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Dermatology: Vitiligo — Diagnosis and conservative treatment. Treatment

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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich
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Department of Dermatology and Allergology

Diagnosis and conservative treatment of vitiligo #177801

The Department of Dermatology and Allergology is a part of the university hospital Klinikum rechts der Isar. The Department treats all skin and allergy diseases.

Include:
people Interpreter up to 8 hours
list Translation of medical documents up to 5 pages
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book Insurance against increased costs in case of complications with a cover of 200,000 €

PAN Clinic Cologne

9/10 from 14 Votes
location_onGermany, Cologne
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Department of Dermatology

Diagnosis and conservative treatment of vitiligo #36087

The Department of Dermatology at the PAN Clinic offers the entire spectrum of modern treatments in the field of dermatology, allergology, venerology, medical dermatocosmetology, as well as dermatologic laser therapy.

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes
location_onGermany, Munich
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Department of Dermatology and Allergology

Diagnosis and conservative treatment of vitiligo #148559

The Department of Dermatology and Allergology has a dedicated team, which currently consists of 50 physicians as well as 300 nurses and medical technical assistants. Every year, it performs more than 90. 000 outpatient surgeries, and more than a half of these patients are new patients.

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes
location_onGermany, Wiesbaden

Department of Dermatology and Allergology

Diagnosis and conservative treatment of vitiligo #172443

Due to the use of the most modern methods of treatment, the Department successfully works in the field of prevention, diagnostics and treatment of various complex diseases: allergic and autoimmune diseases, eczema, psoriasis, acne, diseases, and sexually transmitted diseases.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Dermatology and Venereology

Diagnosis and conservative treatment of vitiligo #382431

The Department of Dermatology and Venereology offers the full spectrum of services in these medical focuses. The department specializes in the diagnostics and treatment of all skin diseases, allergies and sexually transmitted diseases.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Dermatology, Venereology and Allergology

Diagnosis and conservative treatment of vitiligo #75177

The Department of Dermatology, Venereology and Allergology provides a wide range of medical services and all the options of modern highly effective medicine in the field of diagnostics and therapy of all types of dermatological diseases.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

Department of Adult and Pediatric Dermatology, Venereology

Diagnosis and conservative treatment of vitiligo #357547

The Department of Adult and Pediatric Dermatology, Venereology offers the full range of services in the relevant medical fields. The department specializes in the diagnostics and treatment of skin diseases of any complexity, as well as sexually transmitted diseases.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Dermatology and Venereology

Diagnosis and conservative treatment of vitiligo #137725

The Department of General Dermatology and Venereology at the University Hospital Muenster offers the full range of medical focuses in dermatology. The Department ranks among the largest clinics in Germany dealing with the treatment of congenital and acquired skin diseases.

Clinic Dr. Brenner Bonn

9/10 from 23 Votes
location_onGermany, Bonn

Department of Dermatology, Phlebology, Plastic Surgery

Diagnosis and conservative treatment of vitiligo #320570

The Department of Dermatology at the Clinic Dr. Brenner offers a wide range of medical services in the treatment of skin diseases.

University Hospital Cologne

9.8/10 from 82 Votes
location_onGermany, Cologne
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Department of Dermatology and Venereology

Diagnosis and conservative treatment of vitiligo #77437

The Department of Dermatology and Venereology treats skin diseases, including diseases of the visible mucous membranes and the so-called appendages of the skin (hair, nails).

HELIOS University Hospital Wuppertal

9.8/10 from 42 Votes
location_onGermany, Wuppertal

Department of Dermatology

Diagnosis and conservative treatment of vitiligo #394155

The Department of Dermatology offers the full spectrum of services in this medical focus. The department specializes in the diagnosis and treatment of skin diseases.

