, immunologist, endocrinologist;
• ultrasound examination of the abdominal organs;
• study of the body's immune forces and hormonal levels.

Depending on the accompanying symptoms, the patient is prescribed other diagnostic methods and tests. Having received the results of all studies, doctors have the opportunity to draw up a complete clinical picture development of pathology and choose the most the best way therapy.

Excilite laser treatment

Dermalight lamp

Scientists have found that the wavelength of 311 nm stimulates skin cells responsible for the production of melanin. As a result, the skin color is evened out.

Therapeutic element Dermalight - UV lamp Phillips with a wavelength of 311 nm.

How to cure vitiligo with a Dermalight lamp

1. Determine your skin type. A table of color types is on our website or in the instructions for the device.
2. See the instructions for the duration of the first session. Irradiate each 11x4 cm area for as long as indicated in the instructions.
3. The next sessions should be carried out every other day. Gradually increase the time - according to the table on the website or brochure.
4. After 2-3 weeks, the pigment will begin to recover and the first freckles will appear.
5. After 2-3 months of treatment according to the instructions, the pigment will be completely restored and the spots will disappear.

Main advantages of the method:

• complete removal of stains in 2-3 months;
• approved by the Ministry of Health, there are certificates of conformity;
• no side effects.

The results of the lamp studies - 97 out of 100 patients got rid of spots.

Laser for vitiligo treatment

The method is good for accuracy and localized impact.

1. St. John's wort decoction.

chopped St. John's wort herb, pour 200 ml of hot water, bring to a boil and boil for 10-15 minutes. over low heat, leave in a thermos for 1 hour, strain.

Drink 50 ml 3 times a day. At the same time, external treatment with St. John's wort oil is recommended.

To do this, apply it daily for 30 minutes. on pigment spots with napkins moistened with oil.

To prepare the oil, add St. John's wort herb vegetable oil(1:10), and heat in a water bath for 3 hours. Then filter. St. John's wort increases skin sensitivity to ultraviolet rays. Therefore, after the procedure it will be useful to take a short sunbath.

2. Duckweed tincture.

Take 1 tsp. fresh chopped duckweed and pour 50 ml of vodka. Leave for 7 days, strain.

Take 15-20 drops 3 times a day before meals with water and honey.

Or decoction: 1 tbsp. l. raw chopped duckweed pour 100 ml of boiling water and after 10 minutes. drink up.

3. Aloe juice.

Prescribed for vitiligo, when depigmentation of the skin of the body is observed (with the exception of the palms and soles).

Take fresh or canned juice aloe 1 tsp. 2-3 times a day for 30 minutes. before meals.

Attention! The use of aloe preparations causes a rush of blood to the pelvic organs. Contraindicated for liver and gallbladder diseases, uterine bleeding, hemorrhoids, cystitis and pregnancy.

4. Honey duckweed.

Grind dry duckweed into powder, mix with honey (1:1) and take 1 dess. l. 3 times a day before meals for a month.

Take as a remedy that reduces the body's sensitivity to the effects of substances intolerable to it, including vitiligo.

Infusions

5. Parsnip infusion. 1 tbsp. l. chopped herbs (fresh or dry) parsnips, brew 200 ml of boiling water, leave for 20-30 minutes. and strain. Drink 50 ml in 20 minutes. before meals for a week. For the second week, drink 150 ml 3-4 times a day.

These treatments can be applied to areas of skin with stable vitiligo conditions. Grafting and transplantation procedures may be used to achieve the desired results.

Skin grafts can be removed from areas not visible and grafted onto visible areas of Vitiligo. Light is then typically used to spread the pigment to spread throughout the grafted area.

Recently appeared in the treatment of vitiligo new method– phototherapy. Its essence is that the affected area of ​​the skin is exposed to UV rays in combination with the use of Afamelanotide (a small implant that is implanted under the skin).

In other news, last year Yale University concluded that the rheumatoid arthritis drug Tofacitinib was effective in restoring the natural skin color of patients diagnosed with vitiligo.

This drug belongs to the group of immunosuppressants, which normalizes protective functions body.

