During the consultation of vitiligo patients, the doctor has to carefully observe the affected skin and generally do Wood lamp examination to determine the melanin loss. If the patient has other endocrine disorders, it will have a great impact on the doctor’s diagnosis and treatment and must be explained in advance. For example, if the patient has hyperthyroidism, it will be difficult for the patient’s skin to recover; if the patient has photosensitive diseases such as lupus erythematosus, it will not be suitable to apply psoralen or NBUVB phototherapy, and the hormone dosage should be adjusted appropriately.
During the consultation, patients can scan the doctor’s QR code business card through WeChat for patient check-in. If there are any problems with the medication after the consultation, such as forgetting how many times a day to apply the medication, what to do about skin redness, etc., they can communicate with the doctor continuously. After scanning the code, you need to follow the system prompts to upload the medical history written by the doctor at the time of the visit and the photos of the diseased skin, so that the doctor can directly understand your condition and facilitate follow-up guidance to you.
Generally speaking, two weeks is the cycle of skin metabolism and melanin production, so it is recommended that patients have a follow-up visit every three to four weeks to observe the effect of treatment. It is not necessary to bring too much material to the follow-up visit, but simply that the patient comes in. It is also possible to communicate with the doctor through online consultation. It is recommended to upload skin photos every two weeks to facilitate the doctor’s assessment of the treatment effect. Generally speaking, for patients with rapidly progressing disease, a more obvious change in the clarity of the white border can be seen through photo comparison; for patients with better treatment results in the stable stage, regular treatment is required to get the best results.