'medical treatment'

Vitiligo is a condition in which pigment is lost from part of the skin seen as depigmented (white) patches. Vitiligo has a psychosocial impact in India. Beginning with explanation of the disease and varying treatment modalities available patient counselling and reassurance form an important spectrum management of vitiligo. Medical line of treatment is combined with Ultraviolet A, Narrow Band Ultraviolet B, targeted Narrow Band Ultraviolet B irradiation, Excimer Lamp along with advanced lasers for complete and faster recovery. Non-responsive stationery patches are surgically treated with basic miniature punch grafting, suction blister, therapeutic wounding (needling, phenolization, laser ablation and manual dermabrasion), tattoing to advanced surgeries like Thin Thiersch Skin Grafting, Ultra Thin Skin Grafting, Melanocyte & Keratinocyte cell suspension and follicular unit extraction.

Various drugs (corticosteroids, 5 flurouracil) are directly delivered into the skin lesions through injections. It is used for lichen simplex chronicus (chronic thick eczema patches), cystic acne, alopecia areata (localised hair loss), hypertrophic scars and keloids, hypertrophic lichen planus. Drugs can also be injected into the nail matrix.