Vitiligo

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Written by Liu Gang
Dermatology
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What are the characteristics of the stable period of vitiligo?

The stable phase of vitiligo is defined as a period of at least six months, or even more than a year, during which there are no changes in the localized white patches on the body, regardless of whether treatment is administered or not. During this phase, the white patches neither progress nor recover. Treatments during the stable phase are generally not very effective; oral medications, topical applications, and even treatment with a 308 laser typically show little change. The most common treatment plan during the stable phase still involves melanocyte transplantation. Patients should visit a dermatology department at a certified hospital to get a proper diagnosis and specific treatment. During the treatment period, it is important to enhance physical exercise to boost immunity, consume foods rich in black pigments, and limit intake of foods high in Vitamin C. After recovery, measures should be taken to prevent relapse and consolidate the treatment results.

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Written by Liu Gang
Dermatology
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What are the advantages of epidermal grafting for vitiligo?

Epidermal grafting is suitable for vitiligo in its stable phase, where patches on the body have not changed for at least six months and have not improved with treatment. At this stage, one can opt for epidermal grafting, which involves relatively minor trauma and is not too costly. The local growth of melanin is rapid, and the results tend to be favorable for patients in the stable phase. During the treatment period, it's essential to avoid spicy and irritating foods, consume more black-colored foods, avoid excessive intake of vitamin C-rich foods, enhance physical exercise to boost immunity, and keep the treated area dry and free from friction to prevent melanin loss.

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Written by Xie Ming Feng
Dermatology
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What fruits can people with vitiligo eat?

Any type of fruit can be consumed as long as it is done normally, appropriately, and in moderation. Even fruits rich in vitamin C have little impact on vitiligo. Consuming fresh fruits normally provides various vitamins and trace elements, which are beneficial to the human body. However, long-term excessive intake of vitamin C-rich foods, medications, or fruits may trigger vitiligo.

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Written by He Da Wei
Dermatology
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early symptoms of vitiligo

The best treatment period for vitiligo is in its early stages, but the early symptoms of vitiligo are easy to overlook, often presenting as smooth white patches the size of nails, with few depigmented patches, typically only 1-2, and most commonly appearing on exposed areas of the skin. Sometimes, the color of the depigmented patches is not very different from the surrounding skin, making it difficult to detect. Vitiligo generally occurs in areas susceptible to sunlight exposure and friction damage, and it mostly affects adolescents, generally before the age of 20. Many teenagers might feel too young to experience serious health issues, thus neglecting to monitor their health. However, early detection and appropriate treatment are crucial and delays or blind treatment should be avoided.

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Written by Xie Ming Feng
Dermatology
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Can people with vitiligo eat beef?

People with vitiligo can eat beef. Beef is delicious and is a high-protein, low-fat quality meat, ranking as the second largest meat product consumed in China. Patients with vitiligo should eat more foods rich in tyrosine or minerals such as copper and iron, including beef, as well as rabbit meat, pork, animal liver, chicken eggs, duck eggs, milk, and some shellfish, such as snails, etc.

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Written by Liu Gang
Dermatology
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side effects of vitiligo medication

Currently, most of the drugs used to treat vitiligo are traditional Chinese medicines, and they generally have relatively low side effects. However, because the effects of treatment for this disease are slow and the treatment cycle is long, long-term treatment is needed. Therefore, the biggest side effect of long-term oral administration of traditional Chinese medicines is the potential damage to the liver. During the entire treatment process, liver function can be rechecked after using the medication for three months. If the liver function is normal, these medicines can continue to be used. During the medication process, some liver-protecting drugs can also be taken orally. Commonly used topical medications can initially irritate the skin, causing symptoms such as redness, itching, or blistering, but these symptoms will gradually disappear with long-term use.

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Written by Yan Xin Liang
Pediatrics
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How to diagnose vitiligo in babies?

Babies diagnosed with vitiligo generally need to be differentiated from the following diseases. The first is anemic nevus, which is a congenital hypopigmentation that often exists at birth. If you rub the skin in the affected area, it does not turn red, while the surrounding normal skin does. Another is achromic nevus, which appears at or shortly after birth, characterized by localized hypopigmentation that often follows the distribution of nerve segments, with blurry boundaries. Additionally, there is tinea versicolor, which tends to occur in hot weather, with hypopigmented patches that have a bran-like or scaly appearance and a positive fungal test. It also needs to be differentiated from pityriasis alba, also known as white pityriasis, which commonly appears on children's faces and has a slightly rough surface. Generally, vitiligo diagnosis still requires further confirmation through tests such as Wood's lamp, dermatoscopy, skin CT, and fungal examinations.

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Written by Zeng Xian Fu
General Surgery
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Is the effect of epidermal grafting surgery for vitiligo good?

Vitiligo can be treated with epidermal grafting. Currently, patients with stable conditions, including localized vitiligo and segmental vitiligo, can achieve good results from the transplantation of epidermal pigments. The treatment method involves selecting the skin epidermis from the thigh or abdomen, using an epidermis separator to detach the epidermis, and attaching the skin flap to the depigmented spots, which are polished. This method can effectively treat localized or stable vitiligo and achieve satisfactory results. Therefore, skin grafting surgery for vitiligo can be quite effective. However, the occurrence of vitiligo is related to the immune system, and there is still a possibility of recurrence after successful treatment.

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Written by Liu Gang
Dermatology
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The term "progressive stage of vitiligo" refers to a phase in which the skin condition vitiligo is actively spreading, with new patches forming and existing patches expanding.

The progression phase of vitiligo, also known as its development phase, is characterized by the enlarging and whitening of the skin patches. This phase primarily signifies that the patches are expanding and becoming more pronounced in color. Vitiligo is related to factors such as reduced immunity, genetic heritage, copper deficiency in the body, or local injuries. Through proper treatment, the progression phase can gradually shift into a recovery phase, where melanin increasingly covers the white patches. Some patients may enter a stationary phase where neither medication nor lack of treatment changes the condition of the vitiligo; typically, if there’s no change for over a year, it enters this stationary phase. If it is determined that the vitiligo is in the progression phase, prompt treatment is crucial to prevent the condition from worsening, which could make treatment more difficult.

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Written by Xie Ming Feng
Dermatology
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Can people with vitiligo eat peaches?

People with vitiligo can eat peaches. Peaches are rich in vitamins and also contain a substantial amount of iron. In traditional Chinese medicine, peaches are said to nourish yin, generate fluids, moisturize the intestines, and facilitate bowel movements. They are considered a good fruit symbolizing fortune, prosperity, and longevity. Although long-term excessive intake of vitamin C is one of the triggers for vitiligo, vitamin C also acts as an antioxidant. It helps the body eliminate free radicals, which, when in excess, can damage our body's melanocytes. Therefore, appropriately consuming fruits that contain vitamin C, such as peaches, does not affect vitiligo.