May 27, 2022

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Vitiligo .. its causes, types, and different methods of treatment


Vitiligo is known as a non-contagious skin disease that affects mainly the skin, eyes, inside the mouth and hair, and it affects both sexes and at any age and the condition varies from person to person as its symptoms appear in the form of unpigmented skin patches, and these spots may spread within weeks, as well as not The rate of loss of skin color can be predicted and may remain stable for months or years.

The patient with Vitiligo needs several months to give the treatment the desired result, and the patient may need to try more than one treatment or a combination of therapeutic methods, and the treatment may succeed for a period of time in restoring the color and then soon new spots appear on the skin, so until now there is no medicine to stop the process of loss. The melanocytes that cause vitiligo, but some drugs that are used alone or in conjunction with light therapy may help restore skin color, and the doctor may resort to surgical treatment in the event that light therapy fails, and surgery can be combined with other treatments such as skin grafting and grafting of pimples.

A dermatologist at Imam Abdul Rahman Al-Faisal Hospital, Dr. Sherif Ahmed, explained to “SPA” that the color of hair and skin in the human body is determined by melanin, and vitiligo occurs when the pigment cells that produce melanin die or stop working, and this may be due to a problem. In the immune system; But the reason is still not clear and the reasons that influenced and caused the changes and discolorations of the skin are not yet known. However, the researchers unanimously agreed that the defects in the genetic, immune and nervous elements all combine to cause the disease, and that there is no way to determine whether Vitiligo will spread or remain confined. in one place.

He pointed out that the main sign of vitiligo is the loss of skin color, and it usually appears on areas exposed to sunlight such as hands, feet, arms, face and lips, and it may also include incomplete loss of skin color and the appearance of white spots, and the appearance of a white color on the scalp, eyelashes, eyebrows or Beard, loss of color in the tissues (mucous membranes) inside the mouth and nose, as well as a change in the color of the inner layer of the eyeball (retina), and the pink coloring of blood vessels under the skin.

A dermatologist mentioned that there are several types of vitiligo, including non-segmental vitiligo, which is closely associated with autoimmune conditions. Where the immune system attacks the cells of the body, causing white spots all over the body, and the second type, segmental vitiligo, which is limited to one side or one area of ​​the body and usually begins at an early age, and there is extensive (diffuse) vitiligo that includes most of the body’s organs.

He indicated that the treatment differs from one type to another, some of which are treated with topical medicines on the skin for small areas, and types for which pills are taken orally, while there is Vitiligo that requires light therapy to restore the loss of color on the skin and is less effective on the hands and feet, but it works better on the face. , While light therapy is used to restore skin color, in addition to that there are types of Vitiligo that require surgery and are only for adults with Vitiligo, provided that it has not changed (stable) for at least 6 months.

And the dermatologist recommended, for those with skin protection from the sun, to wear protective clothing and use sunscreen, as the vitiligo spots are easily susceptible to sunburn, and the incidence of sunburn can worsen the vitiligo spots, and the use of lotions for darkening the skin must be avoided. Reducing stress and tension, working on psychological stability, avoiding exposure to some chemicals, not using medically unlicensed creams and mixtures, and avoiding testing treatment based on the experiences of others, and a specialist must be consulted.

The General Administration of Clinical Education in the Ministry of Health corrected many misconceptions about what some are circulating about the presence of vitamins, amino acids and enzymes to restore skin color, explaining that most of them have not been studied, and there is no evidence of their validity, and the possible side effects of them have not been clarified. It is rumored that drinking milk after eating fish may cause Vitiligo, so there is no scientific evidence to prove that, as well as what is reported about the existence of a definitive treatment of Vitiligo through stem cells.