A CASE OF VITILIGO TREATED WITH HOMOEOPATHY
DOI:
https://doi.org/10.5281/zenodo.18847582Keywords:
Array, Array, Array, Array, ArrayAbstract
Vitiligo also known as Hypo-melanosis or Hypopigmentation.
Vitiligo is a pigmentary disorder characterised by circumscribed loss of melanin pigment secondary to melanocyte attrition. It is an acquired, sometimes familial condition, an autoimmune disease in majority. Vitiligo is associated with other autoimmune diseases such as thyroid disease, diabetes mellitus, Addison’s disease and pernicious anemia
Classification
1. Localized vitiligo: Focal vitiligo –
(a) A single macule or a few macules may be localized to skin or mucosa.
(b) Segmental distribution of macules.
2. Generalized –
(a) Vitiligo vulgaris – Common form of vitiligo with symmetrical distribution over trunk and limbs.
(b) Lip-tip vitiligo – Only tips of fingers or with mucosal surfaces like lips, nipples or palms or penis.
(c) Acrofacial vitiligo – Involvement of periorifacial and distal digits.
(d) Universal vitiligo – Involvement of most of the body with only a few areas spared
Treatment
Physical Regime
1. Photochemotherapy –
(a) Topical application of ointment or lotion on alternate days (to avoid photosensitivity) followed by PUVA exposure to gradually increasing doses (till mild erythema is seen) of sunlight or artificial source of UVA.
(b) Systemic PUVA solution 0.8 MOP, 0.6 mg/kg PO on alternate days followed by gradually increasing doses (till erythema) of sunlight or UVA lamps. Larger dose of UVA is needed here.
(c) After exposure to UVA protection of lesions from excessive exposure to sun by using sunscreen like zinc oxide and avoiding peak sunlight
Result: Slow re-pigmentation begins in perifollicular area and periphery of lesions and gradually becomes confluent especially on face, neck and hairy region. Side effects: Phototoxicity results from excessive exposure to sun or UVA. Treatment is to stop and resort to topical or even systemic steroids
2. Phototherapy – Narrow band UVA.
Indications – Extensive disease, children and in pregnancy, and contraindications to gradually
increases doses are given from specialized chambers
Drug Therapy: various drugs including steroids in form of creams or oral are used in treatment
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