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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

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.

How can we help you?

SKIN

# of surveys: 3903
Last updated: 10/13/2021 5:43 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)

This is one of the best medical offices that I have visited. I see doctors in the Penn and Bryn Mawr systems and this is by far much better than any of those offices. The entire staff is friendly and accommodating. Both doctors are awesome! I have recommended you to family and friends. Keep up the great work!

#12012-12-03 17:05:27

There didn't seem to be an overload of other patients in the office, which is what I am normally used to from other offices.

#22011-01-04 15:49:01

The atmosphere was relaxed and pleasant. I especially liked having a nice big clock in the waiting room.

#32021-07-26

I followed the Dr. from Jefferson - Philadelphia. Dr. Ringpfeil is the best dermatologist I have had... and as a psoriasis patient I have had a few of them. For the first time, my skin reacts to treatment. Thank you!

#42020-11-23

The doctor was friendly and very thorogh -- I didn't feel rushed.

#52021-02-23

The fact you aren't rushed.

#62021-06-11

aNDREA AND DR RINGFEIL WERE ABS0LUTELY TERRIFIC AND VERY FRIENDLY

#72021-06-06

Office staff was very polite and Dr was very thorough and everything was automated!

#82021-05-03

A good service

#92021-04-30

Everyone was wonderful, kind, helpful & extremely knowledgeable

#102021-04-28

What can we do better?

(answers:373)

No complaints - overall best experience at any dermatologist.

#12011-09-27 12:59:17

Good the way it is.

#22021-08-03

My next appointment could not be scheduled for 6 weeks. I wish I could be seen sooner!

#32010-12-16 10:06:03

Nothing more than today's appintment.

#42010-11-10 08:24:10

I have a suggestion: I noticed that two of the lovely rugs pose hazards to patients using walkers or who may have other mobility issues. The large rug placed at an angle and the narrow rug placed in front of the reception desk leave no room for these individuals to safely manuveur around the reception area and are likely to contribute to fall risks. I would suggest leaving these areas clear.

#52010-10-04 12:14:56

Please consider offering more appointments after 5pm since it can be a challenge to take time off from work.

#62021-04-04

Everything was great thanks!

#72011-02-25 11:46:15

This was a great experience and I would not change anything

#82021-07-08

No Comments

#92021-05-19

Magazines in the examining room to read while I waited for the doctor (I get bored easily).

#102021-08-16
Customer Rating : 4.5

Based on 275 ratings
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