Speaking of vitiligo, I believe most people think it is an infectious disease. In fact, vitiligo is not contagious. It is just uneven pigmentation caused by skin loss. Because there is no local pigment condensation, the skin appears different from the surrounding skin. Vitiligo patients are greatly affected by the disease, especially in the psychological aspect, which will cause some adverse factors. In normal times, it can be treated with medication, surgery, or melanin supplementation. overall 1. Medication (1) Oral administration of psoralen and its derivatives such as methoxsalen followed by exposure to ultraviolet light. (2) Long-term use of large doses of vitamins such as B vitamins, vitamin C, and vitamin P. (3) Treatments include drugs containing copper, such as 0.5% copper sulfate solution taken orally. (4) Oral immunomodulatory agent levamisole, intramuscular injection of freeze-dried Bacillus Calmette-Guérin (BCG), oral administration of bovine placenta, etc. (5) Skin irritants are applied topically to cause inflammation of the skin and promote pigmentation. Commonly used ones include 30% psoralea corylifolia tincture, nitrogen mustard alcohol, phenol (pure carbolic acid), 25% to 50% trichloroacetic acid, and blister beetle tincture. This method is only suitable for small skin lesions, and blisters may appear on the lesions after application. (6) Corticosteroids: Local packing treatment with various corticosteroids such as beclomethasone dipropionate ointment, halometasone cream, and triamcinolone urea ointment. 2. Surgery Patients with stable skin lesions and no progression can undergo autologous epidermal transplantation. 3. Depigmentation therapy It is suitable for those with large skin lesions that exceed more than half of the body surface area. 3% to 20% hydroquinone monobenzyl ether cream can be applied externally. 4. Physical therapy Treatment is with narrow-wave ultraviolet light, long-wave ultraviolet light or 308nm excimer laser. Topical medications Creams containing corticosteroids are more effective in reducing pigmentation in small areas of the skin. Can be used in combination with other methods. Hormones can cause skin atrophy and even form stretch marks in specific areas and should be used under the guidance of a doctor. The topical calcineurin inhibitor tacrolimus has achieved good results in the treatment of vitiligo and does not have the side effects of long-term topical hormones, so it is worth trying. Light therapy 311 Narrowband UVB Therapy The 311 narrow-band UVB skin disease treatment system is a photochemotherapy that irradiates the skin lesions with ultraviolet light with a wavelength of 311nm, stimulates the proliferation and migration of melanocytes, stimulates the activity of tyrosinase, accelerates the oxidation and polymerization of tyrosine, promotes the formation of growth factors that cause melanocyte proliferation and differentiation, restores damaged melanocytes, and achieves the purpose of curing vitiligo. EX-308 Excimer Laser Treatment System The Vitiligo EX-308 Excimer Laser Treatment System is considered to be the pinnacle of phototherapy for skin diseases. It uses the principle that a single 308nm wavelength can penetrate 1.5mm of the superficial dermis and effectively induce apoptosis of pathological cells of skin diseases. It directly irradiates the skin lesions with a 308nm light beam to cause related biological and chemical changes, thereby promoting skin pigment synthesis and achieving the purpose of completely curing stubborn skin diseases such as vitiligo and psoriasis. The EX-308 excimer laser treatment system has the characteristics of no surgery, no pain, eradication of root causes, and anti-recurrence. It is one of the most popular treatment methods for patients with skin diseases. It is suitable for patients with vitiligo and psoriasis who have been uncured and have recurred, especially for adolescent patients. VIT Melanocyte Scarless Regeneration VIT melanocyte scarless regeneration technique is an upgraded product of GX-B painless melanocyte cultivation technique and is the most advanced vitiligo treatment technology in the world. It uses VIT immunotherapy technology to separate active melanocytes from the patient's own cells and precisely implant them in the vitiligo lesions, ensuring that the melanocytes survive, regenerate, form pigment islands and gradually expand within a controlled range, causing the white spots to disappear and achieving the goal of curing vitiligo in one go. |
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