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 3690 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
2014-08-15
Thought Dr. Ringpfeil was very nice and professional!
#2
2013-12-12
The fact you aren't rushed.
#3
2014-08-27
efficiency, carefulness, thoroughness very much in evidence.
#4
2014-11-10
friendly, quick, thorough
#5
2012-10-03 12:03:35
Appearance of office, professionalism and efficiency of staff and doctor.
#6
2014-10-13
Professionalism
#7
2013-12-08
I liked the promptness of seeing the doctor, and I loved that I was given all the time that I needed to speak with her.
#8
2013-12-12
Very knowledgeable and good at explaining the condition.
#9
2014-04-16
attentivness all around. Concern for my comfort during biopsy. Complete follow up instructions given.
#10
2011-10-05 11:53:28
Everyone was so nice! I've never been to a doctor's office where everyone is so pleasant and the service is so quick! I didn't wait at all! You guys are great!

What can we do better?

(answers:373)
#1
2014-10-20
Today I had to wait 45 min. to see the Doctor. I understand that sometimes other appointments run over but I took time off work to come here and I felt like I spent most of my time here waiting to see her.
#2
2014-10-12
This was a great experience and I would not change anything
#3
2014-04-15
?water cooler in the waiting room?
#4
2011-01-04 10:23:13
So far so good!
#5
2014-06-09
Nothing I can think of
#6
2013-12-09
Just continue to be as thorough and caring as my experience today. Quite like a breath of fresh air!
#7
2014-06-15
no recommendations necessary
#8
2014-09-15
It would be helpful to have some later evening hours, but the early morning hours work for me too!
#9
2011-01-03 11:45:01
service wonderful!
#10
2014-09-09
Lollipops if I don't cry.