Urticaire chronique (pour les professionnels)
Vitiligo (For Professionals)
Vitiligo affects around 1% of the population and is more visible in darker races.
It is important to follow these steps:
1. See a dermatologist:
-to confirm the diagnosis.
-to classify the vitiligo: extent and distribution.
-to ascertain its behaviour (stable for 6 months or evolutive?)
-to follow an algorythm of treatment (see below). Monitor improvement
-to evaluate how psychologically impairing the condition is?
2. Follow an algoythm:
-start with mometasone to apply twice a day for 6 months
-after 6months, if there is no improvement, combine with tacrolimus
-if no improvement try NBUVB, PUVA or Multiclear (UVA and UVB); it must be done 2-3 times a week for 4 months. If no time, try photoxic agents like meladinine to stimulate melanogenesis.
-if no improvement try cellular grafting or punch grafting combined or not with NBUVB.
3. Follow some precautions
-avoid trauma as patients can develop new lesions (Koebner phnomenon)
-if wishing to camouflage the lesions, self tanning agents like dihydroxyacetone may be tried.
-If very extensive, total depigmentation can be better using monobenzyl ether of hydroquinone or para-substituted phenols. However, this must be carefully considered with a dermatologist after evaluation of possible outcome.
This advice is for informational purposes only and does not replace therapeutic judgement done by a skin doctor.
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