The hypothesis about the effectiveness of Tofacitinib was tested on a patient whose almost entire body was affected by colorless spots. Two months after regular use of Tofacitinib, restoration of skin color on the hands and face was noted, and after five months, only a few small depigmented spots remained on the skin.

In addition to treatment news, more than two dozen genes were discovered in 2016 that contribute to the appearance of depigmented spots. This makes it possible to make progress in the treatment of vitiligo, since understanding the causes causing pathology allows you to direct therapy towards their elimination.

As we see, medicine is developing, and perhaps in 2017 we will learn other news in the treatment of this little-studied disease.

Vitiligo is chronic condition. IN modern world There is no treatment yet for this disease.

However, using certain remedies can help ease the rate at which white spots on the skin spread. You can also take some steps to reduce the severity of the disease.

When you are under the hot rays of the sun, always cover the white spots with sunscreen. After all, due to lost pigmentation, your skin can easily burn in the sun.

An experimental treatment that may slow the effects of skin cell pigment loss involves the use of substances that regulate immune system.

Typically, these substances either suppress or stimulate the immune system. If you have vitiligo, your doctor may recommend using immunosuppressive medications.

A widely used folk remedy for vitiligo is wild duckweed. You can apply wild duckweed juice to depigmented, white areas of the skin.

This remedy reduces the body's sensitivity to the effects of substances intolerable to it, therefore it is effective for vitiligo.

Home remedy for vitiligo: turmeric and mustard oil

Another home remedy for vitiligo is a mixture of turmeric powder and mustard oil. Turmeric should be mixed in a ratio of 1:16 with water.

This solution is boiled until 70% of it has evaporated. This mixture can then be mixed with mustard oil and heated again until the solution turns into an oily liquid.

Using compresses soaked in this product for several weeks allows you to achieve excellent results.

To treat vitiligo, an alcohol tincture (1:10) of green walnut peel is used. For several months, white spots on the skin are smeared with this product 1-2 times a day. This product promotes coloring of vitiligo-affected skin areas.

Bath of blood-red geranium roots for the treatment of vitiligo

Take 50 g of blood-red geranium roots and pour 1 liter of boiling water; let it brew for 4 hours and then strain. Take a warm bath with this infusion before bed. Treatment course for vitiligo and others skin diseases is 12-14 baths.

“Cosmetic” treatment of vitiligo with tea

To give your skin a dark complexion, you can wipe your face with green tea in the morning and evening. 1 tsp pour a quarter cup of boiling water over tea, let it brew and strain. Warm compress lubricate white spots on the skin.

As you can see, in the arsenal of traditional medicine there are remedies even for treating such an amazing and at first glance harmless disease as vitiligo.

However, we should not forget that the body is an integral system. Therefore, if you have vitiligo, it would be good to improve your work digestive system, cleanse the body and strengthen the immune system (See.

article: Remedies for immunity). Do you know other methods of treating vitiligo? Share with us in the comments below miracle remedies that are effective for vitiligo.

Drug therapy

Medications alone do not provide results in the treatment of vitiligo

In patients with vitiligo, doctors note a lack of copper, vitamin C, and insensitivity to ultraviolet radiation.

Therefore, photosensitizing drugs are prescribed that increase susceptibility to ultraviolet radiation.

However, medications, ointments and creams for vitiligo, by themselves, do not help get rid of spots. Doctors prescribe drug treatment in combination with PUVA therapy or ultraviolet radiation.

Folk remedy for the treatment of vitiligo: duckweed

Monobenzone

Use extreme caution when using this medication. Therefore, do not use this medication if you are allergic to the compound Monobenzone.

Also, do not use it on parts of the skin that are not depigmented due to the disease vitiligo. This mixture can take up to four months to achieve the desired result or effect.

Check with your doctor if you do not notice an improvement in your conditions after one month of treatment. It is also best to avoid sunlight and tanning beds if you are also undergoing this treatment.

Methoxsalen Oral

This drug is mainly used to treat severe cases vitiligo. If the vitiligo condition does not respond well to other treatments, then it should be used.

Such measures should be taken because this drug has some extreme side effects such as aging, skin cancer and cataracts. It is important that everyone always consults their doctor before going for this treatment.

Methoxsalen Top is used in conjunction with UVA to restore pigmentation to discolored areas of the skin.