Samitivej Hospital Bangkok

9.6/10 from 23 Votes
location_onThailand, Bangkok

Department of Dermatology

Diagnosis and conservative treatment of vitiligo #341748

The Department of Dermatology at the Samitivej (Sukhumvit) Hospital in Bangkok offers complete medical services including the diagnosis and treatment of various skin diseases, such as skin infections, hair loss, nail fungal infection and acne.

Academic Hospital Hildesheim

9.5/10 from 23 Votes
location_onGermany, Hildesheim
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Department of Dermatology, Venereology and Allergology

Diagnosis and conservative treatment of vitiligo #30247

The Department of Dermatology, Venereology and Allergology at the Academic Hospital Hildesheim offers the whole spectrum of treatment of skin and venereal diseases, as well as allergology.

University Hospital Duesseldorf

9.5/10 from 71 Votes
location_onGermany, Duesseldorf
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Department of Dermatology

Diagnosis and conservative treatment of vitiligo #81307

The Department of Dermatology at the University Hospital Dusseldorf offers treatment of all dermatological diseases.

University Hospital Giessen UKGM

9.5/10 from 35 Votes
location_onGermany, Giessen
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Department of Dermatology and Allergology

Diagnosis and conservative treatment of vitiligo #131265

The Department of Dermatology and Allergology at the University Hospital Giessen specializes in the diagnosis and treatment of skin conditions and allergies. The Department uses all state-of-the-art diagnostic and therapeutic methods for both examination and treatment of these diseases.

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes
location_onGermany, Hamburg
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Department of Dermatology and Venerology

Diagnosis and conservative treatment of vitiligo #239749

The Department of Dermatology and Venereology at the University Medical Center Hamburg-Eppendorf deals with the treatment of the entire range of dermatological and venereal diseases.

Vitiligo is a chronic disease caused by skin pigmentation disorder. The number of cases in different countries is 0.5 to 2% of the population. Vitiligo affects men and women equally often, but women are more likely to seek medical help. Pathology cannot be cured completely, but a variety of therapeutic techniques can stop its further development in 90% patients.

Causes

Upon vitiligo, skin produces a small number of melanocytes, i.e. cells producing the protective pigment, melanin. The reasons for this phenomenon are not fully clear. However, physicians have several theories in this regard. It is believed that the disease can be provoked by:

  • autoimmune disorders,
  • genetic mutations,
  • neuroendocrine diseases,
  • mechanical trauma to the skin,
  • tyrosinase deficiency (enzyme involved in melanin synthesis)
  • stress.

Clinical Picture

In typical cases, there are white spots with clearly defined boundaries on the skin. The problem is often found in the warmer months, when healthy skin darkens from the sun, and the affected areas remain discolored. The very spots do not cause discomfort, but rarely may be accompanied by itching. 

Most patients suffer because of change in appearance. Studies have shown that in 80% cases vitiligo is associated with psychological disorders:

  • depression, 
  • increased anxiety,
  • sleep disorders.

Diagnostics

Diagnosis is based on characteristic symptoms of the disease. For better visualization of spots, the dermatologist can use a special device, Wood lamp, emitting the violet.

If the diagnosis remains unclear, a biopsy of the affected tissues is performed. The microscopic examination of the sample reveals the lack of melanocytes.

To determine the form of vitiligo and identify the comorbidities, a set of laboratory tests (complete blood count, urinalysis for thyroid hormones, and others) is prescribed.

Treatment Methods

Treatment is usually started with prescription of local steroid ointments and ointments with calcineurin inhibitors. When the course proves to be ineffective, a local phototherapy is indicated. The lesions are irradiated with ultraviolet light. Sometimes the procedure is combined with the use of photosensitizing agents (PUVA therapy). For patients with segmental vitiligo, the laser therapy is practiced.

If conservative methods do not provide a proper result, the patients are offered surgery. There are 2 options of surgery:

  • transplantation of skin grafts from healthy parts of the body,
  • implantation of melanocytes obtained by biotechnology in the skin.

To overcome the psychological problems, we recommend consulting a therapist.




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