SURGICAL THERAPIES FOR VITILIGO TREATMENT

Vitiligo Surgical - All vitiligo surgical therapies must be considered only after proper medical therapy is provided. Vitiligo surgical techniques are time-consuming and expensive and usually not paid for by insurance carriers. They are appropriate only for carefully selected patients who have vitiligo that has been stable for at least 3 years:




Autologous skin grafts—the doctor removes skin from one area of your body and attaches it to another area. This type of skin grafting is sometimes used for patients with small patches of vitiligo. The doctor removes sections of the normal, pigmented skin (donor sites) and places them on the depigmented areas (recipient sites). There are several possible complications of autologous skin grafting. Infections may occur at the donor or recipient sites. The recipient and donor sites may develop scarring, a cobblestone appearance, or a spotty pigmentation, or may fail to repigment at all. Treatment with grafting takes time and is costly, and many people find it neither acceptable nor affordable.


Skin grafts using blisters—in this procedure, the doctor creates blisters on your pigmented skin by using heat, suction, or freezing cold. The tops of the blisters are then cut out and transplanted to a depigmented skin area. The risks of blister grafting include scarring and lack of repigmentation. However, there is less risk of scarring with this procedure than with other types of grafting.




Micropigmentation (tattooing)—this procedure involves implanting pigment into the skin with a special surgical instrument. This procedure works best for the lip area, particularly in people with dark skin. However, it is difficult for the doctor to match perfectly the color of the skin of the surrounding area.

The tattooed area will not change in color when exposed to sun, while the surrounding normal skin will. So even if the tattooed area matches the surrounding skin perfectly at first, it may not later on. Tattooing tends to fade over time. In addition, tattooing of the lips may lead to episodes of blister outbreaks caused by the herpes simplex virus.


Autologous melanocyte transplants—in this procedure, the doctor takes a sample of your normal pigmented skin and places it in a laboratory dish containing a special cell-culture solution to grow melanocytes. When the melanocytes in the culture solution have multiplied, the doctor transplants them to your depigmented skin patches. This procedure is currently experimental and is impractical for the routine care of people with vitiligo. It is also very expensive, and its side effects are not known.



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VITILIGO TREATMENT

There are a number of ways to alter the appearance of vitiligo without addressing its underlying cause. In mild cases, vitiligo patches can be hidden with makeup or other cosmetic camouflage solutions. If the affected person is pale-skinned, the patches can be made less visible by avoiding sunlight and the sun tanning of unaffected skin. However, exposure to sunlight may also cause the melanocytes to regenerate to allow the pigmentation to come back to its original color.
The traditional vitiligo treatment given by most dermatologists is corticosteroid cream.
Phototherapy may also beneficial using exposure to long-wave ultraviolet (UVA) light from the sun or from UVA lamps, together with Psoralen, called "PUVA", can help in many cases. Psoralen can be taken in a pill 1-2 hours before the exposure or as a Psoralen bath or soaking the area before the exposure. Lately, PUVA has been replaced with exposure to Narrowband UVB light at a wavelength of 311-313 nanometers. This vitiligo treatment does not involve Psoralen since the effect of the lamp is strong enough. The source for the UVB Narrowband UVB light can be special fluorecent lamps that treat large area in few minutes, or high power fiber-optic devices in a fraction of a second.

Studies have also shown that immunomodulator creams such as Protopic and Elidel also cause repigmentation in some cases, when used with UVB Narrowband vitiligo treatments.
Alternatively, some people with vitiligo opt for chemical depigmentation, which uses 20% monobenzylether of hydroquinone. This process is irreversible and generally ends up with complete or mostly complete depigmentation.
In late October of 2004, doctors successfully transplanted melanocytes to vitiligo affected areas, effectively repigmenting the region. The procedure involved taking a thin layer of pigmented skin from the vitiligo patient's gluteal region. Melanocytes were then separated out and used to make a cellular suspension. The area to be treated was then ablated with a medical laser, and the melanocyte graft applied. Three weeks later, the vitiligo area was exposed to UV light repeatedly for two months. Between 73 and 84 percent of patients experienced nearly complete repigmentation of their skin. The longevity of the repigmentation differed from person to person.