Because this chemical makes vitiligo-infected skin more sensitive to subsequent ultraviolet radiation, the number of melanocytes that produce melanin increases. This drug is not recommended for people under 12 years of age.

How to use Methoxsalen Top

The practitioner applies this to vitiligo infected areas and is mainly used in those parts of the body that are exposed to UVA light.

After you have treated your skin with this medication, keep it away from sunlight to avoid sunburn.

Improvements begin to appear after a couple of weeks, but the desired effects will take 6-9 months to be achieved. Call your doctor immediately if your condition does not change or worsens.

Oxsoralen

This drug works like Methoxsalen because this compound is used in controlled doses of UVA light to stimulate the pigmentation process in areas of the skin affected by vitiligo.

How to use Oxsoralen Top

Oxsoralen Top is used and applied as Methoxsalen. As such, it also comes with the same side effects and precautions. A patient with vitiligo must be very careful during this treatment.

It is important to remember that all of these medications have potential side effects, and some of these side effects are very severe. Therefore, it is important that you consult an appropriate physician or doctor before choosing one or more of these treatments.

Recommendations from dermatologists for the prevention of vitiligo

The following preventive measures will help prevent the appearance of depigmented spots:

Vitiligo or leucoderma refers to diseases caused by the destruction of melanin. People with this defect develop white patches on their skin. This rare disease, which occurs in less than 1% of the total population. Most often, this defect manifests itself between the ages of 10 and 25 years; it is during this period that half of all cases of the disease occur.

The main manifestation of leukoderma is the appearance of white spots on milky skin with clear boundaries. They are localized mainly in the face, knee-elbow folds, arms and legs. Treatment of vitiligo is carried out using medications, hardware techniques and local preparations for application to the skin.

The only tactic for full recovery not yet, because more and more are appearing cosmetic procedures and drugs to hide the defect. Hardware techniques, including light therapy, have become widespread in treatment.

Let's take a closer look at whether vitiligo can be cured, what are there medications and hardware techniques.

Before vitiligo is treated, a diagnosis should be made to identify accompanying pathologies skin. The therapeutic approach will depend on the presence of other diseases. Leucoderma may be accompanied by lichen planus, scleroderma, alopecia, and psoriasis. Vitiligo is often accompanied by symptoms of dysfunction of the gastrointestinal tract, impaired sweating, and decreased functional capacity of the liver.

Treatment of vitilingo requires a therapeutic approach

To have an idea of ​​how to cure vitiligo, you should determine the type of disease. There are localized and generalized forms of the disease. In the first case, white areas will appear singly simultaneously with damage to the mucous membrane. The generalized form is characterized extensive damage skin, up to 80% of the entire body.

Treatment of vitiligo includes the following measures:

• drug therapy with glucocorticosteroids;
• physiotherapeutic procedures using drugs to increase the level of T-lymphocytes;
• vitamin therapy with the administration of drugs internally and externally;
• the use of cosmetic products to protect the skin from ultraviolet radiation and temporarily mask the defect.

Note! Eat clinical cases complete recovery of patients, but they are not explained by the use of any specific remedy or technique. There is a high risk of progression of the pathology without maintenance therapy. Although treatment for vitiligo does not guarantee recovery, it is necessary to maintain general condition health and elimination of concomitant diseases.

Medications

Glucocorticosteroid drugs are aimed at suppressing allergic reaction and the body's immune response. Their use is indicated for limited and generalized forms of the disease. In the first case, it is rational to use an ointment for vitiligo based on corticosteroids in order to restore the function of the cells responsible for pigmentation.

In the case of a generalized form of pathology, drugs are more often prescribed in tablet form. These are Dexamethasone, Prednisolone, Triamcinolone and others. Before prescribing medications, the risk of adverse reactions is taken into account. Glucocorticosteroids for long-term use can provoke Itsenko-Cushing's syndrome and diabetes mellitus. Due to the risk, treatment is carried out intermittently.

There are known drugs for therapy such as Protopic or Elidel. They are indicated in case of dermatitis of different origins and psoriasis, but are also effective for leukoderma. Their topical use has an anti-inflammatory effect and suppresses the immune response. Their effect is somewhat similar to glucocorticosteroids. These drugs can be used to treat children and adults in different concentrations.

