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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: 3767
Last updated: 01/21/2019 6:59 PM

PATIENT RATINGS

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Compare our service to other similar practices

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Overall doctor performance

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94.2%
very good
4.89%
good
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poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
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1.05%
poor
0.05%
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The doctor took time to answer your questions

excellent
94.0%
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1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
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The doctor explained treatment options

excellent
92.0%
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5.69%
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Front desk performance

excellent
85.6%
very good
10.2%
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poor
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very poor
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Aesthetician performance

excellent
88.6%
very good
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Office comfort

excellent
90.9%
very good
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Parking

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14.4%
good
15.7%
poor
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0.9%

Friendliness of the staff during appointment

excellent
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very good
7.23%
good
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What WE DID WELL

(Answers:674)

The speed and throughness of the visit.

#12019-05-20

The knowledge, helpfulness, and friendliness of every person in this office has made me decide to have my daughter and me be seen here instead of by a doctor in the area in which we live (more than half an hour away). Thank you.

#22019-08-26

The information provided by the physician was very helpful and useful. I would gladly do what she recommended.

#32019-04-20

The promptness of waiting to see the doctor.

#42019-09-22

doctor

#52019-08-06

Clean, bright, well appointed office

#62019-09-05

jenny's attention was excelent

#72011-11-30 09:16:36

respectful and relaxing

#82019-12-30

friendliness of office staff and physician

#92019-11-20

A good service

#102020-01-05

What can we do better?

(answers:373)

I am very satisfied now.

#12019-07-11

I am perfectly happy, which is why i keep returning.

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I was served perfectly

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Stay the same.

#42019-01-30

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

#52011-02-21 10:56:55

Evening hours

#62019-05-22

my visit was great

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Can't think of anything staff were very helpful

#82019-06-13

open an office in NJ

#92019-04-26

I am new here, so I don't have any suggestions at this time

#102019-05-23
Customer Rating : 4.5

Based on 122 ratings