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TREATMENT

 

Vitiligo may not be curable, but numerous treatments exist to successfully repigment patches of colour loss.  Listed below are the most common remedies for the disease

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TOPICAL
 

Topical corticoteroids

Topical Cancineurin inhibitors

    Pimecrolimus (Elidel)

    Tacrolimus (Protopic)

Topical JAK inhibitors

    Tofacitinib

    Ruxolitinib

Pseudocatalase (Vitix Gel)

Cosmetic camouflage

PHOTOTHERAPY (LIGHT BASED)
 

PUVA

Narrowband UVB

Excimer laser

Excimer light

Home care phototherapy

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SYSTEMIC

Oral mini pulse therapy (steroid tablets on two days a week to stabilise the disease)

Oral minocylcine (for stabilisation)

Azathioprine - (under dermatological supervision)

Cyclosporine - (under dermatological supervision)

Mycophenolate mofetil - (under dermatological supervision)

SURGICAL
 

Suction Blister Grafting

Punch Grafting

     Modified procedure using 0.5 and 0.8mm hair transplant punches

Follicular Grafting

Split thickness skin grafting

Non-cultured melanocyte grafting

Cultured melanocyte grafting

Re-Cell 

Needling

Intraepidermal injection of cell suspensions

 

COMBINATION
 

Topical steroids + excimer laser and UVA

Vit D and UV light

Tacrolimus + excimer laser

Pimecrolimus + nbUVB

Suction blister + Kellin and UV light

 

DEPIGMENTATION
 

Monobenzyl ether of hydroquinone

Liquid nitrogen

Q switched Nd YAG laser

NEW TREATMENTS
 

Polypodium leucotomos

Oral antioxidants

Chinese zengse pills

Prostaglandin E

Afamelanotide

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PSYCHOLOGICAL COUSELLING

Seek psychological counselling where appropriate

 

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