Treatment FAQ

how vitiligo treatment works

by Natasha Sporer Published 3 years ago Updated 2 years ago
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How is vitiligo treated? There is no cure for vitiligo. The goal of medical treatment is to create a uniform skin tone by either restoring color (repigmentation) or eliminating the remaining color (depigmentation). Common treatments include camouflage therapy, repigmentation therapy, light therapy and surgery.Jan 13, 2020

Medication

Mar 02, 2021 · Treatments can include: Medicines or medicated skin creams, such as corticosteroids or a calcineurin inhibitor, which may be able to return... Use of light (phototherapy) to help return color to the skin. There are several different forms of light therapy. Depigmentation, or removing color from dark ...

Procedures

Light treatment. Uses light to restore lost color to the skin. Patient may sit in a light box or receive excimer laser treatments. Light boxes are used to treat widespread vitiligo; lasers are used to treat a small area. Works best on the face; least effective on hands and feet. Effective for many patients; about 70% see results with an excimer laser.

Therapy

Narrowband UVB is now the most common type of light treatment for the treatment of vitiligo. It uses light of a specific UVB wavelength, which has proved to be to be more effective than using standard UVB. There are a number of advantages over PUVA. Narrowband UVB treatment:

How to cure vitiligo permanently with a natural approach?

Aug 01, 2017 · This treatment requires 2-3 visits per week, each treatment takes only 1-4 minutes, and again it takes 2-3 months to start seeing the improvement. However the way that nbUVB treatment is given is very important – if not done correctly it may not work well, if at all.

Is vitiligo bad for health?

Jun 15, 2021 · Vitiligo can be a difficult condition to deal with. While there is no cure, there are several options to help treat it, ranging from creams to light therapy to lasers. Here’s a look at some of the most effective treatments. What is vitiligo? Vitiligo is a disease with unknown cause that causes patches of different color on the skin. An autoimmune process directed against …

What do you need to know about vitiligo?

Mar 12, 2018 · This treatment works for vitiligo by implanting (or tattooing) new pigment into areas of blotchy skin. While this process is effective, it will likely have to be repeated every few years so you can...

What are the stages of vitiligo?

Another promising avenue of treatment is phototherapy. This treatment uses ultraviolet light therapy in an attempt to re-pigment the skin that has lost color. This is a powerful but gentle treatment used to stimulate pigment production. Dr. Sapadin uses an excimer laser to perform phototherapy. The treatment is well-tolerated by most patients.

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How long does it take for vitiligo treatment to work?

It could take one to three months before you notice any change, and it could take six months or longer to get the full effect. Given the FDA warning regarding possible risk of skin cancer with use of calcineurin inhibitors, talk with your doctor about the risks and benefits of using these drugs with phototherapy.Apr 10, 2020

How successful is vitiligo treatment?

Patients with extensive vitiligo vulgaris receive the most benefit from PUVA. Several clinical studies have shown successful repigmentation after long-term PUVA therapy. Despite long-term use of PUVA, the success rate in many studies is only slightly greater than 50%.

Can we cure vitiligo completely?

In many cases, vertigo goes away without any treatment. This is because your brain is able to adapt, at least in part, to the inner ear changes, relying on other mechanisms to maintain balance. For some, treatment is needed and may include: Vestibular rehabilitation.Dec 12, 2020

Does vitiligo come back after treatment?

Once we start treating the vitiligo spots, the pigment comes back, thereby reversing the disease. If there are pigmented hair follicles within the spots that we're treating, after about 3 months of treatment we see little brown spots appearing around each hair.May 29, 2020

Is there any hope for vitiligo?

Thus far, there is no cure for vitiligo. But new hope is on the horizon, thanks to recent research that is improving our understanding of the pathways involved in this condition and potential new ways to treat it.Sep 26, 2019

Can we stop vitiligo from spreading?

Certain genetic variations may increase a person's chances of having vitiligo. However, doctors cannot predict whether a person will develop the condition based on their genetic makeup. There are no ways to prevent vitiligo from developing.Jan 31, 2020

What causes vitiligo?

Vitiligo is caused by the lack of a pigment called melanin in the skin. Melanin is produced by skin cells called melanocytes, and it gives your skin its colour. In vitiligo, there are not enough working melanocytes to produce enough melanin in your skin. This causes white patches to develop on your skin or hair.

