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Dermatology: Vitiligo — Diagnosis and conservative treatment. Treatment abroad

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.

Read more
 

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Age: 15 years or older

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University Hospital of the Ludwig-Maximilians-University Munich

9.2/10 from 40 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Würzburg

9.2/10 from 38 Votes

Department of Dermatology, Venerology and Allergology

Diagnosis and conservative treatment of vitiligo #224009

The Department of Dermatology, Venerology and Allergology offers the entire spectrum of conservative and surgical dermatology. A particular attention is given to the treatment of malignant skin tumors, as well as diagnosis and treatment of allergic and autoimmune skin diseases.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

University Hospital Bonn

9.2/10 from 150 Votes

Department of Dermatology and Allergology

Diagnosis and conservative treatment of vitiligo #87577

The Department of Dermatology and Allergology at the University Hospital Bonn offers the full range of treatment options for dermatological diseases. The daytime inpatient treatment includes such diseases as psoriasis, ulcers of the lower limbs, systemic sclerosis and atopic dermatitis.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Bonn

University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Dermatology and Allergology – Skin Clinic

Diagnosis and conservative treatment of vitiligo #105331

The clinical priorities of the Department of Dermatology and Allergology are allergic skin diseases such as eczema, urticaria (utricarial rash) and allergic drug reactions, occupational dermatology, wound healing, bullous skin diseases, psoriasis and as well as skin tumors, including melanomas, carc...


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

University Hospital Cologne

9.8/10 from 82 Votes

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).


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Academic Hospital Hildesheim

9.5/10 from 23 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hildesheim

University Hospital Düsseldorf

9.5/10 from 71 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

University Hospital Giessen UKGM

9.5/10 from 35 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Giessen

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hamburg
certificate

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Dermatology

Diagnosis and conservative treatment of vitiligo #132803

The Department of Dermatology at the University Hospital Tubingen specializes in the research and treatment of skin diseases. The primary objective is to provide patients having various skin diseases with the best diagnosis and treatment in accordance with the latest medical standards.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Tuebingen

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Wiesbaden

Leech Private Clinic

9.2/10 from 7 Votes

Department of Dermatology

Diagnosis and conservative treatment of vitiligo #99711

Dermatic therapy or the so-called dermatology requires a high sensitivity to changes of this largest human organ. Along with professional knowledge, the general medical standards include the appropriate experience and the goal-oriented preventive and recording methods.  .


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Austria
location_searchingCity: Graz

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Dermatology

Diagnosis and conservative treatment of vitiligo #255233

The Department of Dermatology at the University Hospital Erlangen is an internationally recognized Center of Excellence in diagnosis and treatment of skin diseases.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Erlangen
certificate

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Dermatology, Venereology and Allergology

Diagnosis and conservative treatment of vitiligo #106993

The Department of Dermatology, Venereology and Allergology provides treatment of dermatological diseases and various types of allergies. Particular attention is paid to the treatment of skin tumors.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Berlin
certificate

Multispecialty Hospital PAN Clinic

9/10 from 14 Votes

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.


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Dr. Brenners Private Clinic

9/10 from 23 Votes

Department of Dermatology

Diagnosis and conservative treatment of vitiligo #320570

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


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Bonn



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