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.

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

8.9/10 from 40 Votes

Diagnosis and conservative treatment of vitiligo

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 Wurzburg

9.2/10 from 38 Votes

Diagnosis and conservative treatment of vitiligo

The Deaprtment of Dermatology, Venereology and Allergology offers a full range of conservative and operative dermatology. The main directions are the treatment of malignant tumors of the skin, diagnostics and treatment of allergic and autoimmune skin diseases.


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

Price 1633.00

University Hospital Bonn

8.6/10 from 150 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 1560.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 1469.00

University Hospital Cologne

8.3/10 from 82 Votes

Diagnosis and conservative treatment of vitiligo

The Department and Polyclinic of Dermatology and Venereology of the University Hospital Cologne in Germany represents the field of Dermatovenereology in research, teaching and patient care. These comprise diseases of skin, including the visible mucous membranes and the so-called skin appendages (e.g. hair or nails).


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

Price 1499.00

Hospital Hildesheim

9.5/10 from 23 Votes

Diagnosis and conservative treatment of vitiligo

Services of the clinic include all kinds of treatment of skin and venereal diseases....


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

Price 1340.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 1751.00

University Hospital Halle (Saale)

9.5/10 from 78 Votes

Diagnosis and conservative treatment of vitiligo

Department of Dermatology and Venereology at the University Hospital of Halle (Saale) is a modernly furnished University Clinic with motivated staff. As regards treatment, the clinic deals with all skin and venereal diseases.


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

Price 1648.00

UKGM Gießen

9.5/10 from 35 Votes

Diagnosis and conservative treatment of vitiligo

The department of dermatology, venereology and allergology treats patients with skin diseases and allergy symptoms.


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

Price 1515.00

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 2297.00

University Hospital Tubingen

9.2/10 from 55 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 1587.00

Privat Hospital Leech

9.2/10 from 7 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 2224.00

DKD HELIOS Klinik Wiesbaden

9.2/10 from 5 Votes

Diagnosis and conservative treatment of vitiligo

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

Price 1345.00

Charite University Hospital Berlin

9/10 from 95 Votes

Diagnosis and conservative treatment of vitiligo

The Department of Dermatology, Venereology and Allergology at the University Hospital Charite Berlin treats patients with dermatological diseases and allergies. The department is located at the Charite Mitte Campus and is staffed by highly qualified specialists, who test and treat all skin diseases.


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

Price 2232.00

University Hospital Heidelberg

9/10 from 57 Votes

Diagnosis and conservative treatment of vitiligo

The Department of Dermatology at the Heidelberg University Hospital is a national recognized Center for Oncological Dermatology. It is the first Department of Dermatology in Germany, which was awarded an official high-quality mark of the certified Skin Cancer Center.


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

PAN Klinik

9/10 from 14 Votes

Diagnosis and conservative treatment of vitiligo

The Department of Dermatology at the PAN Clinic on Neumarkt offers the entire spectrum of modern treatment methods 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

Price 1458.00