1-treatment of photo exposed areas:-
-treatment lasts for 6-18 months
treatment of face ,neck , arm vitiligo
-topical potent steroid
Ex:-elocon cream..contains
"momentasone furoat 1%"
-additional treatment
...sunscreens "avoid exposure to sunlight"
Ex:-photoderm 100%
...cosmetics
Ex:-makeup ,stains, tattoo
treatment of acral vitiligo:-
...intralesional injection of 5flurouracil
Ex:-utorol amp.
-practical dose :-1amp. 5ml is diluted in saline for intralesional injection/2weeks.
2-treatment of non photo exposed areas
-treatment lasts for 6-18 months
1-U.V.B "narrow band of a wave length 311-313
from 2-3 sessions/week for 20-30 seconds , dose and duration is adjusted according to the patient state
2-apply topical psoralen agent + oral non psoralen agent ,then after one hour expose the skin to U.V.A by a special lamp or sun light
"before 11 am /after 4pm" for 15 min.
-minimize exposure to sun light at other times.
topical psoralen products
Ex:-
-ultrameladinine
-oil of bergammot
oral non psoralen products
Ex:-psorvitil tab
3-apply topical non psoralen agents + oral psoralen agents then after 1hour
Expose the skin to U.V.A by aspecial lamp or sun light
"before 11am/after 4pm " for 15 min.
-minimize exposure to sun light at other times.
topical non psoralen products
Ex:-
-ezalline
-vitivera
-vitinorm lotion
oral psoralen products
-ammoidine .5 mg/kg
-ultrameladinine
-meladinine tab
4-depegmentation
"if vitiligo >50% of the body"
-fading the rest of the skin on the body to match the areas that are already white .
-apply monobenzyl ether of hydroquinone every 12 hour to pigmented areas.
5-surgical treatment..."skin grafts"
6-new modalities of treatment
-autologous melanocyte transplants
***behavioral treatment
-تجنب
*التوتر والانفعال النفسي
*المشروبات المنبهة "القهوة -الشاي - الكاكاو - الشيكوباتة "
*الأرق
*التدخين والكحول والمخدرات
**تذكر أنه لا توجد علاقة بين نوع الطعام الذي يتناوله الإنسان والبهاق
posted from Bloggeroid
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