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White patches

Dear sir/mam I asked a question on white patches appeared on my sister face in june 16. I ll post recent pic of patches and also post medicines used by her. Sir and mams pls advice us and guide us what to do for 100%cure of these patches. After june there is no new patches reported. Is grafting is applicabe at this stage? Medicine used by her patchex tab Reeso cap Ceoliv-ls tab placetrex inj Deflazacort 6 mg Elocon oint donor cap
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Doctor Answers (4) on White patches

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Thanks for the query.
Vitiligo is an immune system mediated skin disease which can be brought into remission by certain medications and life style changes. Now it is believed to be a multisystem disorder that can have other auto-immune comorbidities. A proper assessment to determine the presence and severity of these comorbidities is needed. There are basically 2 components of therapy – First is to stop the spread of the disease and second is to refill colour. There are different ways of doing that and it differs from patient to patient. If you have tried medical therapy and have not achieved desired results, you can consider surgical options like suction blister grafts/non cultured melanocytes suspension. It requires expertise to perform and results take few months to be visible. The prerequisite for surgery is stable disease for atleast a year.  Most of the patients do well if they stick to the recommendations.
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Dr. Suruchi Puri Delhi | Dermatologist/Cosmetologist
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Vitiligo if stable and no new patch is coming you can discuss for vitiligo surgery but better is to try with phototherapy and consult a dermatologist. U can also visit our website www.drsuruchipurimakeovers.com for more on this topic and that can give you a better idea and reasons for it
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Dr. Pallav S Kishanpuria Delhi | Dermatologist/Cosmetologist
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Vitiligo requires good amount of patience both from doctor and patient.
One should not be in any kind of hurry or else you may harm yourself.
Consult  dermatologist.
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Greetings. This is Vitiligo and vitiligo is an autoimmune disorder. It may have exacerbations/ improvements depending on various factors. This is a treatable condition, however, cure may not be promised - since the disease can possibly recur after months or years again even after it has been cured. The pigmentation may be attempted to be improved to normal with the help of medications. If the disease is active, you’ll need immunosuppressive medication to control its spread. Also phototherapy is a good form of therapy to improve your condition. Grafting and other forms of vitiligo surgery can be attempted - when atleast 6 months of disease stability is achieved - that is no spread of lesions / or no new patches. Kindly see a qualified dermatologist / dermatosurgeon near you. Warm regards.
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