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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: 3816
Last updated: 08/27/2020 2:06 PM

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Compare our service to other similar practices

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Overall doctor performance

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The doctor listened to you attentively

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The doctor took time to answer your questions

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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

excellent
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Aesthetician performance

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Office comfort

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Parking

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excellent
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What WE DID WELL

(Answers:674)

Loved everything! Thank you so much

#12020-07-14

everyone was very friendly and didn't make me feel self conscious.

#22011-06-01 18:06:14

very comfortable, pleasant office setting

#32020-01-29

There was no option to thank Andrea, but she also did a lovely job.

#42011-12-20 08:37:39

The friendly people who work here are great. Probably the best thing, though, is the timeliness of service. Most physicians make me wait far past my appointment time. I appreciate on-time service immensely!

#52020-01-21

medical assistant

#62011-11-30 15:41:16

Personable experience.

#72011-04-26 10:31:17

The time and attention from the Doctor....

#82020-05-25

Music. Dr. Ringpfeil. MA/Kathleen.

#92020-04-16

Woderful atmosphere and service

#102020-04-03

What can we do better?

(answers:373)

couldnt be any better

#12020-08-01

Everything was wonderful

#22020-09-14

Have the patient internet working

#32011-09-08 11:08:45

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#42019-12-09

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

#52020-05-17

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

#62020-04-26

just keep up the good work

#72011-04-19 10:17:20

I can't think of a single thing to make it better!

#82020-01-29

All fine

#92020-01-26

I am completely happy with my needs being met here.

#102010-08-23 16:52:07
Customer Rating : 4.5

Based on 178 ratings