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 3682 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
2014-05-09
I am extremely impressed. Felt comfortable and confident in the doctor's treatments. the staff was very professional yet kind and very helpful. The doctor's knowledge of medical condition
#2
2013-12-26
I liked that Dr. Ringpfoil was very through and caring.
#3
2011-10-19 17:13:56
Jennifer was very helpful and professional. I really appreciated her advice on my skincare.
#4
2013-10-17
The office has a very relaxed setting this was the most comfort that I ever felt going to any doctors office, and also great music, you guys we here from me around the holidays and after my outcome with the other specialist!!! Thanks again!! Service AAAAA+++++++++
#5
2011-11-10 12:40:32
The staff was very friendly, helpful and professional. The doctor herself is a pro, I was very impressed and will definitely recommend her to others, especially of my race. Its very hard to find a good dermatologist and I believe she is wonderful and really knows what she's doing. I am glad that I came here, thank you.
#6
2014-03-02
Ability to use computer to fill in info
#7
2010-12-01 12:08:05
Everyone is extremely nice and professional. I like the fact that the office is utilizing technology for things such as consent forms and patient information forms rather than paper. Good for the environment!
#8
2013-12-15
The med assistant and the doctor were very pleasant and I feel like I can leave knowing that I am ok and had an excellent exam
#9
2012-10-02 10:02:31
I liked scheduling my appointment online, it was fast and simple.
#10
2014-07-13
The ambiance, staff and physician

What can we do better?

(answers:373)
#1
2011-01-17 16:36:22
Friday appointments with Dr. Ringpfiel
#2
2013-12-09
Cookies and Milk! Seriously, I love coming in and being seen promptly. More importantly, I like the fact that the doctor was not distracted and there was not a single interruption.
#3
2014-01-30
do not change a thing
#4
2014-03-01
couldnt be any better
#5
2011-05-26 11:49:32
you can not top anything. this is the best run office and staff that I have ever been in.
#6
2014-07-27
I thought that consideration could have been made re: pricing of skin tag removal since I only had one tag removed.
#7
2013-09-13
Can't think of anything staff were very helpful
#8
2014-05-29
There's nothing better, u already doing well.
#9
2013-09-17
Have some toys or children books in the waiting room
#10
2014-08-28
Service was excellent, keep up your service as is.