Vitiligo is an autoimmune disease, which means that the body is attacking itself. The body overreacts to the pigment producing cells, which leads to a lack of pigment to the corresponding areas. It is seen as white patches on the skin and hair. It can be prominent on any area of the body and affects about 1-2% of the population. There are no associated symptoms however can make people self-conscious and embarrassed. Most people are aware that international pop star Michael Jackson had this condition. Excessive sun exposure and sunburn can worsen the condition. According to the classical Ayurvedic medicine concepts, it is the imbalance in the body's immune responses, which causes this.
Bringing in the body, mind and metabolic balance is of utmost importance. Western medicine is also now exploring the role of things like the gut microbiome and paying a lot of attention to mind-body-metabolic balance.
The best treatment for vitiligo involves multiple treatments. Where appropriate narrowband phototherapy with topical treatment reveals great results. A consultation with a dermatologist practitioner is necessary to confirm the correct diagnosis. A multifactorial approach generally seems to achieve the best results.
In most cases treatment begins with a treatment of corticosteroid alternating with a treatment with non-steroidal anti-inflammatory cream tacrolimus. The dermatologists will determine the location and severity of the vitiligo and a decision will be made to determine which strength and type of cream will be applicable. MySkinCare.in specializes in the formulation of these creams for the patients. It is very important that you have the creams compounded by expert and trained compounders to produce optimal formulations.
TACROLIMUS CREAM
It is a specially formulated anti-inflammatory cream. It inhibits transmitters within the cell that cause the inflammation. Children on this treatment are usually only on creams of 0.03% strength and adults on 0.1%. It is a steroid-free medication which can be used in other inflammatory skin conditions. The cream can be applied once or twice daily and can completely blend into the skin
Side effects: Increased sensitivity to heat or cold, burning sensation, irritation (Most side effects reside in a few days).
STEROID CREAMS
Depending on the body part involved, anti-inflammatory steroidal cream will be chosen. Both the steroid and tacrolimus based cream work differently but synergistically.
Side effects: skin thinning, bruising, stretch marks
DERMACOLOR CAMOUFLAGE
It is a very effective camouflage foundation.
For most people that have vitiligo, it is important that the cover up lasts a long duration and doesn’t easily wash off. It may be difficult to find a single product that matches your skin tone. Our expert makeup assistants can assist in matching the correct cover up for you. You don’t want to buy a product that contains harmful additives that may be photosensitizing and irritating to your condition.
If we go into the details of diet in an autoimmune condition like vitiligo, we will find very conflicting opinions. However, at MySkinCare our team of dermatologists, doctors and dieticians require a diet, which is inspired by both the aspects of modern dietetics and nutrition and the Ayurveda approach to diet for vitiligo.
We strongly recommend asking for a detailed diet according to your body type, likes, dislikes and lifestyle. This goes a long way in easing the psychological burden of the problem as well as giving you added health benefits.
Natural supplements like Ashwagandha are also helpful for most patients but it is best to start after taking a professional opinion.