Vitiligo Treatment Clinic in Delhi
Vitiligo Treatment in Delhi
Vitiligo Treatment in Delhi, Vitiligo is a skin disorder characterized by blotches of discolored skin. The blotches appear lighter in color because the underlying cells that give skin its color (melanocytes) either die or lose function.
The extent of pigment loss on the body is described as localized, generalized, or universal. Vitiligo is a type of skin disorders that can lead to pigmentation issues significantly.
We at an Adorable clinic are committed to providing the best vitiligo treatment in Delhi and it’s a boon for those who are suffering from this skin disorder.
The cause for Vitiligo is not very clear but doctors and researchers are beginning to believe that Vitiligo resembles an autoimmune disorder.
Which means that the pigment (the matter that gives color to our skin) producing cells of the skin are destroyed by the body’s own antibodies (defense cells).
Normally, the color of hair and skin is determined by melanin. Vitiligo occurs when the cells that produce melanin die or stop functioning.
Vitiligo affects people of all skin types, but it may be more noticeable in people with darker skin. The condition is not life-threatening or contagious. It can be stressful or make you feel bad about yourself.
Vitiligo Treatment in Delhi may restore color to the affected skin. But it does not prevent continued loss of skin color or a recurrence.
What Is Vitiligo:
Vitiligo is a skin condition in which a loss of pigment causes the skin to appear white. Irregular white patches may occur on any area of the body. Due to the difference between the affected and unaffected areas of the skin.
This skin condition is more visible in people with darker skin. It affects 1% to 2% of the population and can affect anyone.
This skin condition can also affect mucous membranes and the retina of the eye. The hair that grows in areas affected by vitiligo may also turn white.
Vitiligo is a skin condition in which patches of skin lose their color. The total area of skin that can be affected by vitiligo varies between individuals.
It can also affect the eyes, the inside of the mouth, and the hair. In most cases, the affected areas remain discolored for the rest of the person’s life
The condition is photosensitive. This means that the areas that are affected will be more sensitive to sunlight than those that are not.
It is hard to predict whether the patches will spread, and by how much. The spread might take weeks, or the patches might remain stable for months or years.
The lighter patches tend to be more visible in people with dark or tanned skin.
In the skin, cells called melanocytes produce a pigment that gives the skin its color. Melanin is the pigment produced by the melanocytes.
It provides pigmentation for skin, hair, and eyes. When the melanocytes are destroyed, skin cells appear white, and this causes vitiligo, the skin disorder.
The reason for the loss of pigment from various parts of the body is not well understood, although it may be an autoimmune disease.
People with a family history of vitiligo are more likely to have the condition. Vitiligo is also associated with the following diseases:
- Pernicious anemia
- Addison’s disease
- An autoimmune disorder, in which the immune system becomes overactive and destroys the melanocytes
- A genetic oxidative stress imbalance
- A stressful event
- Harm to the skin due to a critical sunburn or cut
- Exposure to some chemicals
- A neural cause
- Heredity, as it may run in families
- A virus
Vitiligo is not contagious. One person cannot catch it from another.
It can appear at any age, But studies suggest that it is more likely to start around the age of 20 years.
Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin the pigment that gives your skin, hair and eyes color.
The involved patches of skin become lighter or white. Doctors don’t know why the cells fail or die. It may be related to:
- A disorder in which your immune system attacks and destroys the melanocytes in the skin
- Family history (heredity)
- A trigger event, such as sunburn, stress or exposure to industrial chemicals
Symptoms and Complications:
Symptoms of vitiligo include the appearance of irregular white patches or various degrees of depigmentation on the body. People often notice the loss of pigment in the following areas first:
The other areas where white patches due to vitiligo may occur are:
In addition to giving skin its color, melanin also protects the skin from the sun. Lack of pigmentation in the skin leads to a greater risk of sun sensitivity in affected areas.
Vitiligo, the skin disorder, increases the chance of sunburn and the development of skin cancer in people with the condition. Vitiligo is not a contagious condition.
The main sign of vitiligo is a patchy loss of skin color. Usually, the discoloration first shows on sun-exposed areas, such as the hands, feet, arms, face, and lips.
Vitiligo signs include:
- Patchy loss of skin color
- Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard
- Loss of color in the tissues that line the inside of your mouth and nose (mucous membranes)
- Loss of or change in color of the inner layer of the eyeball (retina)
Vitiligo can start at any age but often appears before the age of 20.
