Vitiligo is also known as vitiligo. When it first occurs, there may be only a few small white spots on the body, but as the disease progresses, the white spots will become more and more and the area will become larger and larger. Vitiligo needs to be treated in time, especially to grasp the actual treatment and avoid the disease from gradually developing into a serious direction. So, what is the best time to treat vitiligo? Let’s take a look below. Early treatment is the best time and the treatment effect is most significant. Because the white spots have not spread in the early stages, and with the continuous development of medicine, vitiligo can be well controlled. As long as it is treated in time and scientific treatment methods are used, vitiligo can be effectively controlled. Treatment 1. Hormone therapy (1) Systemic treatment is mainly suitable for patients with generalized progressive vitiligo. Oral or intramuscular injection of hormones can stabilize progressive vitiligo as quickly as possible. (2) Local treatment: Topical corticosteroids are effective in treating localized vitiligo, but attention should be paid to the adverse reactions caused by long-term use of topical corticosteroids. Commonly used drugs in clinical practice include halometasone ointment, mometasone furoate cream, etc. 2. Phototherapy and photochemotherapy (1) Phototherapy with narrowband ultraviolet (NB-UVB) has a certain effect in treating localized or generalized vitiligo. (2) Photochemotherapy (PUVA): For localized vitiligo, topical application of furanocoumarins (8-MOP, psoralea corylifolia tincture) + sun exposure is a good treatment option and can be used in adults and children over 5 years old. 3. Transplantation therapy is suitable for patients in the stable period, with few skin lesions in the past few days and no scar-causing constitution. Commonly used methods include autologous epidermal transplantation, microskin graft transplantation, autologous cultured melanocyte transplantation, etc. 4. Immunosuppressants: For areas that are not suitable for the use of hormones, or to avoid adverse reactions to long-term use of hormones, topical calcineurin inhibitors (tacrolimus, pimecrolimus) have certain effects. 5. Vitamin D3 derivatives Vitamin D3 derivatives can be combined with NB-UVB, PUVA, etc. for treatment. It can also be combined with topical corticosteroids and calcineurin inhibitors. |
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