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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.

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SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

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%
very poor
0%

What WE DID WELL

(Answers:674)

The dr spent a lot of time answering my questions.

#12011-10-17 16:10:34

It's great that you're using electronic means to capture patient information. Everyone is very friendly and competent and the doctor was wonderful to talk to.

#22017-01-30

Dr. Ringpfeil's professionalism as well as her wonderful bedside manner.

#32016-09-24

You people are superb. The doctor and the assistant understand what they are doing. The doctor really talks like a professional - she knows it for sure.

#42016-10-14

welll...besides the freeezing sensation applied to my paipai, i loved the paintings...for sure

#52017-05-21

Everyone was helpful. The appointment time was met and the service was wonderful.

#62012-12-04 12:12:44

The staff and physician were excellent! Thanks so much!

#72017-04-04

Andrea was very nice and helpful!

#82016-07-04

The whole visit

#92016-11-13

Everyone was very attentive and I didn't feel rushed. Soothing atmosphere and even the temperature in the office and waiting room was perfect! The doctor exceeded my expectations - wonderful experience!

#102011-06-02 11:41:01

What can we do better?

(answers:373)

No major suggestions. I got all the answers I needed.

#12016-11-04

Everything was great.

#22017-01-05

everything was great! as always nothing i can say to improve on! jill is always attentive and very thorough:)

#32010-10-27 12:20:56

Keep me informed of specials on products that might be good for my skin.

#42011-01-05 16:01:31

Nicer chairs in office

#52011-01-24 14:33:36

Information for patients to take on latest findings/research in the field

#62016-08-01

The entire visit was just perfect so I had no suggestions at this time.

#72010-10-05 12:14:11

Top rate service. A great total experience.

#82017-05-21

clear directions to facility

#92017-03-26

Cannot think of anyway to improve things, unless you want to serve hot tea and cappachino!

#102011-02-22 11:25:39
Customer Rating : 4.50

Based on 31 ratings