Depending on the type of vitiligo you have, the discolored patches may cover:
Many parts of your body: With this most common type, called generalized vitiligo, the discolored patches often progress similarly on corresponding body parts (symmetrically).
Only one side or part of your body: This type, called segmental vitiligo, tends to occur at a younger age, progress for a year or two, then stop.
One of only a few areas of your body: This type is called localized (focal) vitiligo.
It is difficult to predict how your disease will progress. Sometimes the patches stop forming without treatment.
In most cases, pigment loss spreads and eventually involves most of your skin. Rarely, the skin gets its color back.
People with vitiligo may be at increased risk of:
- Social or psychological distress
- Sunburn and skin cancer
- Eye problems, such as inflammation of the iris (iritis)
- Hearing loss
Making the Diagnosis for Vitiligo Treatment in Delhi:
To determine the presence of vitiligo, Your doctor will need to perform a physical examination. He or she may also ask about your general health and family history of vitiligo (to see if there is a genetic link).
Other factors leading to the onset of vitiligo often include a rash, sunburn, or trauma (e.g. a scrape or wound) to the area where vitiligo is first noticed.
To get a better idea of which skin areas have been affected, your doctor will shine a Wood’s lamp on the affected skin in a dark room.
Ultraviolet (UV) light from the Wood’s lamp causes the skin to appear in different colors depending on the underlying condition of the skin.
With vitiligo, there is no color and so the skin appears very white, with no pigment. The Wood’s lamp allows doctors to see areas affected by vitiligo that may appear normal under regular light.
To test for conditions or diseases associated with vitiligo, your doctor may take a blood sample to check:
- The blood cell count (related to pernicious anemia)
- The TSH function of the thyroid (related to hyperthyroidism)
- The number of antinuclear antibodies (ANA) to determine if you have an autoimmune disease (related to Addison’s disease or other autoimmune diseases)
Skin biopsy and blood draw:
In addition to gathering your personal and family medical history and examining your skin, your doctor may:
- Take a small sample (biopsy) of the affected skin
- Draw blood for lab tests to look for underlying autoimmune conditions, such as anemia or diabetes
The doctor may need to do a biopsy of the affected areas and look at the cells under a microscope. In some cases, an examination of the eyes may be necessary.
Factors that influence Vitiligo:
These factors are known to put people at an increased risk of developing vitiligo:
Genes associated with vitiligo:
Researchers have found that having a certain genetic profile makes people more susceptible to developing vitiligo.More than 30 genes have been identified as associated with the skin condition.
Vitiligo is the result of both a preexisting genetic makeup and something in the environment setting off an autoimmune response that destroys melanocytes.
Potential triggers include sunburn, exposure to certain chemicals, and mechanical trauma. These same triggering events can cause vitiligo to spread in patients who have already been diagnosed.
The family history of vitiligo:
About 20 percent of vitiligo patients have one or more relatives who are or were also affected.
An existing autoimmune disease:
People with an autoimmune disease, such as Hashimoto’s disease or alopecia areata, are at an increased risk of developing vitiligo. Roughly one in every four vitiligo patients has another autoimmune disease.
What to expect from your doctor for Vitiligo Treatment in Delhi:
Your doctor is likely to ask you a few questions, such as:
- When did you begin noticing light patches on your skin?
- Did you have a sunburn or skin rash before you noticed the patches?
- Are you sensitive to the sun?
- Do the discolored patches itch or cause any other symptoms?
- Have you ever had this type of change before?
- Does anyone in your family have vitiligo, a thyroid condition or an autoimmune disease?
- What is your occupation, and what are your hobbies? Are you exposed to any harsh chemicals in either?
- Does this condition affect your quality of life?
Treatment Options For Vitiligo:
Many treatments are available to help restore skin color or even out skin tone. Results vary and are unpredictable. Some treatments have serious side effects.
So your doctor may suggest that you first try improving the appearance of your skin by applying self-tanning products or makeup.
No drug can stop the process of vitiligo the loss of pigment cells (melanocytes). But some drugs, used alone or with light therapy, can help restore some skin tone.
Creams that control inflammation:
Applying a corticosteroid cream to the affected skin may help return color, particularly if you start using it early in the disease. You may not see a change in your skin’s color for several months.
This type of cream is effective and easy to use. But it can cause side effects, such as skin thinning or the appearance of streaks or lines on your skin.
Milder forms of the drug may be prescribed for children and for people who have large areas of discolored skin.
