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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.

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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)

The concern and empathy of the doctor and all the office staff regarding my daughter. Thank you so much!

#12019-02-10

I was scared that I had something on my face after my laser treatment. As it turns out Jill took a second look and told me it was normal and it will resolve. The reason why I tell you this is because Lisa at the front desk was instrumental on making sure I was followed up and that my fears were elevated. Lisa was outstanding! From my experiences in the past, I find most people at the front desk don't really care about the patients. However, I did not get that from Lisa. She kept in contact with me until I was completely satisfied with my care. She really is a professional and deserves recognition. Her job is the most important one in the office. I have left other offices in the past because I didn't care for the staff. That won't happen here! Hats of to LISA!!!! P.S. The computer in the waiting room is AWESOME too!!!

#22012-12-06 11:38:48

Doctor was very attentive and answered all questions/concerns.

#32018-05-29

good service

#42011-04-19 10:17:20

Excellent staff who seem to like what they are doing! (A rarity in many offices!)

#52011-11-17 12:08:50

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

#62018-09-25

everybody very pleasant - and the backgroud music was such a relief from the musical noise one usually hears in waiting rooms

#72018-04-01

speed of the apt. Dr. Took time to share thoughts

#82018-09-23

nice music!

#92018-09-21

The ambiance, staff and physician

#102018-12-15

What can we do better?

(answers:373)

Can not be better!

#12011-04-05 09:29:32

?water cooler in the waiting room?

#22018-05-22

I cant think of anything

#32018-11-24

The service is wonderful nothing needs to be changed.

#42018-06-05

no complaints. everything was fine.

#52018-08-31

Everything was wonderful

#62018-10-09

If you continue the same level of care that I received today, I will be thrilled.

#72018-11-09

I think you have done a great job.

#82011-02-21 16:01:23

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

Nothing!

#102018-07-28
Customer Rating : 4.8

Based on 4 ratings