Comprendre l'utilisation des cosmétiques camouflants chez les patients atteints de vitiligo

Vitiligo affects 2 to 3% of the population. Although useful treatments exist (topicals, phototherapy, grafting) it doesn’t always response and segmental vilitgo if particularyl challenging.   In resistant cases it might be useful to fully integrate the importance of camuouflaging: it can be temporary (make up, self tanning creams…) or permannt (tattoos…) In a study…

Dysfonction de la glande thyroïde chez les patients atteints de vitiligo

Thyroid dysfunction comprises hypothyroidism and hyperthryoidism. Autoantibodies against thyroglobulin and thyroperoxidase are found and the thyroid can still remian functional (normal levels of TSH + F4) 4-21% of patients have these autoantibodies   The prospective study (626 patients) found that: 21% had thyroid stigma (n=131) subclinical hypothyroidsism was found in 51 patients Results suggest that…

Les lasers sont de loin pas le meilleur traitement pour le mélasma (chloasma, masque de grossesse)

The study compares trichloroacetic acid (TCA): treatment applied every 2 weeks up to 8sessions vs double frequency Q-switched Nd;YAG laser (1064nm and 532nm): treatment done once a month up to 6 sessions Methods (and comments) 65 adult female patients were included Wood’s light to determine depth (sometimes unreliable) Evaluation through MASI: not reliable (Link) Follow…

Quoi de neuf pour traiter le mélasma (chloasma, masque de grossesse) ?

The authors introduce the “DP-3 unifying concept”: acts on melanogenesis and melanosome transfer Study Formulation was applied twice daily in 33 women aged 31 to 68 Methods used and comments MASI: unreliable (Link) Physician global assessment (PGA) Photographic assessment: although it is claimed that a “significant depigmenting effect was demonstrated”, the pictures are not very…

Traitement de l'hyperpigmentation axillaire ?

Axillary hyperpigmentation is a common complaint among darker skin types. After having excluded postinflammatory hyperpigmentation (PIH), acanthosis nigricans (and pseudo-acanthosis nigricans), and done the necessary investigations there comes the time when a treatment option is asked by the patient. Study from India. Effect of topical 2% kojic acid + desonide 0.05%. Method: Double blind (triple…