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Written by Dr. Ringpfeil

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.

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SKIN

# of surveys: 3835
Last updated: 11/19/2020 5:15 PM

PATIENT RATINGS

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definitely
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probably
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maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
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very good
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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
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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
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good
2.08%
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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%
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What WE DID WELL

(Answers:674)

I really appreciated how knowledgeable the doctor was about my condition. I also felt that she listened well and considered my opinion. Great job! Cant wait to come back.

#12012-06-14 15:35:48

very informative about everything

#22020-08-14

The information the doctor knew about all the medicines

#32011-01-24 14:33:36

The speed and throughness of the visit.

#42020-08-07

I was made to feel comfortable and was happy that I felt listened to and as though my needs were addressed. I feel confident that the doctor is determined to assist me with my multiple issues. The medical assistant and receptionist were also very helpful and welcoming. Thank you.

#52020-03-11

Once in the examining room, I was treated professionally by both individuals whom I saw.

#62011-06-01 16:55:08

every one was extremely friendly and helpful, loved the doctor

#72020-08-29

YOU HAVE DONE AN EXCELLENT JOB OF ENSURING PATIENT SATISFACTION AND CARE QUALITY

#82020-03-28

I thought everyone was very professional and nice.

#92020-08-05

That I was seen by the doctor and did not feel rushed.

#102020-03-08

What can we do better?

(answers:373)

No room for improvement. You have a first-rate, exceptional staff Dr. Ringpfeil! Everyone especially Linda Heckman is so professional. Jessie makes a great first impression and is an asset to your team!

#12010-12-15 19:35:32

no recommendations necessary

#22019-12-31

I cannot think of a thing that would make the visit any better.

#32010-11-03 15:36:43

Everything was wonderful

#42020-05-13

everything was great, i don't have any suggestions

#52010-10-25 11:08:34

Everything was great.

#62020-10-05

Couldn't be better!

#72020-02-03

Don't change anything

#82020-11-16

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.

#92020-01-13

Not a lot to improve on service is already top notch.

#102010-09-30 11:25:20
Customer Rating : 4.5

Based on 178 ratings
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