What is Vitiligo?
Vitiligo is an acquired skin disorder characterized clinically by totally white macules, or "spots," and microscopically by the total absence of pigment producing cells in the skin called melanocytes.
Who Gets Vitiligo?
Vitiligo appears to affect at least 1% to 2% of the population, irrespective of sex, race, or age. Series have been reported from across the globe. The more dark skinned a person is, the more their vitiligo stands out, because of the contrast between affected and unaffected areas of skin. This may account for the apparent higher prevalence of vitiligo in some countries with darker-skinned populations. Vitiligo has become a marked social stigma in countries such as India, where opportunities for social advancement or marriage among affected individuals are severely limited even today.
In half of all vitiligo cases, onset occurs between the ages of 10 and 30. There are a few reported cases of vitiligo present at birth. Onset in old age also rarely occurs. Over 30% of affected individuals may report a positive family history. Up to four loci are now considered responsible for vitiligo. Vitiligo in identical twins has been reported. The risk for children of affected individuals is unknown, but may be less than 10%. People from families with an increased prevalence of thyroid disease, diabetes mellitus, and vitiligo appear to be at increased risk for development of vitiligo.
Both predisposing (genetic) and precipitating (environmental) factors contribute to vitiligo. Many patients attribute the onset of their vitiligo to physical trauma, illness, or emotional stress. Onset following the death of a relative or after severe physical injury is often mentioned. Even sunburn reaction may precipitate vitiligo.
White Vitiligo Spots?
The typical vitiligo macule is chalk white in color, has convex margins (as if the white areas were flowing into normally pigmented skin), is 5mm to 5cm or more in diameter, and is round, oval, or elongated in shape. Linear or artifactual macules represent the isomorphic or "Koebner" phenomenon, following repeated trauma or pressure on the elbows, knees, and bony prominences. The disease progresses by gradual enlargement of individual macules and the development of new white spots on various parts of the body.
Where Does Vitiligo Appear On The Body?
Vitiligo can be categorized as one of three types, based on the pattern of depigmentation.
The most common type is generalized vitiligo, in which there is widespread distribution of white macules, often in a remarkably symmetrical array.
The focal type is characterized by one or more macules on a single site; in some cases, this may be an early evolutionary stage of one of the other forms of the disease. Typical macules occur in the fingers, elbows, knees, lower back, and genital area. Extensive generalized vitiligo may leave only a few normally pigmented macules, a form of the disease referred to as "vitiligo universalis".
The segmental type, which is uncommon, is characterized by one of several macules on one hand or one side of the body. This type is not usually associated with vitiligo macules in other parts of the body, and new vitiligo spots do not appear. Not All White Spots Are Vitiligo
The diagnosis of vitiligo can usually be made on clinical examination of a patient with progressive, acquired, chalk-white macules in typical sites. Few conditions are as patterned and symmetrical as vitiligo. Sometimes the spots match on both extremities in a mirror-image.
Woods light examination is required to detect all the spots, especially in fair skinned persons, include:
Lupus erythematosus (atypical distribution, positive immunofluorescence, serologic studies)
Pityriasis alba (slight scaling, fuzzy margins, off-white color) Piebaldism (congenital, white forelock, stable, hyperpigmented macules in the center of white spots, different distribution than vitiligo) Tinea versicolor (fine scales with greenish yellow fluorescence under Wood's light, positive KOH) Chemical leukoderma (history of exposure to certain phenolic germicides, confetti macules) Post-inflammatory hypomelanosis (off-white macules, history of psoriasis or eczema in the same area) Diagnosis can usually be established on clinical grounds alone. In certain difficult cases, a skin biopsy may be required to exclude some of the above. A defining feature is that pigment cells in the skin are absent in vitiligo.
Vitiligo is sometimes associated with general diseases.
Vitiligo may be associated with thyroid disease (up to 30%, especially women), diabetes mellitus (probably less than 5%), pernicious anemia (increased risk), Addison's Disease (increased risk), and multiple endocrinopathy syndrome. Associated cutaneous conditions include white hair and prematurely grey hair, alopecia areata, and halo nevi. There is no increased risk for malignancy. Skin cancers (all types) appear to be unusual.
Ophthalmologic (eye) examination may reveal evidence of healed chorioretinitis or iritis (probably less than 10%). Vision is unaffected. There are no important hearing changes. Laboratory studies for detection of general diseases associated with vitiligo include:
Thyroid profile: especially TSH (radioimmunoassay) Fasting blood sugar (to rule out diabetes)
Complete blood count with indices (to rule out pernicious anemia.
