Melcyl cream contains methoxsalen which is used for lip vitiligo and psoriasis while pimecrolimus also is used for treatment of vitiligo. Methoxsalen modifies the way skin cells receive the UVA radiation, allegedly clearing up the disease. Pimecrolimus is Immunomodulator that suppresses the immune system where applied, allowing the melanocytes to return.
Your doctor must be suspecting vitiligo for which you have been prescribed this treatment.
Vitiligo is a very stubborn condition.
To have a second opinion we went to an another dermatologist he said it is not vitiligo and is 100 % curable this may be because of thyroid / liver problem and suggested LFT and thyroid tests.
Now am totally confused what to do, what all tests (another than the mentioned above) should we do so as to know the actual cause. Is there any tests / specific symptoms for vitiligo ?
White spots on the body may suggest a fungal infection, pityriasis alba, and vitiligo. Vitiligo presents as white patches which may occur symmetrically in both sides of the body. The borders are well demarcated. As for fungal infections, it presents as white patches of skin with a central scaling. It may not be stark white unlike vitiligo. Pityriasis usually involves children.They present as diffuse patches of whitish spots.
I suggest you have this assessed by your dermatologist.
First I noticed vitiligo on my inner wrists and a small amount near my mouth. Then a year later was diagnosed as hypothyroid. Next, I seem to not have the general health I used to -- find I'm much more susceptible to viruses, etc., even ending up with shingles at one point. Seems like my immune system is failing me in several areas. Anyone else with Hashimoto's experiencing this same pattern? Any suggestions to halt or slow down this decline?
m a 48 year old female and have developed flat brown splotchy hyperpigmentation on my face and arms. What is this? Is it hormonal? How do I get rid of it and prevent more? I also have areas of depigmentation (small white spots) all over my arms and legs. Again, what is it and can I get rid of it and prevent more? I'd appreciate any information about causes and potential treatment options.
Thank you.
19 year old male began having depigmentation around eyes, mouth, side of torso, full thumbs, and on finger tips at 18 years old. Dermatologist and GP think vitiligo but no visible improvement from prednizone 50 mg, betamethasone dipropionate .05% topical, elidel pimecromlimus cream 1%. Biopsy of skin on finger stated “a normal density of epidermal melanocyte which argues against vitiligo. No fungal, organism or increased much were found.
Current treatment options for vitiligo include medical - topical steroid therapy , oral and topical psoralen photochemotherapy and depigmentation using hydroquinone; surgical-autologous skin grafts and micropigmentation, and adjunctive therapies- sunscreens and cosmetic products.'
You can get a thyroid function test done if you feel it is required in consultation with your doctor.
You could read more about this condition at the following links -
http://www.medicinenet.
The treatments of this condition are application of topical corticosteroids (betamethasone, clobatesol, flucinolone) which will reduce the inflammatory process. Topical immunomodulators like pimecrolimus and tacrolimus can be used in severe conditions.
I hope it helps. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor.
The pressure urticaria and vitiligo is what made me think thyroid. I had the rheumatoid factor and that was negative. That's when we discovered the low positive ANA. Thanks so much!!
O and my mom has rheumatoid, fibro, lichen planus, and ulcerative colitis
What type of test would you run for the symptoms I mentioned?
Treatment of vitiligo includes phototherapy,PUVA(psoralen+ultraviolet A radiation),PUVB, immunomodulator creams such as Protopic and Elidel, chemical depigmentation and transplanted melanocytes to vitiligo affected areas.Pls discuss these options with your dermatologist.
Hope it helps. Take care and pls do keep me posted on how you are doing or if you have any additional queries.
Similar patches also appear on both the mucous membranes inside of the mouth and nose and the retina of the eyes. The hair that grows on areas affected by vitiligo sometimes turns white.
The cause of vitiligo is not known. The most widely accepted view is that the depigmentation occurs because vitiligo is an autoimmune disease-a disease in which a person's immune system reacts against the body's own organs or tissues. Vitiligo may also be hereditary or can run in families.
I work out 4 times a week so i sweat a lot. But 4 months ago, it started itching down there especially around my perianal area! When i got concerned i check my perianal area and saw that the skin are lighter than normal. I've used miconazole thinking it might be a jock itch but nothing happened. Then i read something about tropical hydrocortisone and still nothing happened so then i decided to see a gynecologist.
I work out 4 times a week so i sweat a lot. But 4 months ago, it started itching down there especially around my perianal area! When i got concerned i check my perianal area and saw that the skin are lighter than normal. I've used miconazole thinking it might be a jock itch but nothing happened. Then i read something about tropical hydrocortisone and still nothing happened so then i decided to see a gynecologist.
1. Vitiligo is and pigmentation disorder in which white spots appear on the skin. It is not contagious condition. But people with vitiligo has to suffer emotional distress to the their skin condition. Symptoms: Sunburn and the white spots on skin are the common symptoms of vitiligo. However an special device name wood lamp are used by the dermatologist to diagnose vitiligo. Causes: The causes of the vitiligo are not fully know. Auto-immunity is the most prominent causes of the vitiligo.
Vitiligo is a persistent and chronic disease and may need phototherapy. For focal vitiligo, considering genital involvement, there may be appropriate therapies indicated for this type of condition.
The condition does not appear infectious to me and based on what you have mentioned regarding the presence of similar depigmented spots in other areas of the body, this strengthens the diagnosis of vitiligo.
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