Vitiligo

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Hahneman Ki Aawaz posted on 16.08.2019

Vitiligo is a condition that causes depigmentation of parts of the skin. It occurs when skin pigment cells die or are unable to function. The cause of Vitiligo, aside from cases of contact with certain chemicals, is unknown, but research suggests it may arise from autoimmune, genetic, oxidative stress, neural, or viral causes. The incidence worldwide is less than 1%, with some populations averaging between 2-3% and as high as 16%.
Vitiligo can affect any area of skin but appears most commonly on the backs of hands and elbows, as well as around the mouth, eyes, rectum, and genitalia. Often the area is also depigmented; ultraviolet dark light may be used to help confirm the diagnosis of Vitiligo. However, if a sample of skin is taken, it will show absence of Melanocytes.
Melanocytes are pigment-producing cells in the basal layer of the skin. Vitiligo is a condition in which the Melanocytes have disappeared from an area of the skin so that white areas replace pigmented area. Generally these areas start as small white spots that enlarge with time. The patches can be localized, generalized, or universal. The white areas are usually asymptomatic, and affected individuals are usually most disturbed by the cosmetic appearance.
Classification
Classification attempts to quantify Vitiligo have been analyzed as being somewhat inconsistent, while recent consensus have agreed to a system of segmental Vitiligo and non-segmental Vitiligo.
Non-segmental
In non-segmental Vitiligo (NSV), there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area. Vitiligo where little pigmented skin remains is referred to as Vitiligo universalis. NSV can come about at any age
Classes of non-segmental Vitiligo include the following:
Generalized Vitiligo: the most common pattern, wide and randomly distributed areas of depigmentation
Universal Vitiligo: depigmentation encompasses most of the body
Focal Vitiligo: one or a few scattered macules in one area, most common in children
Acrofacial Vitiligo: fingers and periorificial areas
Mucosal Vitiligo: depigmentation of only the mucous membranes
Segmental
Segmental Vitiligo (SV) differs in appearance, cause and prevalence from associated illnesses. Its treatment is different from that of NSV. It tends to affect areas of skin that are associated with dorsal roots from the spinal cord and is most often unilateral. It spreads much more rapidly than NSV and, without treatment, it is much more stable/static in course and is not associated with auto-immune diseases. SV is a very treatable condition that responds to topical treatment.
Causes of Vitiligo
Although the cause of Vitiligo is unknown, inheritance seems to be a definite etiologic factor because about 30% of patients with Vitiligo have family members with the same condition. Other theories implicate enzymatic self destructing mechanism, autoimmune mechanisms, and abnormal neurological stimuli.
Diagnosis of Vitiligo
A clinical diagnosis is mainly done; skin biopsy may be helpful in case of Vitiligo.
Homeopathic treatment for Vitiligo
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat vitiligo but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat vitiligo that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.
There are following remedies which are helpful in the treatment of vitiligo:
Arsenic Album, Apis Mel, Thuja, Sepia, Calcaria Carb, kali Carb, Silicea, Fluoric Acid, Carbo Veg, Lac Can, Mica, Natrum Carb, Pitu-P, Alumina, Ammonium Carb, Argentum Nitricum, Arsenic Iod, Arsenic S F, Calcaria Flour, Calcaria Silicate, Graphites, Ignatia, Coca, Mercurius, Natrum Mur, Phosphorous, Sulphur, Zincum Met, and other medicines.

Dr.Bhavik Purohit, Reader,
Jawaharlal Nehru Homoeopathic Medical College, Parul University, Vadodara (Gujarat State)
Email :- [email protected]

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