Why Does Vitiligo Develop?
Vitiligo results from a number of factors, Autoimmune, neurotrophic (interaction of melanocytes and the nervous system), and toxic (substances formed as a part of normal melanin production actually being toxic to melanocytes) hypotheses have been advanced. The mechanism involves progressive destruction of selected melanocytes, probably by cytotoxic T-cell lymphocytes.
Will exercise help my psoriasis?
Exercise is beneficial for psoriasis because it relieves stress, and reduces the risks of cardiovascular disease and obesity, which are linked to psoriasis. If you exercise outdoors, your skin may also benefit from the exposure to ultraviolet light.
How much sun is safe when my psoriasis flares?
As you know, sun exposure is usually beneficial for psoriasis. One reason is because ultraviolet light initiates the production of vitamin D in the skin. However, we need to balance the risks with the benefit. The main caution is to avoid sunburn, which can increase your risk for skin cancers and promote aging changes in the skin. If you use sunscreen and wear protective clothing, a hat, and sunglasses, you can be in the sun as much as you like.
Can I pass along psoriasis to my partner?
Psoriasis is not contagious and cannot be transmitted from person to person.
Can I get psoriasis at any age?
Yes, psoriasis can occur at any age. Most commonly, it first starts in the late teens or 20s, but it can occur even earlier or later in life.
Will a tattoo make my psoriasis worse?
Patients with psoriasis can get a tattoo, but psoriasis can develop in the tattoo. If a person has psoriasis, lesions can develop when the skin is injured. So the needle sticks of a tattoo can cause psoriasis to occur.
Can you die from psoriasis?
Dying from psoriasis is rare—very rare—nowadays. And I believe that most times psoriasis doesn't get worse. Early treatment of the skin disease isn't critical for preventing progression of the disease, there are many good treatments available to help control the condition.
Can depression make my psoriasis even worse?
Few studies have attempted to evaluated depression in people with psoriasis. The degree of itching is strongly correlated with depressed mood. The shame or embarrassment some people feel about their psoriasis results in avoidance of common social activities, like sports and swimming, which can deprive them of the benefits of exercise and sun exposure. Depression makes psoriasis worse through direct and indirect suppression of the immune system. Some psoriasis therapies may contribute to depression.
What is anti-ageing treatment and how is it different from normal skin care treatment?
Anti-ageing treatment is related to ayurvedic concept, it is very different from normal skin care it is related to you looking younger.
What is the minimum time period for this treatment?
Generally it takes at least 8 months to 16 months.However it majoritly depends on the particular patients skin type and/or any past skin history.
Is there any pre-skin treatment required for this treatment to have a major impact?
No,there are not any pre-skin treatments required unless you have any skin related issues in the present or past.
Is there any particular diet I need to follow to maintain the look or is the treatment enough?
The doctor will tell you that after looking at the patient on whether any diet will have impact on you or not.,I suggest you book an appointment with the Doctor Neha Dongaonkar first.
Is the internet a good source on anti-ageing treatments and medicines?
The internet can be very unpredictable,plus the treatments may or may not suit your body type and may end up harming you than doing any good,I suggest to talk to Dr. Neha Dongaonkar first before getting any wrong ideas.
Do I need to take the treatment only once or take it periodically over a span of time?
The treatment will help in anti-ageing process but as it differs from person to person it is not a 100% guarantee that the treatment needs to be done once.Basically concept of ayurveda for any treatment will go from roots, so it takes time but effect is long lasting.
Is there any follow up after the treatment?
Yes,as the age of a person increases,skin need a rejuvenation treatment to keep it maintaining.
What is rejuvenation treatment and how long will it be?
It is the follow-up treatment after the anti-aging treatment and it is short termed around 1-2 months (depends on person to person).
Will Ayurveda take a long time to improve or cure my problem?
