Vitiligo Awareness Month: The World Belongs to Them Too!

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Creating a world of harmony for people with Vitiligo needs a lot of effort & understanding from us. This non-contagious skin condition associates a lot of taboo, stigma and myths which many of us believe without having an understanding of the condition. In Indian society, skin colour is no doubt a big factor for social acceptance and in such a place, people with uneven skin tone often find themselves left out. This often leads to low self-esteem, lack of confidence and even depression in some cases for Vitiligo patients. Life is a gift and how we perceive it, shapes our world. The uneven patches often carry a love-hate relationship with the society and so with the patient’s life.

The world celebrates “VITILIGO AWARENESS MONTH” in June. The awareness this society needs is to understand this condition & accept Vitiligo patients. Almost 1-2% of the world’s total population is affected by this condition. Our skin gets its colour from a naturally occurring pigment – melanin which is produced by melanocytes. Vitiligo or white patches occur when these melanocytes start dying due to unknown reasons. Vitiligo is often called a disease instead of a disorder and that can have a significantly negative social and/or psychological impact on patients, in part because of numerous misconceptions that are present in large parts of the world. People of any skin type can get affected by this condition, but the patches are more noticeable on dark-skinned people. The condition is not life threatening and can be managed with modern treatments and therapies. The first signs of Vitiligo usually appear before 30s. Unfortunately, Vitiligo has no cure but there are a lot of treatment that patients can go for.

Here are some tips given by Dr. Munish Paul to help Vitiligo patients.

  1. Sun exposure: Excessive exposure to the harmful ultraviolet (UV) rays can damage the skin, especially for a Vitiligo patient. Vitiligo skin is more vulnerable to get burned easily. Hence, Vitiligo patients are always recommended to avoid sunlight or use sunscreen while going out. Water-resistant sunscreen with an SPF of 30 or over are recommended which need to be reapplied every 2-3 hours. Protective clothing like sunglasses, covered clothing and hats are also recommended to avoid sun-exposure.
  2. People with Vitiligo always need to be extra careful with their skin. Skin trauma such as scrapes, cuts or burns may develop new patches and helps to widespread the condition. However, you may not stop accidents but do your best to avoid any kind of skin injury.
  3. Tattooing the patches is never a solution. Because tattoos are done by wounding the skin and causes trauma for the skin which may result in development of new patches within a few weeks.
  4. Like any health condition, Vitiligo can be best handled by leading a healthy lifestyle. A healthy lifestyle helps support the immune system. Eat a balanced, nutritional diet and work to reduce stress level. Stress leads to the occurrence of new Vitiligo patches and hence it is best to avoid it. Try meditation, yoga, etc., to minimise stress levels because mental health is an important factor for Vitiligo patients.
  5. Camouflage is the best way to cover the Vitiligo patches and always recommended for children too. Camouflage treatment helps to cover the Vitiligo patches with some concealing cream or makeup giving a unified skin tone. Such concealing creams stay on the skin for longer hours even days. Microskin is one such camouflage cream which stays on the skin for several days and also is water-resistant. This product is safe for children also.

Nowadays, with the advent of technology, Vitiligo has many treatment options like light therapy & surgical treatments. But it is always important to consult a certified dermatologist as soon as the first patch of Vitiligo appears. Early treatment Vitiligo helps to minimise the widespread.

Lastly, it is crucial for people with Vitiligo to not be undermined, discouraged or feel low and it is everyone’s responsibility to make an effort to understand the condition and create a discrimination-free world for them.

Dr. Paul’s Skin At Laser Centre, Vitiligo treatment is performed under the supervision of certified MD Dermatologists after an open discussion about the procedure, results, and possible effects of the treatment. Call today at 9803 029 029 to know more!

Vitiligo Laser Treatment: Why One Should Go for It

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Vitiligo, an autoimmune condition specifically marked by the white patches that appears on the skin. The reason behind this condition is still unknown but vitiligo treatment clinic describes that autoimmune cells suddenly starts killing the healthy pigment cells which results into vitiligo patches. Though vitiligo laser treatment has come as a bliss for many, yet the white patches makes life harder for the patients. It can happen with both children and adults and even can be congenital problem too. skin gets the color from melanin cells and losing them means skin loses color. More pigment cells mean darker skin tone and less pigment cells means lighter skin tone while no pigment in certain areas means uneven skin tone. Losing pigment at certain spots in an uneven manner means vitiligo spots arises. The vitiligo treatment clinic offers best technology such as vitiligo laser treatment which helps to treat the spots.