An integrated approach to therapy consists of normalizing the patient’s hormonal levels, eliminating depression and identifying influencing factors that became the trigger for the onset of pathology. It is extremely important to take vitamins for vitiligo to compensate for the deficiency. Also, people with this diagnosis may be prescribed immunomodulatory agents and antioxidants.

List of drugs

Groups of drugs effective for leukoderma:

1. General strengthening. Phytoferrolactol, Apilak.
2. Immunomodulators. Cyclosporine A, Tacrolimus, Isoprinosine, Echinacea.
3. Photosensitizers. Melagenin, Psoralen, Furalen, Lamadin.
4. Antidepressants and neuroleptics. Pyradazole, Neuleptin, Sonapax.
5. Vitamins A, B and E.

Known drugs for the treatment of vitiligo:

• Ammifurin;
• Psoralen;
• Oxoralen;
• Melagenin;
• Vitex;
• New medicine - Sanum Cutis.

Psoralen

The medicine Psoralen is available in the form of a solution for external application and tablets. It is based on plant components and has a photosensitizing effect. When treating vitiligo, the drug Psoralen helps restore pigmentation. Lubricating the damaged areas and taking the tablet product is supplemented by irradiation with an ultraviolet lamp.

The duration of therapy with this drug is at least 3 months. The medicine is contraindicated for diabetes mellitus, kidney pathologies and persons over 60 years of age. During the treatment period there may appear discomfort in the form of nausea, rapid heartbeat, dizziness and headache.

Oxoralen

The drug Oksoralen refers to dermatotropic drugs, available in the form of capsules with liquid composition. Indicated for the complex treatment of vitiligo as a photosensitizing agent. Taken before irradiation, washed down with milk. The medicine is contraindicated in pathologies circulatory system, during pregnancy and children under 12 years of age. The minimum course of therapy is 3 weeks.

Melagenin

Melagenin is presented in the form alcohol tincture placenta extract. The medicine for vitiligo promotes the production of melanin. It is indicated for external application to white areas, after which irradiation is carried out with an ultraviolet lamp. Initially, the drug leads to redness of the skin, then it begins to acquire a natural shade.

Ammifurin

The drug Ammifurin also belongs to photosensitizing drugs for restoring pigmentation. Photocoumarins in the drug increase the skin's sensitivity to light, which leads to the formation of melanin. The medicine is used simultaneously with the treatment of vitiligo with a 311 nm lamp. It is contraindicated in children under 5 years of age, during pregnancy, with tuberculosis and functional disorders liver and kidneys. Adverse reactions may include headache, nausea and rapid heartbeat.

Ointments and creams

Complex treatment of leukoderma must be carried out with the prescription of special ointments and creams. They may be based on corticosteroids and herbal ingredients. Natural medicinal ointments and creams are more often used to stimulate melanin production and recovery normal condition skin.

Note! Before treatment, you should understand that the course of therapy lasts at least 3 months, and positive result observed in only 80% of patients.

In the treatment of this pathology, it is permissible to use folk remedies, therefore the ointment can be prepared at home using proven natural medicinal ingredients.

Corticosteroid-based ointments:

1. Hydrocortisone ointment 1%. The product is applied to damaged areas of the skin up to 3 times a day and is low cost.
2. Momat. This medicine is available in the form of an ointment or cream of 0.1%, applied to depigmented skin. To have an effect, it is enough to use the medicine once a day.
3. Advantan 0.1%. Available in the form of cream and ointment, containing methylprednisolone. The drug is suitable for long-term treatment, allowed for children from 4 months. This is a relatively expensive cream, but it can be used during breastfeeding and during pregnancy.

Ointments on plant based may contain several medicinal components. Today, more than 150 plants are known that contain photocoumarins, which are important for the treatment of leukoderma. Most known drug This group is Vitasan cream. It contains extracts of St. John's wort, string, calendula flowers, walnut, additionally there is fir and pine nut oil.