Is vitiligo an illness?

Vitiligo may be an autoimmune disease. These diseases happen when the person's immune system mistakenly attacks some part of the body.

What is the fastest way to cure vitiligo?

There is no cure for vitiligo. The goal of medical treatment is to create a uniform skin tone by either restoring color (repigmentation) or eliminating the remaining color (depigmentation). Common treatments include camouflage therapy, repigmentation therapy, light therapy and surgery.Jan 13, 2020

Can vitiligo be dark?

Fair, dark, or any shade in between — most of us have skin that is generally the same color all over our bodies. But this isn't the case for people who have a condition called vitiligo.

Can vitiligo disappear by itself?

There is no "cure" for vitiligo. Sometimes patches go away on their own. But when that doesn't happen, doctors can prescribe treatments that might help even out skin tone. Some of these treatments are things you can try at home; others are done by a doctor.

How effective is vitiligo treatment?

Can treat widespread vitiligo. About 50% to 75% effective in restoring pigment to the face, trunk, upper arms, and upper legs. Not very effective for the hands or feet. Time-consuming, requiring treatment at a hospital or PUVA center twice a week for about 1 year.

What to do if you suspect vitiligo?

If your dermatologist suspects that you have vitiligo, your dermatologist will: Review your medical history, and may ask specific questions, such as whether anyone in your family has vitiligo. Perform a physical exam, looking carefully at the affected skin.

What is the treatment for PUVA light?

May be combined with another treatment such as a corticosteroid that you apply to your skin. PUVA light therapy. Uses UVA light and a medicine called psoralen to restore skin color. Psoralen may be applied to the skin or taken as a pill.

How effective are light boxes for vitiligo?

Light boxes are used to treat widespread vitiligo; lasers are used to treat a small area. Works best on the face; least effective on hands and feet. Effective for many patients; about 70% see results with an excimer laser. Results can disappear. About half, 44%, see results disappear within 1 year of stopping treatment.

How long does it take for a color to fade after a laser treatment?

After 4 years, about 86% lose some color restored by treatment. May cause patients with darkly pigmented skin to see areas of darker skin after treatment, but treated skin usually matches untreated skin within a few months. Requires a time commitment. Patients need 2 to 3 treatments per week for several weeks.

Can a dermatologist treat vitiligo?

The type of treatment that is best for you will depend on your preference, overall health, age, and where the vitiligo appears on your body. Some people choose not to treat vitiligo.

Can vitiligo be effective?

Can be effective for 90% to 95% of patients. Possible side effects include failure to work, cobblestone-like skin, and infection. Unconventional treatment. Some vitamins, minerals, amino acids, and enzymes have been reported to restore skin color in people who have vitiligo.

Prescriptions

Topical and oral prescription medications (or a combination of both) are among the first treatments that are usually tried for people with vitiligo. Prescription medications may slow the progression of the discolored patches of the skin and may potentially restore some of the pigment in small areas, though the results of these treatments vary. 3

Over-the-Counter (OTC) Therapies

Your doctor may also recommend over-the-counter (OTC) products to help manage certain aspects of your vitiligo, though these products are not made for actively repigmenting the skin. 14

Home Remedies and Lifestyle

In addition to prescription medications and medical procedures, there are some potential dietary and lifestyle changes that can help people with vitiligo care for their skin and overall health and well-being.

Complementary and Alternative Medicine

While there has been some research on complementary and alternative medicine (CAM) treatments for vitiligo, there is not yet solid, reliable clinical trial evidence on their safety or effectiveness. Most experts do not feel comfortable recommending them broadly.

Experimental Treatments

While they are not yet recommended for widespread use, research on a class of medications known as JAK inhibitors (Janus kinase inhibitors) has shown promise as a potential treatment for vitiligo.

A Word From Verywell

Vitiligo looks and feels different for everyone—and treatment outcomes will vary, too. What works well for someone else might not be the best option for you.

What is the best light for vitiligo?

Narrowband UVB light treatment. Narrowband UVB is now the most common type of light treatment for the treatment of vitiligo. It uses light of a specific UVB wavelength, which has proved to be to be more effective than using standard UVB. There are a number of advantages over PUVA. Narrowband UVB treatment:

What is PUVA treatment?

