Segmental vitiligo treatment

Written by Liu Gang
Dermatology
Updated on September 04, 2024
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There are currently multiple ways to treat segmental vitiligo, with the most conventional being a combination of oral medication, topical medication, and 308 laser treatment. If the disease is in the stable phase, melanocyte transplantation can also be considered. The stable phase refers to the condition where, after repeated treatments, there are no changes, no recovery, and no further expansion for a year. This disease is somewhat related to personal immunity, so it is important to regularly exercise to strengthen immunity, consume more dark-colored foods, and avoid eating too much food rich in vitamin C. Proper treatment at a qualified hospital's dermatology department can lead to a complete cure of the disease with persistent treatment.

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

People with vitiligo can indeed eat lychees. Lychees have benefits such as stimulating the appetite, nourishing the blood, dispersing clumps, regulating qi, and relieving pain. Concerns about eating lychees mainly arise from their vitamin C content. It has been suggested that prolonged consumption of vitamin C supplements, such as taking more than 1-3 grams daily for several months, may potentially trigger vitiligo. However, normally consuming moderate amounts of vitamin C-rich foods or fruits does not significantly affect vitiligo. Moreover, it is now believed that reactive oxygen species within the body are one of the factors contributing to the development of vitiligo, and vitamin C, as an antioxidant, can help clear these reactive oxygen species from the body and protect melanocytes. From this perspective, eating vitamin C-rich foods normally does not have any adverse effect on vitiligo.

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Written by Liu Gang
Dermatology
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When is the contagious period of vitiligo?

Vitiligo is not contagious, so there is no contagious period. The disease is primarily caused by decreased immunity, genetic heredity, lack of copper elements in the body, or local trauma. Overall, the causes of the disease are complex and may vary from person to person. Once diagnosed, it is crucial to seek treatment at a reputable dermatology department in a formal hospital. Treatment typically includes oral medication combined with topical medication and supplemented by 308 laser therapy, which generally yields good results. Since the disease is not contagious, it cannot be transmitted through contact with others. It is important to maintain a healthy lifestyle, avoid staying up late, exercise regularly, and strengthen the immune system, as these practices can aid in the treatment.

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Written by Liu Gang
Dermatology
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Is a white patch on the face vitiligo?

White patches on the face are common, with the most typical being pityriasis alba or pityriasis versicolor. These conditions are generally related to a lack of vitamins, trace elements, or fungal infections on the skin's surface. These types of patches are usually vague, with unclear boundaries and may also have some fine scales on them. The second type of white patch is vitiligo, which is usually much whiter. When examined under a Wood's lamp, they appear bright white and have irregular edges, with a tendency for the patches to expand over time. Another type of white patch is the nevus depigmentosus, which is congenital and present from birth. These patches generally do not expand and are not particularly white. If there is any uncertainty, it is best to consult a dermatologist at a reputable hospital and have it confirmed with a Wood’s lamp or a dermatoscope.

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Written by Liu Gang
Dermatology
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What to do if vitiligo spreads during pregnancy?

Generally speaking, during pregnancy, due to reduced immunity, hormonal changes, or deficiencies in vitamins and trace elements, vitiligo can spread and worsen. Using oral and topical medications during this period is troublesome, and pregnant women are generally advised against taking medications. It is advisable to visit the dermatology department of a regular hospital for localized 308 laser treatment, which does not affect pregnant women. It is essential to seek treatment at a reputable medical institution where a doctor can diagnose and provide a treatment plan. During pregnancy, it is recommended to consume more black-colored foods such as black rice, black beans, black sesame, wood ear mushrooms, and mushrooms, while avoiding consuming too much vitamin C-rich food like strawberries, oranges, tomatoes, pineapples, and mangoes.

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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.