This medicine is applied to the damaged areas 2 times a day, in the morning and before bedtime. The advantage of this cream is the absence of contraindications, with the exception of hypersensitivity to the main component. Its cost is higher than analogues, from 950 rubles. You can replace this drug with Amodin cream. The medicine contains many useful plant components that improve the absorption of the main substance. The drug has a positive effect on metabolism and blood circulation, helps restore the balance of microelements and vitamins.

Nuclea cream also applies to effective medicines with vitiligo. It contains carrot, avocado and calendula extract, as well as St. John's wort oil and amino acids. It is indicated for long-term use, it is recommended to combine it with another product from the same manufacturer - Synchro cream.

Other local drugs for treatment:

• Malavit gel – contains vitamins, organic acids and essential oils, has no contraindications;
• Anti-Vitiligo – contains a complex of plant extracts and essential oils, created according to a Chinese medicine recipe;
• Retinoic ointment.

A dermatologist together with an endocrinologist will help you decide how to treat vitiligo after examining the body. A cosmetologist and an infectious disease specialist can also take part in the treatment.

Hardware method

Narrowband phototherapy is used to eliminate vitiligo.

Advantages of the method:

• high efficiency with minimal risk of unpleasant consequences;
• During the procedure, the skin receives a small dose of ultraviolet radiation, which is selected individually;
• allowed for the treatment of children over 6 years of age and during pregnancy;
• phototherapy does not require additional preparation by taking photosensitizers, which significantly reduces the risk of adverse reactions.

The procedure involves exposure to ultraviolet light locally, directly on the damaged area. The irradiation continues for several minutes, with each session the duration increases. The entire course can last from six months. A 311 nm lamp is used for patients with vitiligo, which is installed in a hospital in a special booth. In addition, you can buy a compact device for use at home.

Ultraviolet lamps

The use of lamps is allowed at home in case of localized vitiligo; in the case of a generalized disease, irradiation of the dermis is carried out in special rooms in a hospital setting. Narrow-spectrum 311 nm phototherapy suppresses the immune response that destroys melanocytes. Gradually, the cells begin to regenerate, their numbers increase, and the skin color acquires a natural shade.

The use of such lamps is effective in combination with various additives. These can be Vitilemna or Melavit tablets, as well as Vitex gel. Before purchasing a UV lamp for home use You should definitely consult your doctor. The specialist will tell you how to use the device correctly, how long the procedure should last, and what medications should be supplemented.

Vitamin therapy

For vitiligo, use is indicated vitamin complexes, including vitamins B, C, alpha lipoic acid. Among the popular drugs are Thiamine, Riboflavin, ascorbic and pantothenic acid. Mandatory conditions reception vitamin products is irradiation of the skin with ultraviolet light.

How to hide stains

Vitiligo affects the quality of life; many people feel depressed and may even be diagnosed with depression, which is associated with a significant external defect. To hide it and thereby improve psychological condition it is recommended to use cosmetics and some traditional medicine recipes.

The most affordable way is to use foundation. For a longer lasting result, you can get a permanent tattoo. It is also effective to apply self-tanning on open areas skin.

Note! Walnut peel will help hide the defect. To prepare the product, you need to grind the peel in a blender and wait several hours until it becomes Brown color. After this, you need to squeeze out the juice with a cotton pad and apply it to the stains. This method is good because it does not leave marks on clothes.

Dermabrasion can also help cover up spots. The technique involves layer-by-layer treatment of the skin different levels, which will depend on the severity of the pathology and the age of the spots.

Vitiligo can be dealt with if you correctly combine medications and hardware techniques, and also eliminate negative factors risk. During the treatment period it is very important to normalize mental condition, a positive attitude will contribute to a speedy recovery.

The disease vitiligo is expressed in the skin. It cannot be hidden from others, which significantly ruins the lives of those suffering from this disease. The disease is difficult to treat and remains poorly understood. Recently, scientists have found a new treatment in the fight against vitiligo; the medicine is also still under study, but doctors agree that a serious breakthrough has already been made. It is worth noting that until now, doctors have not yet been able to completely cure a person from vitiligo.

Description of vitiligo disease - causes and symptoms

Vitiligo is a disease associated with the pathological production of melanin (the pigment that gives color to our skin) and destructive processes leading to the destruction of melanocytes.