Medications that affect the immune system:
Ointments containing tacrolimus or pimecrolimus (calcineurin inhibitors) may be effective for people with small areas of depigmentation, especially on the face and neck.
This treatment may have fewer side effects than corticosteroids and can be used with ultraviolet B (UVB) light.
However, the Food and Drug Administration has warned about a possible link between these drugs and lymphoma and skin cancer.
Combining psoralen and light therapy:
This treatment combines a plant-derived substance called psoralen with light therapy (photochemotherapy) to return color to the light patches.
After you take psoralen by mouth or apply it to the affected skin, you’re exposed to ultraviolet A (UVA), UVB light or excimer light.
These approaches tend to have better results than just medication or just light. You may need to repeat treatments up to three times a week for six to 12 months.
Removing the remaining color (depigmentation):
This therapy may be an option if your vitiligo is widespread and other treatments haven’t worked. A depigmenting agent is applied to unaffected areas of the skin.
This gradually lightens it so that it blends with the discolored areas. The therapy is done once or twice a day for nine months or longer.
Side effects can include redness, swelling, itching and dry skin. Depigmentation is permanent, and you’ll always be extremely sensitive to sunlight.
Surgery may be an option for you if light therapy does not work. Surgery can also be used with those therapies. The goal of the following techniques is to even out your skin tone by restoring color.
In this vitiligo treatment in Delhi, Skin Specialist in Delhi removes very small sections of your normal, pigmented skin and attaches them to areas that have lost pigment. This procedure is sometimes used if you have small patches of vitiligo.
Possible risks include infection, scarring, a cobblestone appearance, spotty color and failure of the area to recolor.
In this procedure, your doctor creates blisters on your pigmented skin, usually with suction. He or she then removes the tops of the blisters and transplants them to an area of discolored skin.
Possible risks include scarring, a cobblestone appearance and failure of the area to recolor. And the skin damage caused by suctioning may trigger another patch of vitiligo.
In this procedure, your doctor uses a special surgical instrument to implant pigment into your skin. It is most effective in and around the lips in people with darker complexions.
Drawbacks include difficulty matching the skin color and potential for the tattooing to trigger another patch of vitiligo.
If you want to remove your permanent tattoo, then we provide you the best deals with the effective cost at Tattoo removal in Delhi.
Vitiligo Treatments In Delhi:
Now considered the gold standard of treatment for vitiligo covering more than 20% of the body. Narrowband UVB (NB) uses the portion of the UVB spectrum from 311-312 nm.
This region has been determined to help stimulate pigment cells to produce melanocytes in less time than it takes to burn the skin.
Any kind of light therapy has a suppressive effect on the immune system. So it can possibly stop new areas from forming as well.
NB can be done in the dermatologist in Delhi office with a full-body cabinet or, with a doctor’s prescription, from home using a full-length panel or a handheld device.
The handhelds are very convenient for small areas of vitiligo but are too tedious and cumbersome to use for larger percentages as they cover a very small area at a time.
NB is sometimes used in combination with other topical treatments but is effective for many on its own.
NB can be used on children old enough to stand still and keep goggles on. Results are often seen beginning between 30 and 60 treatments, and treatment is usually given 3 times a week.
Potential side effects of NB include burning if used for too long. If using a full-body panel or box, the normal skin may tan, Increasing the contrast.
Only full sized body units provide the immune suppression needed for stabilization that may halt further pigment loss, As the handheld units only treat isolated areas.
As long as the patient is old enough to understand that they must keep their eyes closed at all times, and has an annual eye exam.
Research has shown that it is safe to expose the eyelid to NB-UVB light. The exception to this would be if a psoralen had been used.
Psoralen plus UVA light. Formerly the gold standard of treatment, PUVA has mostly been surpassed by NB-UVB as NB-UVB is at least as effective and has fewer side effects.
The psoralens are typically taken orally, but can also be used topically. A UVA light box or sun may be used to provide the light component.
Melaginina that is available in countries outside the US is a psoralen and must be used with caution and under a doctor’s care. Treatments are usually given 3 times per week.
Side effects of PUVA include burning, stomach upset, liver issues, and cataracts. To prevent the possibility of cataract formation you must wear sunglasses, which protect your eyes against UVA, for 12- 24 hours after taking the tablets.
Sunglasses labeled UV 400/UVB/UVA protection 100% are recommended. PUVA is used less often in children because of the risk of side effects.