MICHAEL JACKSON VITILIGO

Michael Jackson vitiligo, singer/songwriter. During court depositions in 1994, both Jackson's dermatologist Dr. Arnold Klein and his nurse (Deborah Rowe, whom Jackson later married) testified that in 1984, Jackson was diagnosed with lupus and vitiligo.



Others famous people whose suffer from vitiligo disease;

Thomas Lennon, of Reno 911!, as evidenced by close-ups of his hands during the bike lock scene of episode The Investigation Continues.

Doc Hammer, artist and co-creator of The Venture Bros. has vitiligo on his scalp, causing his hair to grow two different colors.

J.D. Runnels, of the Chicago Bears.

Sisqo, solo and lead singer of Dru Hill reports having vitiligo.

Fez Whatley, of the Ron and Fez show has vitiligo patches on his face.

Joe Rogan, actor/comedian/host.

Bryan Danielson, professional wrestler, revealed on May 19th, 2007 in an interview for F4W.

Big Krizz Kaliko, Singer/Rapper of the Strange Music record label. He has even named his debut album after the condition (with slightly altered spelling), Vitaligo (The Funkra)

John Henson, Comedian and Co-Host of Watch This!

Kara-Louise Horne from Big Brother 8 suffers a mild case of vitiligo visible on her forehead. It also runs into her hairline resulting a blonde patch of hair cause of vitiligo

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michael jackson vitiligo

VITILIGO SIGNS & SYMTOMS

Vitiligo Sign

Half of people with vitiligo develop patches of de-pigmented skin appearing on extremities before their 20s. The patches may grow, shrink, or remain constant in size. Patches often occur symmetrically across both sides on the body. Occasionally small areas may repigment as they are recolonised by melanocytes. The location of vitiligo affected skin changes over time, with some patches re-pigmenting and others becoming affected.
In some cases, mild trauma to an area of skin seems to cause new patches - for example around the ankles (caused by friction with shoes or sneakers). Vitiligo may also be caused by stress that affects the immune system, leading the body to react and start eliminating skin pigment.
Vitiligo on the scalp may affect the color of the hair (though not always), leaving white patches or streaks. It will similarly affect facial and body hair.




Vitiligo Symptoms

The following list of symptoms mentioned from various sources includes the 23 mentioned below:

Hand white patches
Feet white patches
Arm white patches
Face white patches
Lip white patches
Armpit white patches
Chest white patches
Back white patches
Shoulders white patches
Groin white patches
White patches around the mouth
White patches around the eyes
Nostril white patches
Navel white patches
Genital white patches
Mucous membrane white patches
Rectal white patches
Uveitis
Retina white patches
Premature graying
Gray scalp hair
Gray eyelashes
Gray eyebrows
Gray beard
Sun sensitivity

KNOWING VITILIGO DISEASE

Vitiligo disease or leukodermia is a chronic skin condition that causes loss of pigment, resulting in irregular pale patches of skin. The precise cause of vitiligo disease is complex and not fully understood.



There is some evidence suggesting it is caused by a combination of auto-immune, genetic, and environmental factors. The population incidence in the United States is considered to be between 1% and 2%. Vitiligo disease is considered a rare condition/rare disease that effects only 1 in 2,000 people.

According to Diseases Database: "Vitiligo disease is a disorder consisting of areas of macular depigmentation, commonly on extensor aspects of extremities, on the face or neck, and in skin folds. Age of onset is often in young adulthood and the condition tends to progress gradually with lesions enlarging and extending until a quiescent state is reached by the patient of vitiligo disease

VITILIGO PICTURE

Vitiligo picture - see the white patch on the vitiligo patient. The patch will groving up become bigger from time to time if no effective vitiligo treatment was taken. Also included, the famous superstar Michael Jackson. See some vitiligo picture below;







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