Visually, the disease manifests itself in the form of white spots on the skin. They can be localized anywhere: on the face, head, neck, torso, limbs. The size of the spots is ambiguous. For some, it may be small patches on a certain area of ​​the body, for others, vitiligo occupies about 70-80% of the skin.

On a note! The disease vitiligo is also known as leukoderma.

Some facts

• The disease affects about 2% of people worldwide.
• Vitiligo affects people, regardless of their gender, age, race.
• The probability of transmitting the disease from parents to child is approximately 35%.
• The lighter your skin color, the less noticeable the spots. Vitiligo affects black people the most.
• If light spots appear on the scalp, the hair in this area also turns white.
• The disease is not transmitted by contact, it is impossible to become infected with it.

Causes

The exact causes of vitiligo are unknown. Doctors identify several main factors contributing to the development of leukoderma:

• Autoimmune processes. Scientists have established the fact that vitiligo is more often observed in patients suffering from autoimmune diseases (lupus erythematosus, rheumatoid arthritis, thyroiditis, stage I diabetes mellitus). There are observations proving that they destroy their own melanocytes immune cells person.
• Diseases endocrine system . Thyroid controls hormonal background, and many depend on its condition metabolic processes in organism. Various pathologies this organ can lead to disruption of melanin production.
• Trophic disorders of the epidermis. Destructive processes in the trophism of the skin can occur as a result of burns, injuries, operations and other violations of the integral integument of the epidermis. Inflammatory processes provoke an autoimmune reaction, as a result of which melanin is destroyed. But in such cases, the spots usually do not spread throughout the body, but are localized in the area of ​​the damaged skin.
• Genetic factor. Some observations have shown that vitiligo developed in people who inherited the disease gene in their DNA. Moreover, this does not mean at all that the mother or father suffered from the disease. Someone from past generations could have had the disease.
• Some medications. Taking some heavy medications leads to disruption of melanin production and can provoke the development of the disease.

Vitamin therapy

Complete treatment of vitiligo is impossible without vitamins. It is the lack nutrients often leads to a malfunction of the immune system and gives rise to the development of complex diseases.

So, what vitamins are needed for the production of melanin:

• Vitamin C (ascorbic acid).
• B vitamins (B6, B1, B9, B5).
• Vitamin A (carotene).
• Vitamin E (tocopherol).

Microelements:

• Copper.
• Zinc oxide.
• Magnesium.

Vitamins for vitiligo should be selected by a doctor in accordance with the patient’s tests.

Comprehensive treatment of vitiligo

Doctors from all over the world agree that the treatment of the disease must be approached comprehensively.

Therapy should include medications aimed at eliminating autoimmune processes, medications that regulate hormonal levels, vitamins that replenish the deficiency of valuable elements in the body, as well as methods of external use - a 311 nm ultraviolet lamp and ointments that stimulate the production of melanin.

Important! Only complex treatment vitiligo can give sustainable results and prevent relapses.

Vitiligo and the army – news 2018

The latest edition of the resolution of the Government of the Russian Federation “On approval of the Regulations on military medical examination” was made on July 19, 2016. The document states that patients with vitiligo, depending on the degree of the disease, have limited ability to military service or completely fit.

Thus, to the question that worries many, whether people with vitiligo are accepted into the army, the answer is unequivocal - “yes, they do.” Both doctors and military personnel are confident that with such an illness one can serve without any fear for one’s health.

In 2017, no amendments were made to the document.

Drawing conclusions

The study of vitiligo disease is far from over. Scientists still have a lot of work to do in this area. But 2018 marked the beginning of a completely new approach to therapy against this disease. Everything new in the treatment of leukoderma is based on the impact on the root of the disease, which undoubtedly leads to lasting results. There is great hope that soon thousands of people around the world will be able to get rid of complexes and significant discomfort experienced from defects in their appearance.

Vitiligo- This is a skin disease known for centuries, evidence of which is available in various documentary sources.

The causes of this disease have not yet been precisely established due to various external factors associated with its occurrence.

However, it is now considered autoimmune disease, in which the immune system attacks and kills the cells responsible for producing melanin.

