Vitiligo

Vitiligo is a disease manifested by loss of pigment in the skin. It is an acquired disorder that often runs in families. It is characterized by depigmentation or total lack of melanin pigment. It can occur in small localized areas or be widespread. Fifty percent of individuals develop the disease before the age of 20 and 25% develop the disease before the age of 10. The cause is unknown but is believed to autoimmune in nature. It is more commonly seen in individuals with endocrine disorders such as thyroid disease.

DIAGNOSIS

The diagnosis can be made clinically in the presence of well demarcated areas of depigmentation found symmetrically over boney prominences such as the knees or around body orifices such as the mouth, eyes and perianal or periurethral area. When the diagnosis is unclear, a skin biopsy may need to be done.

MANAGEMENT

Patients with vitiligo must be advised to follow strict sun protection. The areas of skin affected by vitiligo cannot tan and will burn with sun exposure. Sunburns raise the risk of skin cancer. Also, when normal surrounding skin is tan the loss of pigment is more noticeable. Also, since vitiligo can be associated with endocrine disorders such as thyroid disease, blood tests to rule out an underlying disorder may need to be performed.

TREATMENT AND MEDICATION

Treatment options are influenced by the amount of skin involved and the location. Often a trial of treatment with a topical corticosteroid is the initial treatment choice. Topical immunomodulators such as Protopic Ointment or Elidel Cream have also been shown to be effective and are more appropriate for extended use on delicate areas. A series of narrowband ultraviolet light treatments (NB-UVB) have also been found to be very effective. The excimer laser delivers NB-UVB directly to specific skin areas without affecting normal surrounding skin. Ringpfeil Advanced Dermatology has an excimer laser and is proud to be able to offer excimer laser treatment to our patients. Excimer has come to be preferred over older light treatment modalities such as PUVA (psoralens plus ultraviolet A). The advantage of excimer over PUVA is shorter treatment times, decreased risk of phototoxic reactions, and the ability to use excimer in children, pregnant women and in individuals with kidney or liver disease since no oral medication is utilized. In cases where depigmentation due to vitiligo is very extensive, permanently removing all remaining pigment can be offered for cosmetic reasons.

COPING

For individuals who are self-conscious about vitiligo involving visible areas such as the face and hands, cosmetic products under the brand names of Covermark or Dermablend are available for camouflage. The National Vitiligo Foundation is an organization that can be a resource for educational materials and support groups.

How can we help you?

    SKIN

Uncensored Patient Reviews

Performance Report

(Based on 3686 surveys)
Would you recommend us?
definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%
Compare our service to other similar practices
excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%
Overall doctor performance
excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%
The doctor listened to you attentively
excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%
The doctor took time to answer your questions
excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%
The doctor explained treatment options
excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%
The doctor explained treatment options
excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%
Front desk performance
excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%
Aesthetician performance
excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%
Office comfort
excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%
Parking
excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%
Friendliness of the staff during appointment
excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What did we do Well?

(answers:674)
#1
2014-08-27
Dr. Ringpfeil took her time and was attentive to my concerns. Writing all options on paper was very helpful and will help me when I start my regimen
#2
2014-04-23
NO WAITING,THANK YOU !
#3
2014-01-27
I liked how the doctor gave me the prices of procedures that we discussed. Every doctor should do that!!
#4
2014-08-16
Excellent explanations by Dr. Ringpfeil along with knowledge and treatment. The option to fill out the form on the computer was great.
#5
2011-05-26 09:34:01
We liked everything. Great experience, and we've been to many dermatologists in the past. You are the best!
#6
2011-06-02 11:41:01
Everyone was very attentive and I didn't feel rushed. Soothing atmosphere and even the temperature in the office and waiting room was perfect! The doctor exceeded my expectations - wonderful experience!
#7
2014-06-10
good service
#8
2014-06-19
Liked the all the friendliness of the doctor's assistants and the doctor as well. also loved the brightness and colors of the waiting room.
#9
2011-12-15 12:54:52
The time the Doctor spent talking to me about my problem. She did not rush.
#10
2014-06-07
I appreciated having a conversation with the Physician, as well as developing a plan together. Accentuating the positive when there is so much negative really helps in enthusiastically executing the plan.

What can we do better?

(answers:373)
#1
2014-07-14
keep up the good work. you have an excellent service and your office is great
#2
2010-09-13 14:34:51
nothing
#3
2014-04-20
I think I was served most excellently. I cannot thing of anything to add.
#4
2011-08-10 10:32:44
you are the best!
#5
2014-07-13
more than adequate service!
#6
2014-01-15
nothing everything is fine as is.
#7
2011-09-21 14:47:49
I recommended this practice to a family member but they showed up 15 mins late to their first appt. due to traffic and were turned away (after traveling over an hour to get here). I would suggest on the first visit to allow more leeway for late appointments (try to fit them in) and then explain the late policy for all appointments moving forward.
#8
2011-08-01 16:26:25
frankly, everything was excellent
#9
2011-11-17 12:08:50
The only downside is parking!
#10
2014-02-23
Ask patient if they have any pain before asking them to waiting three weeks for appointment