Narrow-Band UVB Comparison:
Narrow Band Ultra Violet B Light is a relatively new technology on the vitiligo front. In the past, most doctors have used the PUVA system, which involved the use of Ultra Violet A light exposure and the taking of Psoralen pills.
However, side effects for many people were unbearable. Narrow Band UVB light panels and cabinets solve the problems of over-exposure to ultraviolet by maximizing delivery of narrow-band UVB radiation while minimizing exposure to superfluous UV radiation.
This allows patients to receive photo-therapy treatments with less risk of severe burning or pathogenic exposure to UV in harmful ranges.
(It also avoids the adverse side effects of the psoralens used in conventional PUVA therapy, since UVB treatment requires no supplemental drugs.).
These benefits have made Narrow Band UVB systems increasingly popular with vitiligo patients and their doctors.
Even better is that Narrow B UVB light systems are available in home-sized panel systems and cabinets, which many are finding far more convenient than frequent trips to their dermatologist’s office.
Though many people buy complete surrounding cabinets, some doctors suggest that panels are actually more effective and that the optimum distance from the bulbs for the area being treated is about 7 inches.
Time exposures should be discussed with your dermatologist prior to using a light panel or cabinet, as the exposure times vary greatly depending on how long you have been treating, and your skin tone.
Narrowband UVB eliminates superfluous and harmful UV by emitting only wavelengths of 311-312 nanometers.
Conventional broadband UVB lamps emit a variety of wavelengths ranging from 280-330 nm.
Clinical studies show the peak therapeutic effectiveness of UVB to be within the range of 295-313 nm, but wavelengths below 300 nm can cause erythema or severe burning and increase the risk of skin cancer.
Excimer laser for Vitiligo Treatment in Delhi:
A targeted NB machine typically using the 308 nm portion of the spectrum. The laser vitiligo treatment in Delhi can be very effective for smaller areas of stable vitiligo.
As it treats a small area, it is inefficient for larger areas or percentages. Results from laser treatments frequently occur more quickly than with other treatments.
Because laser treatments are expensive, it is typically only used on stable vitiligo because when the vitiligo is active there is a greater chance of pigment being lost afterward.
Hands and feet are often not treated with the laser because it is less effective there. Treatments are generally 2-3 times per week. Potential side effects include burning.
Change in Lifestyle:
The following self-care tactics may help you care for your skin and improve its appearance:
Protect your skin from the sun and artificial sources of UV light:
If you have vitiligo, particularly if you have light skin, 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 are swimming or sweating.
You can also seek shade and wear clothing that shields your skin from the sun. Do not use tanning beds and sunlamps.
Protecting your skin from the sun helps prevent sunburn and long-term damage. A bad sunburn can make your condition worse.
Sunscreen also minimizes tanning, which makes the contrast between normal and discolored skin less noticeable.
Conceal affected skin:
Concealing products may improve the appearance of the skin and help you feel better about yourself, especially if your vitiligo patches are on the exposed skin.
You may need to try several brands of makeup or self-tanners to find one that blends well with your normal skin tone.
The coloring of self-tanning products does not wash off, but it gradually fades over several days.
If you use a self-tanner, select one that contains dihydroxyacetone, as it is approved by the Food and Drug Administration.
Don’t get a tattoo:
Avoid tattooing that is not related to treating your vitiligo. Damage to your skin, such as that caused by a tattoo, may cause a new patch of vitiligo to appear within two weeks.
Limited studies show that it may return skin color in people with vitiligo.
Other small studies show that alpha-lipoic acid, folic acid, vitamin C and vitamin B-12 plus phototherapy may restore skin color for some people.
As with any over-the-counter (nonprescription) treatment, check with your doctor before trying alternative medicine therapies to be sure they won’t interact badly with other treatments you may be using.
Choose Adorable Clinic for Vitiligo Treatment
Our phototherapy treatment for vitiligo in Delhi is considered to be the best treatment for anyone who is suffering from vitiligo.
The Vitiligo Treatment in Delhi through the excimer laser 308 nm, including the fiber optic device that focuses the beam of light on the vitiligo affected area on the patient’s skin. Adorable Clinic treats common skin conditions like vitiligo common bacterial etc conditions.
Others include hair disorders like baldness, hair loss, and nail disorders as well. Adorable Clinic the department provides consultation and treatment for all skin diseases like acne, psoriasis, vitiligo (Leucoderma), chicken pox, leprosy, scabies, dermatitis, and eczema etc.