Psychological Impact of Vitiligo

Loss of melanin in certain areas of the body can lead to increased sensitivity and the risk of sunburn.

But besides sun intolerance, physical changes in appearance can cause serious psychological consequences for vitiligo patients.

This is explained by the fact that, despite proven non-infectious nature vitiligo, some people still tend to fear it, and even shame or mock those who suffer from it.

Due to such stereotypes, patients with vitiligo suffer from numerous psychosocial problems and psychological consequences.

Various studies have shown that the emotional effects caused by vitiligo range from mild embarrassment to complete loss of self-esteem due to the gradual change in appearance of people with this disease.

Vitiligo may increase risk of other autoimmune diseases

As observations show, in people with vitiligo more likely development of various autoimmune diseases, including:

Alopecia areata is hair loss caused by the immune system attacking the hair follicles. She might be on various areas body, but mainly on the scalp or face. The risk of this disease does not depend on race, age or gender - every person is at the same risk as anyone else in the population.

Autoimmune diseases of the thyroid gland. The thyroid gland is responsible for producing certain hormones that regulate important processes in organism. Having autoimmune thyroid disease means that the immune system unknowingly attacks thyroid glands, causing them to produce either too much or too little of these hormones.

Addison's disease is an autoimmune disease where the body is unable to produce enough hormones due to the destruction of the adrenal glands. Two of important hormones produced by these glands are cortisol and aldosterone.

Diabetes. This disease occurs when the pancreas is unable to produce enough insulin, or when the body's cells become resistant to insulin. There are two types of diabetes: type 1 and type 2, with type 1 being an autoimmune disease. Type 1 occurs when the body is unable to produce insulin because the immune system destroys the beta cells that produce it.

Symptoms of vitiligo

Vitiligo usually begins with a loss of skin color on parts of the body exposed to the sun.. Although the color of these parts changes radically, the structure and sensitivity of the skin are usually not affected.

However, there is increased sensitivity To sunlight due to the lack of melanin, which serves as protection from the sun.

If you have such a disease, you are urged It is recommended to cover and protect the skin from sunburn. Besides skin discoloration, other symptoms of vitiligo include:

Loss of hair, eyelash or eyebrow color. Premature graying of hair caused by vitiligo is also noted. 4 Due to loss of pigment in hair follicles People often develop white streaks on their eyebrows or eyelashes. Hair growing on affected areas of the skin also loses its color over time, but not in all cases.

Discoloration of oral tissues. Loss of melanin can also be observed in the mucous membranes and tissues of the mouth. White patches of vitiligo can also appear on the lips.

Eye color changes. Melanocytes in the eyes are also destroyed during the development of the disease. 30-40% of patients with vitiligo lose retinal epithelial pigment, which is responsible for giving the eyes color.

Eye inflammation. In some cases, vitiligo is accompanied by uveitis, or inflammation of the eyes. Typically, this occurs in about 5 percent of vitiligo patients. Researchers explain that this inflammation is often caused by the immune system attacking healthy cells eye.

Traditional treatment for vitiligo

Besides cosmetic options, traditional medicine also offers numerous methods that help reintroduce pigment into the skin. The most common treatments for vitiligo include the following:

Phototherapy. This procedure helps even out skin color using UV-B light, causing the skin to produce pigment.

This, however, does not stop new white spots from appearing on the skin, nor does it guarantee that the treated areas will not discolor again over time. To possible side effects Applications of this method include hyperpigmentation of surrounding areas, severe sunburn and blisters.

Bleaching. This method is usually prescribed to patients with and widespread vitiligo. This procedure involves the removal of remaining melanocytes to even out the skin color of a vitiligo patient by applying hydroquinone monobenzyl ether to the remaining pigmented areas of the skin.

But due to the removal of the remaining pigment, the patient will experience much more high sensitivity to sunlight and he will need additional care until the end of life.

Operation. It is often the last resort for treating vitiligo patients when other conventional treatments have failed. Surgeries are performed on people who have stable vitiligo for several years.

The most common surgical technique is subcutaneous or cell grafting. For this healthy skin transplanted onto the white areas of vitiligo to reintroduce melanocytes into the discolored areas.

It should be noted that traditional methods Treatments for vitiligo can lead to numerous side effects, which can affect your lifestyle and skin health.