One of the fundamental principles of Ayurveda is to treat a patient on a holistic level. Instead of just providing relief from symptoms, it identifies the root cause of the disease and aims to give you a permanent cure, wherever possible. Instead of a short-term cure and instant relief, Ayurveda focuses on giving you long-term health and well-being, which is bound to take some time. Similar to any type of treatment, the time taken for improvement or cure of your disease in Ayurveda depends upon the severity and type of your disease. The stage at which you go for Ayurvedic treatment makes a huge difference. If you have been living it for the last 5-10 years, you can't expect to see improvements in a few weeks. The longer you wait to go for Ayurvedic treatment, the longer it will take to get relief and treat the condition. However, if you sincerely follow the diet and lifestyle advice given to you by your Ayurvedic doctor, and take your medicines regularly on time, Ayurvedic treatment is sure to show improvements in a relatively shorter period of time.
Do Ayurvedic medicines contain toxic metals?
Most Ayurvedic preparations contain only herbal ingredients while a few of them contain minerals. Preparations with minerals are fast-acting and the ingredients are thoroughly purified before being added to the medicine. The herbo-minerals that we use in making medicines at Skin heal solutions have never been found to be harmful.
Do Ayurvedic medicines have side effects?
Ayurvedic medicines are made from natural ingredients such as herbs and minerals. Often, herbal juices are mixed to make them more potent. The manufacturing process, which is supervised by expert Vaidyas, is designed to clean, purify and enhance the potency of the formula. Secondly, both the dosage of the medicine as well as the time it is consumed is very important. If taken according to the instructions of your Ayurvedic doctor, these medicines are safe and do not have side effects.
Thirdly, Ayurvedic medicines work primarily on the root cause of the disease. Hence, just having the medicines is not enough. You need to follow a proper diet and lifestyle to control the condition and work towards healing the problem. For example, if you complain of burning and itching sensation on your skin, you will be given Ayurvedic medicines to reduce these symptoms. At the same time you will be advised to stay away from food and drinks that are heating in nature.
If you do not follow the diet prescribed by the doctor, you may develop some problems. You may think these as side effects of the medicine, but in reality, it will be because of your faulty diet and lifestyle. Make sure that you inform the doctor if you are allergic to any particular food or herb to avoid any complications during the treatment.
How many people have undergone this treatment up till date?
More than 10000+ patents have undergone this treatment from last 15 years, which include men , women and even children’s who have shown good response with our treatment packages.
Are there any side effects of this treatment?
Our treatments are based on ayurvedic principals and are 100% herbal. Up till date no serious side effects are observed with our treatment packages, some of the patients may show slow improvement which can be corrected by professional lifestyle counseling.
Is there one and the same medicine for all the patients?
No and never ever . As There are various underlying causes of Skin disorders and skin problems is the end result of these causes. For a perfect management of skin disorders it is important to diagnose the underlying cause scientifically .our treatments are personalized and we formulate our packages as per the patients prevailing heath status conditions after a through medicinal consultation and professional pathological checkup by experienced and qualified medical professionals.
Do you use metals in your medicine?
Our treatment packages are 100% Herbal they are very safe and No metals are used in all these medicines at all. The medicines which are used are totally standardized and they are subjected to robust analytical investigation in our own inhouse laboratories before dispensing it to the patients.
Weather a person can continue his previous medicine when he will opt this treatment?
A person has to continue all his previous medications after consulting with his treating physician. We have no objection to discontinue the regular medicines dosages.
Are there any drug interactions between any allopathic medicine and medicines?
No hazards drug inter action are observed with our treatment and allopathic medicine. Although it is very important to show us all the drugs that the patient is taking to the treating doctor and take a advice in this context.
What is the duration of this treatment?
The duration of treatment depends from person to person depending upon the severity and conditions. the treatment duration also depends on how a person manages his lifestyle and controls his diet and follows the consulting advices from our doctors.
Weather this treatment has any effect on menstruation cycle?
This treatment will not have any harmful effects on the menstruation cycle.
What are the investigations advised to diagnose the patient ?
The investigation may vary from person to person and their symptoms.
Some specific investigations like thyroid function, ANA, Liver function, kidney function, extended lipid profile, Growth hormones, blood sugar levels,allergies and haemogram are advised.
Weather the patient has to undergo very strict diet control for life time period?
It is very important to get understand that patient has to maintain his diet and lifestyle . patient has to follow strict diet controls as advised . on unavoidable circumstances some specific food stuff will be allowed but that too insmaller portions and limits. Limits can be designed on the occupation and life style of the patient.
Can a person have non vegetarian diet with this diet plan?
No non vegetarian diet is allowed with this diet program.
Can a person have eggs or egg white when on this treatment?
Egg white is allowed with this program after consulting the treating doctor only.