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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: 3750
Last updated: 05/25/2018 9:32 AM,

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)

I was given sufficient time with the doctor and her assistant to ask questions and explain my skin history.

#12018-04-30

Woderful atmosphere and service

#22017-12-29

the professionalism and everyone made me feel comfortable.

#32018-11-05

It is clearly evident taht Dr. Ringpfeil is genuinely motivated by listening to your full symptoms, issues and then selecting the approach that is best for you. I scheduled my appt with the hopes of undergoing pricey treatments. Rather than signing me up and taking my check, she insisted that we first address the cause of my problems. Obviously, her goal is to heal the patient, not simply select the treatments that would be most lucrative for her. Impressive.

#42018-07-27

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

#52018-02-05

Dr. Ringfiel, of course.

#62018-01-24

friendly, quick, thorough

#72018-06-17

The aesthetician was great, very straight forward and running on time!

#82011-05-05 13:30:08

Linda was very thorough and took time with me rather than rush me like she couldn't wait to get to the next patient. I've had that experience before so I appreciated that.

#92011-06-02 14:59:00

Everyone was very friendly and considerate. I did have to wait a little longer for the doctor to come in but the medical assistant was so polite and came in to offer me a magazine.

#102018-09-30

What can we do better?

(answers:373)

keep doing what you did.

#12011-03-11 14:14:27

Excellent experience Can't think of anything I would change

#22011-04-04 11:16:27

we are okay

#32018-10-07

I can't think of anything.

#42010-08-25 14:18:06

Send the paperwork to my home address in advance of appointment. Provide better reading material in the reception area.

#52018-05-28

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

#62011-10-03 12:18:59

u guys r great here ,very professional, n kind .love coming here ...

#72011-09-26 14:29:08

everything was beyond my expectations . No doctor has ever given me such a complete exam

#82010-10-07 10:02:42

Overall excellent service. Friendly front desk staff. A very small suggestion would be to have someone immediately identify themselves as the person to register a new patient and direct where to go when someone enters the waiting room. With a big waiting room and three people at the front desk, it is a lot to take in and not know to whom to speak. Having had negative experiences with doctors' receptionists where all three of the three people at the front desk have ignored me until I called out and forced a response, I am sensitive to the issue and imagine others have had this experience as well.

#92011-01-31 10:42:48

Cookies and Milk! Seriously, I love coming in and being seen promptly. More importantly, I like the fact that the doctor was not distracted and there was not a single interruption.

#102018-11-07
Customer Rating : 4.8

Based on 4 ratings