Most chemical treatments eventually lead to skin atrophy— gradual destruction of the treated areas. Therefore, you should first consider natural remedies to eliminate the symptoms of this disease.

Natural and Holistic Treatments for Vitiligo

Some of them natural methods include the use of the following herbs:

Ginkgo biloba. It has anti-inflammatory, immunomodulatory and antioxidant properties. In addition, it helps reduce oxidative stress, which is one of the factors influencing the development of vitiligo. Researchers have proven that consuming this herb helped patients slow down the spread of vitiligo or even curb its progression.

Psoralea seeds. These seeds are one of the most used and well-known natural remedies for vitiligo due to their ability to mimic the effects of the sun on the skin. This stimulates melanocytes to produce more melanin when needed. They are often used with tamarind seeds, applied topically to the affected areas of the skin.

Basil leaves and lime juice. It is noted that a solution of these two components, applied topically, helps produce melanin. To prepare it, mix basil leaf extract with lime juice and apply three times a day for about six months.

Ammi dental. Kellyn is a furanochromone obtained from ammonium odorant, as noted, with constant use, helps restore pigmentation of vitiligo-affected areas. The action of this component of the ammi dental plant is comparable to the action of psoralen - chemical substance, which is used in UVA phototherapy, but without the increased risk of skin cancer after treatment.

Before using these natural remedies for vitiligo, it is better to consult a doctor, so that he can prescribe the correct dosage and application. It should also be noted that the use of these medicinal plants demonstrates varying degrees effectiveness for every person.

Pregnant or breastfeeding people with vitiligo are strongly advised to see their doctor to learn about the safest possible treatments for vitiligo.

How to prevent vitiligo

One of the most common misconceptions in relation to vitiligo is that this disease is considered contagious. This error arises from the idea that vitiligo is similar to leprosy or other communicable diseases. But the prevention of this disease is in no way diminished if you decide to keep your distance from vitiligo sufferers.

Some researchers have stated that since vitiligo patches appear more often on areas of the skin exposed to the sun, try to avoid prolonged and excessive exposure to sunlight, as well as taking steps to prevent sun damage, can help prevent vitiligo. Other recommendations for preventing vitiligo include the following:

Avoid skin damage. Vitiligo is also caused by skin abrasions, burns and wounds when pigment cells are destroyed and not replaced. There have also been cases where damage to the skin caused the condition to worsen. Being careful and avoiding incidents of skin damage will help reduce the chances of melanocyte death.

Improve nutrition and diet. Diet should be monitored as this may also be an important factor in the development of vitiligo. Patients with vitiligo have numerous deficiencies of essential vitamins and minerals, some of which play an important role in the production of melanin in the skin. These vitamins and minerals include vitamin E, B12, copper and zinc.

Stay away from chemical insecticides and pesticides. Chronic exposure to or use of chemicals used in traditional agriculture, is also identified as one of the possible triggers of vitiligo. The abundance of these chemicals in environment the patient has a direct effect on the immune system and can cause it to attack skin cells.

Prevent Vitiligo from Spreading: Prevention Tips to Keep in Mind

Avoid stressful situations . Stress, both emotional and physical, has been identified as one of the leading factors in accelerating the progression of this disease. This is often attributed to the direct effect of stress on the immune system, which can trigger an autoimmune response. By avoiding events or occasions that may cause stress, you can minimize or slow the spread of vitiligo patches.

Wear sun-protective clothing. In addition to increasing sensitivity to sunlight and the risk of sunburn, intense sun exposure can also lead to the spread of vitiligo. Sun protective clothing or use of natural sunscreen will help prevent depigmentation due to sunburn. Chronic sun damage can also increase your risk of skin cancer.

Limit exposure to chlorinated water. Chlorine is a chemical that is commonly added to the water in swimming pools and numerous water supplies to prevent the spread of bacteria. But in addition to those caused by it negative consequences For health reasons, chronic exposure to this chemical can cause skin damage and worsen vitiligo. If you want to swim, it is recommended to do so in freshwater bodies to avoid contact with chlorine.

P.S. And remember, just by changing your consumption, we are changing the world together! © econet