PUVA treatment is used in some hospitals. It involves taking medication as well as light treatment. The letters PUVA stand for Psoralen and Ultra Violet light A. Psoralens are chemicals found in plants, which make the skin more sensitive to light (either natural sunlight or UVA rays). Psoralen may be given as capsules to swallow, one or two hours before treatment. It may also be given as a lotion to paint on the white skin patches or to dissolve into bathwater (in which you have to soak for a short period before UVA treatment). You should not take psoralens if you are pregnant.

What is the most common treatment for inflammatory skin conditions?

The most common treatment offered on the NHS is steroid creams and they are known as corticosteroids. These are creams which are used to treat inflammatory conditions of the skin, other than those arising from an infection. They include such brand names as Betnovate, Cutivate, Dermovate and Synalar.

What is protopic ointment?

Protopic (also known as tacrolimus ) ointment is a treatment that has mainly been used for eczema. Recently, protopic has also been used in clinical studies for the treatment of vitiligo. It is made from a rare soil bacterium found only in Japan.

How long do you have to wear glasses after taking Psoralen?

Because psoralen makes your eyes sensitive to sunlight, you need to wear dark glasses to protect your eyes for at least eight hours after taking the capsule. You also need to be careful that you are not taking or using other substances that are making your skin more sensitive to the UVA rays.

Does narrow band UVB treatment require medication?

Narrowband UVB treatment: Does not require additional medication, so you do not need to take special precautions before and after treatment. The normal skin does not develop the deep tan usual with PUVA treatment, so the contrast between normal skin and the treated vitiligo skin is less obvious.

Can you take more than recommended vitiligo pills?

You should not take more than the recommended dose though. If you have a healthy, balanced diet it should not be necessary to take supplements. More information on nutrition…. The Vitiligo Society continues to monitor vitiligo research and treatments and will advise on any proven product or treatment.

What is vitiligo?

Vitiligo is a disease with unknown cause that causes patches of different color on the skin. An autoimmune process directed against the melanocytes (the cells that make the skin pigment or color) results in patches of skin with less pigment than usual.

What are the top choices for treating vitiligo?

Let’s look at the most recent evidence of successful therapies for repigmentation and cessation of spread, including some of the best treatments for vitiligo.

Creams for vitiligo

Creams are a common treatment for vitiligo. Here are some of the most frequently used.

Other treatments for vitiligo

Oral steroids (steroids taken as a pill) can be used as the next step if your vitiligo continues to get worse despite using the topical meds.

Vitiligo creams that camouflage

Some people decide to cover their vitiligo spots to blend in with uninvolved skin. This may be because they don’t want treatment or treatments didn’t work. Some popular vitiligo creams that can be used to match healthy skin include:

How is UV light used for repigmentation therapy in vitiligo (returning color to your skin)?

UVA (ultraviolet A) and UVB (ultraviolet B) light are both used for vitiligo.

What about lasers?

The excimer laser and lamp are used to treat smaller areas of vitiligo and have about the same effectiveness. They both use the same wavelength as NB-UVB, and some studies show that the laser works better than NB-UVB.

How to remove vitiligo from skin?

Laser treatment to remove outer layers. Laser treatment involves the use of high-powered beams to remove the outer layers of your skin. This may be helpful for vitiligo by evening out patches of lighter-than-normal skin. The downside is that laser treatments can be painful and require several weeks of recovery time.

What are the best ways to treat vitiligo?

You can also consider lifestyle measures that reduce the risk of worsening vitiligo. Talk with your doctor about the following steps you can take: light therapy used in conjunction with vitamin C, folic acid, and other micronutrient supplements. reduced sun exposure.

How does micropigmentation work?

Micropigmentation is a type of tattooing. This treatment works for vitiligo by implanting (or tattooing) new pigment into areas of blotchy skin. While this process is effective, it will likely have to be repeated every few years so you can maintain natural-looking color.

What is the term for the loss of skin pigment?

Vitiligo is a medical condition that causes skin pigmentation loss. This happens when melanocytes, or the cells that create skin pigment, are destroyed. It can present as patches of white skin on the body.

How to treat hyperpigmentation?