Around 2% of the world population is estimated to fighting with vitiligo and found in both adults and children. Even, gender is not an aspect to get this condition and one can get the starting sign at any age. Although, it tends to appear between 20-30 years age but not stays limited to that. People over these ages can also get this condition. People with family history of vitiligo are more likely to get these patches. Even it has been seen that people with vitiligo often have some other autoimmune diseases too such as Hashimoto’s thyroiditis or type 1 diabetes. This is why, before giving vitiligo treatment in Delhi specialists check for symptoms related to these conditions.

Types of vitiligo:

Segmental Vitiligo – only 10% of the cases are found to be of this sort of vitiligo where patches appear only in certain areas of the body.

No segmental Vitiligo – most vitiligo patients get this type of vitiligo where patches appear all over the body even in the genital areas.

Vitiligo patches often appears on the sun exposed areas of the body such as face, neck and hands. The patches are always pale white and can be small or big. Vitiligo can be treated to slow the widespread and some treatment helps to get the melanin back into skin. However, there is no complete cure exists for vitiligo, but the discoloured skin can be restored back to normal color. Vitiligo laser treatment is one such treatment offered by vitiligo treatment clinic that helps restores the discoloured skin. In vitiligo laser treatment, UV or PUVA or low bandwidth UVB lasers are used to eliminate the patches.

Vitiligo Laser Treatment

At various vitiligo treatment clinic, they offer best treatment to manage the spots and affected patchy and discoloured skin. Vitiligo laser treatment can be used in two ways. In case of smaller patches, or if the patient has few patches over the body only then the laser rays are thrown on that specific area where the skin need to go under regimentation process. But in most of the cases, the patches are widespread, and, in that case, the patient are made to enter in a light chamber and the whole body gets throw the laser beam. Light chamber vitiligo laser treatment process involves laser imposition on the whole body to give a re-pigmentation treatment.

De-pigmentation, in certain vitiligo treatment clinic in Delhi, offer treatment under supervision of best doctors who are best skilled at treating the vitiligo spots. The treatment involves fading the surrounding skin on the body, or face, to match with the white patches or white spots. Depigmentation therapy is the best treatment option for white spots disease if vitiligo or white spots disease on more than 50 percent of a patient’s body.

In this procedure, the monobenzone drug is applied twice a day to the pigmentation areas of the skin, including face, hands and feet, until they match the areas without pigmentation. Some patients, who are resistant to depigmentation with clinic drug monobenzone will need Q Switch NDYAG Laser, available in approved clinics, skin centers or hospitals, to destroy the cells with pigmentation caused by vitiligo giving patients the best possible results by doctors in Delhi.

Sometimes vitiligo treatment clinic prescribe treatment which is a combination of an ointment with the vitiligo laser treatment. For few cases, such treatment is required which is decided by the surgeons. Patients may need several sessions for the laser therapy and may require to be reaped twice in a week to receive the best results.

Cost of Vitiligo Laser Treatment

Many people give a wonder eyes when they hear about vitiligo laser treatment. People think that it is a costly treatment but nowadays many vitiligo treatment clinics offer an affordable treatment. They design a treatment package for vitiligo laser treatment that are quite affordable for the common man, they understand that people might need to go for several sessions and thus tailoring the prices will help them retain maximum number of patients.

Life of Vitiligo Patients | 6 True Stories

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People with vitiligo are often mistreated, looked down or shunned from society. Very few people understand that it’s a skin condition which is not fatal or contagious. People with vitiligo have to struggle mentally and emotionally more than physically. The way society treats people with vitiligo, it only worsens their condition and makes them withdraw from society.

Apart from the physical stress they feel, society’s behaviour towards them leaves a deep scar on their mind and many of them get into depression. Life becomes an everyday struggle for them, and people tend to hide from others. But there are some strong people who shared their story of struggle with everyone to lighten up society and raise the voice against the social stigma. These stories open our eyes that how crucial society can be towards physical outlook and how people with vitiligo feels like. Vitiligo is a never-ending journey, but our affectionate behaviour can make someone’s life easier.

Patients Stories

Amit Singh: encouraging life every day

While the society tries best to corner him, he encourages himself and always tries to make people understand that it’s just a different skin tone than others. This brave-hearted man knows how to face society with courage and takes only positive vibes. Am amazing story of inspiration for all of us!

Keya Anand: why I have to paint myself?

She is fighting vitiligo since her 5th grade and ever since society never missed a chance to make her feel low. Even her own parents used to tell her to cover herself and hide the white patches. Medicinal creams were given to paint her patches to look normal. Even after been through such a rough phase, the brave girl dared to share her story with us.

