Hello,
For these dots the possibilities of lichen sclerosus and vitiligo should be ruled out. Lichen sclerosus is a chronic disease which effects usually the genital areas. The exact cause is not known and can be too active immune system and hormone problems. Some people have also proposed a genetic and hereditary basis of disease.
Treatment consists of strong cortisone cream or ointment on the skin.
Hello,
If the spot is itchy then it can be due to ringworm or nummular dermatitis. If it is non itchy then vitiligo and lichen sclerosis needs to be ruled out. Lichen sclerosus is a chronic disease which effects usually the genital areas. The exact cause is not known and can be too active immune system and hormone problems.
Some people have also proposed a genetic and hereditary basis of disease. Treatment consists of strong cortisone cream or ointment on the skin.
The other possibility is of lichen planus which is a chronic immunological disease presenting with similar symptoms. Third possibility is of vitiligo which is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Diagnosis can be confirmed by external examination, blood tests to check skin cell count for melanocytes and biopsy of the skin patches.
Hello,
From the symptoms you should consult a dermatologist and get vitiligo ruled out. It is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Diagnosis can be confirmed by external examination, blood tests to check skin cell count for melanocytes and biopsy of the skin patches.
I hope it helps. Take care and regards.
Since I was on tacrolimus only(as Mycophenolate causes TLC to go down in two occasion), sirolimus 1mg is started along with reduced tacrolimus(2mg BD, Tac level ~4.5). But the creatinine is still high(1.8). It seems some side effect of Sirolimus is also coming as the TLC is 3400 and platelet is 80,000.
What do you suggest to bring creatinine under control?
What is the way to determine the exact required dose of tacrolimus?
Certain factors that may increase the chance of getting vitiligo can be inherited. In fact, about 30% of vitiligo cases run in families. Statistically, 10 to 20 percent of people who have vitiligo fully regain their skin color. This is true for the those who are young, whose vitiligo reaches its peak in less than 6 months and is located mainly on the facial area. This link may be helpful: http://www.dermabest.com/Vitiligo_inheritance.htm
Take care and regards.
Actually I believe this trigiring the mechanism of vitiligo such complex. I saw a guy threated his vitiligo in 6 months with anti-fungal pills, I have told by Amanda selsum blue worked, you have told it worked for your neighboor. Too many coincidence than ... I apply selsum blue 5 minutes before my shower everday. I also use oreganol oil super strenght orally, 3 drops in a glass of water, 3 times in a day. Hope these will work for all of us.. Good Luck!
Dear Dr.
Our 10 year old daughter has been complaining of night blindness. Its obvious that she doesn't see well in dim light, nor does she like bright lights. The retina specialist said our daughter has flecks of pigment in the peripheral retinas and that combined with her night blindness and vitiligo is 'highly suggestive.' He ordered an ERG and a visual field test. I was a bit too rattled to ask the Dr. highly suggestive of what?
Both eyes had a schirmer test of 0. (interestingly though, a few days before at the vet, the schirmer test was 12 in both eyes). Now 6 weeks later, the right eye has a 6 and the left eye still has 0. The specialist reviewed all of the options with us - cyclosporine, pilocarpine or tacrolimus with sirolimus. She said that very rarely has she seen any dog respond to cyclosporine after not responding to tacrolimus.
Hi,
ow are you? Vitiligo is a pigmentation disorder in which melanocytes are destroyed. As a result, white patches appear on the skin in different parts of the body. 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.
Vitiligo
Vitiligo is an autoimmune skin disease in which the absence of melanocytes (pigment-producing cells) causes a decreased pigmentation in the skin. Vitiligo is 10 to 15 times more common in patients with other autoimmune diseases, such as Addison disease, diabetes mellitus, pernicious anemia, discoid lupus, and abnormal thyroid function.
The main goal of treating vitiligo is to improve appearance. Therapy for vitiligo takes a long time—it usually must be continued for 6 to 18 months.
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.
Nevus depigmentosus can be easily differentiated from vitiligo. Although age factor in not much involvement in the Nevu depigmentosus but in about in 19% of the cases these are noted at birth. Their size may however grow in proportion to growth of the body. The distribution is also fairly stable and is nonprogressive hypopigmented patches. Symptoms: These are localized white spots on skin which may effect any area of the body, but they are quite stable lesions.
Hi,
It would be best to consult a skin specialist and decide about the plan of management in your case according to the sites of involvement and extent of involvement.
'The main goal of treating vitiligo is to improve appearance. Therapy for vitiligo takes a long time—it usually must be continued for 6 to 18 months.
The main goal of treating vitiligo is to improve appearance. Therapy for vitiligo takes a long time—it usually must be continued for 6 to 18 months.
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.
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