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

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Compare our service to other similar practices

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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
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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
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The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
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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
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good
2.08%
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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
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What WE DID WELL

(Answers:674)

I liked the staff and the doc!

#12019-02-08

I like the conscientious of the team. They seem to care and are capable.

#22011-10-27 14:37:41

The medical assistant was very friendly and sat with me through the registration process to ensure my computer worked properly. The clinican was very patient and provided excellent care.

#32011-05-25 13:14:40

Dr. was very informative. Everyone was very nice. Please give all the ladies here a raise..

#42019-03-30

Doctor was very friendly & knowledgable. I especially appreciated that she seemed unrushed and focused on me. I am hopeful that the procedure she recommended will improve my condition (facial scar).

#52018-07-14

the whole experience

#62019-06-10

I liked the friendlyness and professionalism of the staff and the MD. I was very impressed with the thorough examination I received and the way the MD explained what she found on that exam.

#72018-10-02

Outstanding experience across the board: Dr. R, Melissa, staff, facility.

#82010-11-29 10:34:31

Everyone was cordial and very attentive. Will definitely come back.

#92018-08-14

The docotr was very nice and helpful!

#102018-09-04

What can we do better?

(answers:373)

Nothing!

#12019-06-22

not sure yet

#22019-05-31

Maybe some more magazines for the guys. I`ll bring a few in...

#32019-04-09

Nothing - excellent.

#42011-01-25 12:57:52

I had an appointment for a consulation for sun damage. Unfortunately, I need to see either a doctor or PA for my issue and this was not included in my appointment, so I need to make another trip. It is difficult for me to carve time out of my work day to take care of personal needs, so this is creating an inconvenience for me. I would have preferred to had the complete consultation done in one appointment.

#52011-02-14 14:14:53

JUST THE WAY YOU SERVE ME NOW...........WITH GREAT RESPECT AND i REALLY APPRECIATE IT.

#62010-11-11 10:41:38

Service was great, wouldn't change a thing.

#72010-10-06 09:19:36

Couldn't be better!

#82018-12-30

Nothing more than today's appintment.

#92010-11-10 08:24:10

we are okay

#102019-03-22
Customer Rating : 4.8

Based on 4 ratings