Rahat Khan: I want to Live!

In his turn of sharing his story, he managed to write at times he wants to end his life but in reality, he wants to live a normal life. Instead of writing a long story of sufferings, he only wrote that he is speechless and have no words to share his sufferings.

Shreya Gupta: who cares if you are judgemental.

The brave-hearted girl accepted her white patches with open arms and understand that its only a skin condition that requires a bit more expert care. While she lost all her friends due to these white patches, she made friends with them. Although society never missed to being judgmental, she believes in leaving a happy life. Such an inspiration and answer to social stigma!

Uditi Menon: are we really in the 21st century?

Once she was proud to have the white patches as she used to think that she is different. Well, this feeling lasted only for a while and the society reminded her that a girl with vitiligo is not a desirable one in the matrimonial market. Since her age of eight years, she has been facing such question like who will marry her which not only remind her but also questions if we are actually living in 21st century.

Rayna D’Souza: is an outlook that important?

She was bullied since her school age and had even rough college days. All because of her different skin tone which makes her question if the whole world is so cruel or if it’s only in India.

Can you relate to their stories? Which of them connects to you more? Do these stories help you to a bit more affectionate towards people with Vitiligo?

Vitiligo can be treated and, in some cases, can be cured too. But all they need is some empathy and acceptance from us to fight through the journey.

THE MYSTERY OF THE DISAPPEARING WHITE SPOTS

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A 27 years old young healthy male reported to the skin OPD with complaints of white patches over his arms and thighs since 8 months. On examination the spots were flat white spots & were numerous and distributed over the arms and legs most of them measuring less than a cm in diameter. the spots were quite subtle almost playing hide and seek looking prominent at sometime and then not so obvious at other times It didn’t fit in clinically with the most common skin issues of similar look ie fungus, allergy, sun sensitivity etc. Routine blood tests Complete blood counts , liver , kidney function tests, thyroid , blood sugars were within normal limits and gave no further insight whatsoever The patient had visited couple of doctors who just like us couldn’t really come to a final diagnosis and he was treated as a case of fungus, allergy white patches with no improvement at all; the case was turning to be most eluding yet teasing,it was like the spots were taunting us having a secret laugh at our ignorance. With nothing more to offer to the patient we admitted to the patient yes even though we are supposed to be specialists we had no clue as to what we were dealing with and we thought let us sleep over this and rake our brains at a later date

Skin Laser Centre
image 1

Thankfully the patient was patient and persistent, and he had more trust in our abilities to help him than what we had frankly and were all about to throw our hands in the air when we noticed that his arms appeared slightly red kinda flushed. So we had a new clue and we started to prod deeper into that and the patient revealed that the redness is very much there on and off but it doesn’t bother him like pain or itch so he choose not to discuss that We then started a cross reference transient redness, flushing we dug into our books and online research ( Dr Google ) threw up a picture akin to our patients condition and we had the diagnosis it was BIER spots, a rare entity but nevertheless reported and published.

So this is how it goes when the patient raises his hands as shown in image 1 they disappear and when the patient puts his arms down the blood gushes down, the flush increase and the white spots reappear magically shining like stars in a dark moonless night (image 2).

In the image 3 we can see both the arms the right is red and beefy and left pale as it had been just raised for a few seconds a moment ago which had emptied the veins ; the contrast is startling and was staring in our face  Like a kid who has been give a free access to a video game parlor we were grinning and asking the patient to raise one arm and then the other and get them down and so on, even he was mesmerized to see the changes in his body happening with a bit of help from gravity The white patches would crop up the moment his arms were hanging

Skin Laser Centre
image 2 & 3

down in the dependent position and disappear in a jiffy the moment he raised them and even though I’m considered a specialist in treating vitiligo ( White Patches ) I swear I have never seen any white patch getting cured at this speed. Medical literature dispels the mystery behind this phenomenon as abnormal Vascular response to venous hypertension and tissue hypoxia so if u see that’s what was happening But the thrill of making this rare diagnosis was a eureka moment for me and my colleague Dr Nupur, the sweet pleasure of arriving at a diagnosis was just divine . We literally patted each other on the back Good job and after a long slog in the OPD we raised a toast ( with tea In thermacol glasses) and exclaimed Elementary Dr Watson Elementary I know some of u must be wondering why I’m so excited to sit down and write a article about this simple condition but it’s something u really go to experience yourself , and in the end it’s the small pleasures that really count in this beautiful journey of life, for these are the drops that become the ocean, and is it not that the entire ocean is in the drop……

― Dr Paul

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