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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

# of surveys: 3747
Last updated: 03/21/2016 5:40 PM,

Performance Report

(Based on 3747 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
2015-12-09
doctor very friendly and professional
#2
2011-01-03 09:55:52
Friendliness
#3
2015-11-18
The ample amount of time that the dr spent talking to me
#4
2015-10-24
The people are friendly and understand.
#5
2016-01-18
I was impressed that the doctor really listened to me and that she thoroughly answered my questions. Instead of telling me not to worry about things, she explained the nature of the condition and why it wasn't a concern. She also thoroughly explained my treatment options so I could make an informed decision.
#6
2016-05-15
Loved everything! Thank you so much
#7
2016-03-22
the cute scrubs:-) knowledge of the dr. and staff.
#8
2015-12-15
EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!
#9
2011-01-05 14:23:47
Just friendliness.
#10
2016-01-11
The care, attention and kindness were remarable--thank you!

What can we do better?

(answers:373)
#1
2015-09-19
I can't think of a single thing to make it better!
#2
2011-07-28 15:11:23
This was my first visit and although i was uncomfortable with my problem which was addressing I was truly happy with everything else.
#3
2011-12-07 10:55:46
tell the Dr. to stop snowboarding and come back to skiing..;-)
#4
2016-05-24
nothing just keep up the good work.
#5
2011-01-19 08:56:51
The restroom could be cleaner.
#6
2016-06-02
less waiting time in the room
#7
2011-10-03 12:18:59
I am perfectly happy, which is why i keep returning.
#8
2016-06-11
Keep it up!
#9
2015-11-15
excellent service
#10
2011-08-10 15:47:37
I would like to get in with the doctor. I also would like more than one option presented to me. Also, it would be nice to be offered more natural alternatives, or integrative treatments.
Customer Rating : 4.96

Based on 3747 ratings
1516 Locust Street
Philadelphia, PA 19102
215.545.5458
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rad@ringpfeildermatology.com