Talk with your doctor about the following steps you can take: 1 light therapy used in conjunction with vitamin C, folic acid, and other micronutrient supplements 2 reduced sun exposure 3 sunscreen of at least SPF 30 to prevent uneven tanning and hyperpigmentation

What is blister grafting?

Blister grafting to even tone. Like skin grafting, blister grafting involves transplanting small portions of your skin. With this procedure, your doctor uses a suction-like device to make blisters on unaffected areas of skin.

What is the treatment for discoloration of skin?

Photochemotherapy. Light therapy (photochemotherapy) involves controlled exposure to ultraviolet rays to correct discoloration. Sometimes UVA light therapy is combined with a plant-based medication called psoralen, which is taken orally or applied topically to smaller areas of affected skin.

What is vitiligo?

Vitiligo is a disease that causes the loss of skin color in various blotches all over your body. It can occur anywhere on the body and it can even affect your hair and the inside of your mouth.

How does phototherapy help?

No one knows why the melanocytes in your body stop functioning, so there is no known cure for vitiligo. Once the white patches have developed, it’s rare for the pigment to return. You can sometimes improve the appearance of the affected skin with cosmetics or corticosteroid creams.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Coping and Support

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment might help restore skin color to the affected parts but cannot cure the further loss of pigment cells.
Medication

Corticosteroid: Help restore color or aid repigmentation.

Betamethasone valerate . Clobetasol Propionate


Ointments: Are effective for re-pigmentation of small skin areas.

Tacrolimus . Pimecrolimus

Procedures

Blister grafting: Small blisters are created in the normal pigmented area and these are placed on the affected area.

Tattooing: Implant pigment into the skin through a special surgical instrument.

Skin grafting: A small part of the normal pigmented skin is removed and grafted in the discolored areas.

Therapy

Ultraviolet phototherapy:Combination of corticosteroid and UV phototherapy for restoring color. Combination of psoralen with UV lights are also used.

Specialist to consult

Dermatologist
Specializes in the study of the skin and its disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Preparing For Your Appointment

  • Your doctor will ask about your medical history and examine your skin, possibly with a special lamp. Your evaluation might also include a skin biopsy and blood tests.
See more on mayoclinic.org

Prescriptions

  • The choice of treatment depends on your age, how much skin is involved and where, how quickly the disease is progressing, and how it's affecting your life. Medications and light-based therapies are available to help restore skin color or even out skin tone, though results vary and are unpredictable. And some treatments have serious side effects. So your doctor might suggest th…
See more on mayoclinic.org

Over-The-Counter (OTC) Therapies

  • If you have vitiligo, the following self-care tactics may help you care for your skin and improve its appearance: 1. Protect your skin from the sun and artificial sources of UV light. Use a broad-spectrum, water-resistant sunscreen with an SPF of at least 30. Apply sunscreen generously and reapply every two hours — or more often if you're swimming or sweating. You can also seek sha…
See more on mayoclinic.org

Home Remedies and Lifestyle

  • The change in your appearance caused by vitiligo might make you feel stressed, self-conscious or sad. These self-care approaches can help you cope with vitiligo: 1. Make a good connection.Find a doctor who knows a lot about the condition. A dermatologist is a doctor who specializes in the care of skin. 2. Learn about your condition.Find out as much as you can about vitiligo and your tr…
See more on mayoclinic.org

Complementary and Alternative Medicine

  • You're likely to start by seeing your primary care doctor. You may then be referred to a specialist in skin disorders (dermatologist). Here's some information to help you prepare for your appointment.
See more on mayoclinic.org

Experimental Treatments

Image
Topical and oral prescription medications (or a combination of both) are among the first treatments that are usually tried for people with vitiligo. Prescription medications may slow the progression of the discolored patches of the skin and may potentially restore some of the pigment in small areas, though the results of …
See more on verywellhealth.com

A Word from Verywell

  • Your doctor may also recommend over-the-counter (OTC) products to help manage certain aspects of your vitiligo, though these products are not made for actively repigmenting the skin.14 Pain Relief Some people experience pain, discomfort, or itching on the areas of skin where the vitiligo appears. If the pain is mild, nonsteroidal anti-inflammatory drugs(NSAIDs) such as ibupro…
See more on verywellhealth.com

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