Leucoderma or vitiligo is a chronic condition or disease in which white patches emerge on the skin. Any area on the body can be influenced and the vast majority of people with vitiligo have white fixes on numerous parts of the body. It is a condition in which one's skin loses melanin, the shade that decides the shade of one's skin, hair and eyes. More than anywhere else on the patient's body, it affects them psychologically as one may lose the confident and self-esteem in private and public life. Vitiligo, for the most part, shows up in one of two examples of non-segmental and segmental,
following are the symptoms of the leucoderma:
- A little, white patch of skin which may extend with time
- Untimely turning grey of hair
- Loss of hair
- Skin disturbance when exposed to daylight
- Hair on the patches turn noticeably white
Because of the absence of melanocytes in depigmented skin, the body can't give sufficient UV light protection from the unsafe beams of the sun; in this manner focusing of depigmented patches is of principal significance. To limit introduction to UV thought light, defensive measures are supported, for example, the use of Sunscreen 15-30 SPF or the utilization of defensive dress. notwithstanding ensuring leucodermic patches, numerous corrective items are accessible that demonstration to disguise the influenced skin.
The second way to deal with the administration of leucoderma concentrates on re-pigmentation treatments. Basic treatments are of three sorts: The topical use of strong corticosteroids, (PUVA) psoralen photochemotherapy and surgical treatments. Of these intercessions PUVA is viewed as the best treatment accessible in the various parts of the world, however, the medicines are tedious, symptoms can be extreme and finish repigmentation just happens in 15-20%. Interestingly, psoralens utilized with photochemotherapy are acquired from the old Ayurvedic herb known as Vakuchi (psoralea corylifolia).
As per the article by Sarah Knapton, there are various other treatments that are available in the modern science:-
Narrow band UVB therapy is more effective in re-pigmentation than PUVA therapy. It targets specific small lesions.
The 308-nm xenon chloride excimer laser is an efficacious, safe, and well-tolerated treatment for chronic stable vitiligo (leucoderma) limited to less than 30% of the body surface. It acts through immunomodulation by affecting T cells. Treatment periods of more than 12 weeks may be necessary to obtain satisfactory results.
Topical therapy is used in vitiligo treatment, topical agents like methoxsalen, trioxsalen, corticosteroids and calcineurin inhibitors are used in this therapy. Though it's used prominently for treating vitiligo, it has few side effects.
Surgical treatment for vitiligo
All surgical therapies must be considered only after proper medical therapy has been attempted. Areas such as dorsal fingers, ankles, forehead, and hairline tend to not re-pigment well. Carefully selected patients who have small areas of vitiligo with stable activity are candidates suitable for surgical transplants. Surgical techniques are time-consuming and expensive and usually not paid for by insurance carriers.
Surgical modalities include:
Autologous skin grafts
In this procedure, the skin from one area of the patient’s body is removed and attached to another area. This type of skin grafting is sometimes used for patients with small patches of vitiligo. Treatment with grafting takes time and is costly, and many people find it neither acceptable nor affordable.
Skin grafts using blisters:
In this procedure, the blisters are created on the patient’s pigmented skin by using heat, suction, or freezing cold. However, there is less risk of scarring with this procedure than with other types of grafting.
In this procedure, small donor grafts are inserted into the incision of recipient sites and held in place by a pressure dressing. The graft heals readily and begins to show re-pigmentation within 4-6 weeks. Some pebbling persists but is minimal, and the cosmetic result is excellent.
This procedure involves implanting pigment into the skin with a special surgical instrument. It works best for the lip area, particularly in people with dark skin.
Homoeopathy regards the individual in general. It implies that homoeopathic treatment concentrates on the patient as a man and his obsessive condition. The homoeopathic medicines for vitiligo are chosen after a full individualising examination and case investigation, which incorporates the therapeutic history of the patient, physical and mental constitution and so on.
A miasmatic (inclination/weakness) is likewise frequently considered for the treatment of unending conditions. There are ayurvedic treatments also available in the market, including Lukoskin which has proved to be highly effective in treating leucoderma.