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
2014-11-26
Everyone was so pleasant,and nice.
#2
2014-10-25
I loved the office space. Very friendly and the decor was very nice. I also appreciated the opportunity to do documentation on the computer.
#3
2014-10-17
the swiftness and kindness of the staff, felt very comfortable
#4
2014-04-02
The frankness of the doctor
#5
2011-05-26 11:49:32
I did not feel rushed. I felt I was Heard and listened to. The exam and explanations were clear .When my visit ended all of my questions,, symptoms, and diseases were addressed extensively.I am thrilled that I have found this office. I intend to refer my husband, son and friends.
#6
2014-12-11
Everyone was incredibly kind, informative and helpful. It was one of the best doctor office experiences I've ever had.
#7
2014-01-04
i liked the fact the doctor acutally explianed everything to me in a way that i as a child could understand. that was the part that i really enjoyed
#8
2014-05-08
everyone seemed genuinely friendly.
#9
2014-04-15
The ambiance, staff and physician
#10
2011-12-20 08:37:39
There was no option to thank Andrea, but she also did a lovely job.

What can we do better?

(answers:373)
#1
2014-03-20
Everything was great.
#2
2011-01-04 10:23:13
So far so good!
#3
2011-03-03 11:57:42
Keep up the great work!
#4
2014-06-11
Nothing, my visit was great.
#5
2014-06-13
It was good
#6
2014-05-19
Don't change anything
#7
2014-08-13
no suggestions, you are doing a good job
#8
2011-02-09 12:32:20
WINE AND CHEESE WOULD BE NICE IN THE WAITING AREA
#9
2014-02-17
?water cooler in the waiting room?
#10
2014-08-03
totally satisfied with everything