The treatment of vitiligo with corticosteroids is also reported abroad first, and then the domestic follow up trials and implementation, but the cure rate is not high. The domestic medical community has different views on this therapy, mainly stemming from the mechanism, efficacy and side effects on human body of vitiligo treatment with hormones (see the Baidu entry for details). The Consensus on Vitiligo Treatment (2009 Edition) has elaborated on hormonal treatment methods, advocating that they are applicable to the control of small limited lesions, childhood vitiligo, and generalized vitiligo. There are three main treatment methods: 1, topical: usually try to use topical hormone drugs to treat vitiligo, the side effects are small and safer. That is, in the white spot area, apply halometasone or 0.05% clobetasone propionate or 0.1% tretinoin acetate cream and other topical cream, 2 times / day (also can be combined with the application of non-hormonal immunomodulator Puttapi Tacrolimus ointment, with UVB phototherapy, etc.). If there is no recoloration of white spots after 3-6 months of continuous application, it indicates that hormone treatment is ineffective and can be stopped and replaced by other local treatment methods.
2.Injections: Local injection of hormonal drugs — compound betamethasone (Depo Pine) in the lesion area, which is less used now because it is easy to cause local atrophy of the skin.
3, oral: the purpose of oral prednisone, prednisone, is also trying to control the development of vitiligo, rather than the root cause, there will be a relapse after stopping the drug. Considering the unsatisfactory control effect and strong side effects on the human body, it is recommended not to take the risk of using them. If you want to try it, be sure to do so under the guidance of an experienced doctor.