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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: 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 people

#12017-03-18

The whole visit

#22017-09-15

EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!

#32017-06-13

Linda was very informative, very responsive to my questions. I felt very comfortable with her advice

#42011-05-26 10:18:40

Appearance of office, professionalism and efficiency of staff and doctor.

#52012-10-03 12:03:35

Everyone is so warm and welcoming! great ambience, great music The lovely doctor is perfect- highly skilled, warm and a great mother!

#62016-10-08

the doctor and assistant were very nice and the doctor very inormative and clear

#72017-02-20

Dr. Ringpfeil

#82017-01-04

The electronic registration.

#92017-09-02

I liked that Dr. Ringpfoil was very through and caring.

#102017-07-10

What can we do better?

(answers:373)

Can't think of a thing. I was very impressed.

#12010-09-27 14:45:03

THANK YOU!

#22017-08-19

we are okay

#32017-03-16

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

#42016-12-27

I think that you should just mkae the vists a little bit quicker, and thats all.

#52010-10-27 08:46:34

While I totally understand the late policy, unfortunately my daughter and I drove 1.5 hrs to the facility and given the weather and errorous directions, we ended up being 7 mins late. I immediately called the office while on route to explain that we were lost and sought correct directions. The receptionist was very curt, short and condesending. Upon our arrival, there was no warm greeting and very limited eye contact. Again,as a heath care provider myself, I appreciate the need to follow a schedule, however, our appointments were in direct succession and I do not think it would have had a significant impact on the work schedule, given our special circumstance.

#62011-03-24 10:10:11

I had requested an email for appointment purposes. Was never sent. Other than that - Excellent!

#72017-07-17

May be by considering the comfort of the patients by allowing a grace period of atleast10-15mins and also by functioning on weekends too

#82016-09-29

I actually appreciated and was so very happy with all aspects of my visit.

#92017-08-05

maybe offering a bit more evaluation of options -that I haven't already thought of or asked about- for skin care and amelioration, as I am not certain what exists

#102016-12-19
Customer Rating : 4.3

Based on 33 ratings