The pigmentology group of the Chinese Society of Integrative Medicine jointly developed a consensus on the treatment of vitiligo in Hangzhou in April 2005, which was revised in the Xi’an meeting in April 2006.
A, progressive vitiligo (a) common type: 1, limited type: topical glucocorticoids or other immunomodulators, immunomodulators (transfer factor, thymidine, etc.), local phototherapy: narrow frequency medium wave ultraviolet light, excimer laser, excimer light, etc., traditional Chinese medicine. Shao Yi, Department of Dermatology, Maoming People’s Hospital 2. Disseminated, panniculitis and extremity type: TCM, immunomodulators (transfer factor, thymidine, etc.), systemic glucocorticoids, phototherapy: narrow-frequency medium-wave UV, excimer laser, excimer light, etc., topical topical drug treatment (refer to progressive limited type).
(B) segmental type: refer to the progressive limited type treatment.
Second, stable stage vitiligo (a) common type: 1, limited type: external use of complementary drugs, glucocorticoids, nitrogen mustard, etc., autologous epidermal transplantation, local phototherapy or photochemotherapy: narrow frequency medium wave ultraviolet light, excimer laser, excimer light, etc., traditional Chinese medicine.
2. Disseminated, generalized and limbic types: Chinese herbal medicine, phototherapy or photochemotherapy: narrow-frequency medium-wave ultraviolet light, excimer laser, excimer light, PUVA, etc., autologous epidermal transplantation (exposed area or area requested by the patient), topical topical treatment (refer to stable limited type).
(II) segmental type: autologous epidermal transplantation; other refer to the limited type treatment.
Third, adjuvant treatment: exposed areas can be used according to the skin tone when necessary, shades of masking agents, psychological counseling, to relieve concerns, build confidence, adhere to treatment, supplementation of vitamin B, vitamin E, folic acid, zinc, etc. may be helpful.
Fourth, precautions 1, should adhere to long-term treatment, generally not less than 3 months.
2.Trauma should be avoided, especially in the progressive stage.
3, topical glucocorticosteroid treatment white spot area should be less than 10% of the body surface area; progressive stage should be cautious with stimulating topical drugs, such as psoralen, nitrogen mustard, etc.
4, infants and children vitiligo system use glucocorticoids or phototherapy to be cautious, not recommended to use photochemotherapy.
5, for a variety of treatment is ineffective, the white spot area is greater than 90% of the body surface area of patients, can be recommended as appropriate decolorization therapy.