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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

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

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%
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What WE DID WELL

(Answers:674)

The attention Dr. Abraham gave to me.

#12012-07-24 12:29:37

Friendliness

#22018-05-28

choice of music - French, Brazilian, etc appreciated being called when a cancellation opened up an appointment for me that was sooner than my originally scheduled appointment

#32018-04-11

Pleasant staff

#42018-06-27

The computer registration

#52018-01-30

Dr. Ringpfeil is extremely knowledgeable about her field. She also put me at ease immediatley and made me feel quite at home. I will definatley return once a year for her to check me. Her assistant and the receptionists were most helpful and very nice and more than happy to comply with their patients' wishes. Should anyone be searching for a dermatologist, I highly recommend Dr. Ringpfeil.

#62018-03-13

Clear information about treatment options which had not been offered in the past. It is possible that these treatment options are new, but it is also possible that the physician is especially knowledgeable.

#72017-10-14

Dr. Ringpfiel was very attentive; she explained very clearly different treatments and their outcomes and gave me some alternatives I could choose from. I was extremely pleased by the Dr's professionalism, excellence, kindness and attention. Definitely one of the best services I have received! I am bringing my son in 3 weeks!

#82018-03-12

The location and setting of the office.

#92018-03-03

Nice staff and doctor

#102018-06-16

What can we do better?

(answers:373)

N/A. Everything was great!

#12017-08-26

don't think you could!!

#22018-07-15

frankly, everything was excellent

#32011-08-01 16:26:25

Everything was very clean and I cannot think of much you could do better.

#42018-06-22

Just continue to be as thorough and caring as my experience today. Quite like a breath of fresh air!

#52017-12-28

don't think you could!!

#62018-07-04

Coffee, Tea? only kidding. Hope I gave the reader a smile today.

#72011-02-21 10:56:55

I have nothing to add, everyone was superb, made you feel right at home and insanely knowledgable. I am beyond happy.

#82010-09-28 11:03:56

Service was extremely good.

#92011-01-27 16:47:12

Being able to get an appointment at the time of the outbreak.

#102017-08-24
Customer Rating : 4.8

Based on 4 ratings