Are there any differences in treatment options for small vitiligo patches versus large vitiligo patches?

Doctor's Answers 1

For the treatment of vitiligo, topical treatment with steroids or calcineurin inhibitors is the first-line treatment. For small areas of vitiligo, topical treatment is a good option. If the area of involvement is larger, it is much more difficult to apply the creams.

Phototherapy is also a good option for vitiligo. It can be delivered to a small area i.e. localized phototherapy or to the whole body. For extensive vitiligo, full-body phototherapy will be a good option.

Other options include cellular grafting, where the pigment cells are harvested from skin from an uninvolved area and grafted to the affected area. This can be considered for smaller vitiligo patches and is less practical for large areas of vitiligo.

Similar Questions

Is there a cure for vitiligo in Singapore?

Hello, This is perhaps the most common question which I face on a regular basis. Strictly speaking, there is no cure for vitiligo at the moment. This is because there is a non-zero chance of recurrence of the condition which persists in spite of treatment which is difficult to predict. There are, however, viable treatment options available to patients. Depending on the extent of vitiligo and the areas affected, patients can achieve reasonable degrees of repigmentation over time. The main keys to achieving results are a combination of adherence to therapy and patience.

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Answered By

Dr Christopher Lim

General Practitioner

What are possible triggers of vitiligo?

Hello, This is a great question! In the process of research aimed at identifying the underlying cause for vitiligo, scientists have postulated that vitiligo can be triggered by stress to the pigment producing cells of the skin. Some potential vitiligo triggers have been identified: Genetic susceptibility Sunburn Mechanical trauma (e. g. friction, cuts) Chemical exposure Low mood / Abnormal emotional stress Some of my patients have found that after one or a combination of the above-mentioned triggers, they began to notice progressive depigmentation occurring on their skin.

Photo of Dr Christopher Lim

Answered By

Dr Christopher Lim

General Practitioner

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