Topical drug treatment can make about 50% patients have a good effect, and the pigment recovery for a long time. The course of treatment is
Topical drug treatment can make about 50% patients have a good effect, and the pigment recovery for a long time. The course of treatment is generally 4-6 months, patients need to maintain treatment to prevent recurrence.
The type and potency of topical medications depends on the type of vitiligo and skin, which generally includes the following:
1 hormone ointment is widely used in localized vitiligo and can only be used in the short term, because hormones can cause skin thinning and other side effects. At least 3 months before treatment.
2 topical immunomodulators such as immune response and stimulation of tacrolimus and pimecrolimus black horse can regulate local skin pigment synthesis. They can be used for longer periods of time or in areas where local hormones cannot be tolerated. Bipimeimosi tacrolimus is more effective, however, for the poor and lower extremity joint parts of vitiligo effect.
3 vitamin D derivatives, such as the card of the three alcohol, more easily than other drugs, side effects may be irritating to the skin, generally not alone because of the limited role.
4 5- fluorouracil combined with punctate stripping treatment, after 6 months can make 3/4 patients induced pigmentation, due to certain side effects of its application has been limited.
5 topical prostaglandin E2 may induce pigment recovery, especially in the eye.
6 pseudo catalase (Pseudocatalase) for general 1-2 times a day, after NB-UVB irradiation therapy (NB-UVB). Pseudo catalase can be induced by external phototherapy combined with the Dead Sea natural fast and lasting pigment recovery.
7 topical drug delivery can enhance the efficacy, such as tacrolimus package for the treatment of vitiligo.
8 mechanical or laser grinding can enhance the penetration of topical drugs, can be used before the application of drugs is expected to enhance the efficacy of pigment recovery.
9 micro needle therapy can sometimes restore skin color.
10 topical antioxidants such as curcumin may be beneficial to the process of rapid color reproduction.
11 topical tacrolimus combined with UVB treatment may produce synergistic, but may increase the risk of skin cancer.
From the VRF website.