Vitiligo Treatment
Vitiligo Treatment
Vitiligo; It is a skin disease that can occur at any age and is characterized by milky-white patches with well-defined borders and varying sizes....
What is Vitiligo?
Vitiligo; It is a skin disease that can occur at any age and is characterized by milky-white patches with well-defined borders and varying sizes. It is seen equally frequently in men and women and affects 1-2% of the population.
What are the symptoms of Vitiligo?
It usually manifests itself as a milky white or chalk white, circular, oval or linear, clearly defined skin discoloration. Over time, white skin lesions may expand from the center to the periphery. Areas of skin with vitiligo lesions are usually asymptomatic. However, it may rarely be accompanied by itching. The hair on areas of vitiligo often turns white, called 'leukotrichia'. Even though vitiligo can be seen in any area of ​​the body, there are areas where it likes to settle, such as the face, backs of hands, nipples, armpits, belly, waist and genital area. In particular, traumas such as repetitive scratching and rubbing should be avoided as they may cause an increase in vitiligo lesions.
Vitiligo can be seen in four ways.
• Local vitiligo: There are a limited number of vitiligo lesions.
• Generalized vitiligo: It is the common form of vitiligo.
• Universal vitiligo: It affects almost all skin except a few normal skin areas.
• Mixed vitiligo: It is a form of vitiligo that has 2 or more variants together.
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Is Vitiligo Treatment Possible?
Although there is still no cure for vitiligo, there are treatment options that can provide satisfactory results for most patients.Factors such as the prevalence and type of the disease, the patient's age and skin color affect the success of vitiligo treatment.
Vitiligo Treatment Options
Narrowband ultraviolet B (dbUVB)
dbUVB treatment applied 2-3 times a week has been found to be effective in studies. It is considered the first choice of treatment, especially in children (6 years of age and above) and adults with widespread vitiligo.

Corticosteroids
• Topical treatment

In limited vitiligo, topical corticosteroids are used as recommended by the physician for a safe period of time.
• Systemic treatment
Oral tablets are used for short periods of time in cases of rapidly spreading widespread vitiligo.
• Topical immunosuppressives
Topical medications containing 0.1% tacrolimus are used.
• Surgical treatments
It is a rare treatment option that can be applied to patients aged 12 and over who have not responded to all treatments and whose disease activity has stopped.
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