VITILIGO / LEUCODERMA / PHULVERRI (IN HINDI)
Vitiligo is a common skin disorder which is cosmetically quite disturbing to the patient and the family as a whole. It’s regarded as an autoimmune disease which may involve any part of the skin, oral cavity or scalp and results from loss of pigmentation of the cells forming skin pigmentation ie Melanocytes. It may affect 0.5% - 2 % of the population and is a widespread cause of depigmentation world over. Dr.Suruchi Puri is regarded as one of the BEST VITILIGO SPECIALIST IN DELHI & NCR who specialises in vitiligo, its diagnosis and management both medical as well as surgical. We offer a comprehensive care and treatment for patients affected with vitiligo. The white patches usually vary in size & shape and may appear at any part of the body. Our specialist are trained in early diagnosis and management which includes proper and detailed Medical and physical examination.
Vitiligo is not a contagious Skin condition or infectious skin disorder and not even a life threatening skin problem. The patient needs proper counselling and guidance and hence proper detailed consultation time is needed. The white patches / VITILIGO May spread rapidly or may undergo spontaneous remission and at times may even show appearance of some pigmentation by itself. As one of the BEST VITILIGO SURGEON IN DELHI NCR we offer varied types of TREATMENTS FOR VITILIGO which may range from CREAMS FOR VITILIGO, oral therapy, LOTIONS FOR VITILIGO, few precautions and may be UVB THERAPY FOR VITILIGO, and at times resistant local areas may be treated with LASERS FOR LEUCODERMA/VITILIGO. If vitiligo is spreading even after the application of creams and ointments or UVB THERAPY, the patient may be put on immuno modulators and STEROID THERAPY.
We at our CENTER FOR VITILIGO IN DELHI aim first to control the spread of disease and once we are able to do that and if no new history of white spot is there for 6 months, we may consider the SURGICAL OPTIONS FOR VITILIGO. Few forms of vitiligo may be resistant to treatment such as soles and palms and areas near to the nails. If the lesion is stable and surgical option is considered, approximately 200-300 sq inch area can be taken in one sitting. The surgery is normally done under local anaesthetic solution. Surgical option like grafting or Non Culture Melanocyte cell technique can be used to attain better results at our center where all facilities for VITILIGO SURGERY is there. UVB THERAPY can be added Pre operatively and post operatively and gives a better clinical outcome and colour matching according to our SPECIALIST FOR VITILIGO IN DELHI at our center and the patient.
Leucoderma/Vitiligo is a condition where there is absence or lack of pigment forming cells i.e. Melanocytes. This condition affects approximately 1-2% of the population. Vitiligo is considered as autoimmune disease of skin in which melanocytes are killed or absent because of the immune response of an individual.
Vitiligo may be considered as a stigma in the society and the patient having this disease may face emotional stress, social boycott, difficulty in marriage, job and hence decreases self esteem and confidence of an individual.
AUTOLOGOUS NON CULTURED MELANOCYTES (MKC) TRANSPLANTATION/MELANOCYTE TRANSPLANT PROCEDURE
In this procedure a suspension is made of melanocytes-Keratinocytes from a non affected donor area from which a skin is taken either by razor or shave technique and after a special procedure is followed to make a suspension which is then applied on the vitiligo area of skin after dermabrasion and is secured with special adhesives so as to repigment the affected area.
1. Ten fold large areas can be treated at one time (av. 300 sq.cm.). Very large areas can be treated in multiple sittings.
2. Excellent cosmetic results with minimum or nil side effects – no scarring, cobble-stoning or beaded edge.
3. Safe & simple DAY CARE procedure.
4. Stable Vitiligo of any size & affecting any anatomical site can be treated.
5. Multiple areas can be treated simultaneously.
6. One stage operative procedure compared to two stage technique required for laboratory cultured cellular transplant.
Frequently Asked Questions (FAQ)
Ans. The options of management include (a) Medical (b) Photo Therapy and Lasers (c) Surgery (d) Cosmetic Camouflage.
Ans. Medical options like steroids qnd psoralen can' t be used for long time as they carry their side effects, though creams can be used in affected ares under medical supervision.Medical therapy has to be instituted with care for lactating mothers and pregnant females and children.
Ans. UVB-Narrow band is the mainstay treatment and majority of patients respond to this treatment.Monochromatic IPL, Targeted phototherapy, lasers can also be used. These devices are based on a particular wave length of light (311nm), are generally very safe especially , the NB-UVB which is safe even in small kids and pregnant ladies. These act as immune- modulators thereby causing not only repigmentation (bring back the lost pigment) but also prevent the spread of vitiligo.
Ans. Surgical options needs to be considered in patient with refractory but stable vitiligo.
Ans. A) Tissue grafting.
B) Cellular grafting (melanocyte transplant)
Ans. Re-pigmentation begins as early as 4-6 weeks & continues to improve till the next 5-6 months & even further on up to 2 years.
Ans. Yes it can be used to re-pigment difficult areas such as lips, acral areas & finger tips with a good success rate though more than one session is generally required.
Ans. Yes the results are permanent till the time the disease is not showing further signs of activity.