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Vitiligo is a long-term condition that causes pale, white patches to develop on the skin due to lack of a chemical called melanin. It can affect any area of the skin, but most commonly occurs on skin exposed to the sun, such as the face, neck and hands (NHS Choices).
This book is a comprehensive guide to the management of vitiligo covering clinical, medical and surgical treatment, as well as the emerging role of phototherapy.
The book’s expert authors guide clinicians through the latest innovations and research in treatment such as cellular grafting techniques, immunomodulators, JAK inhibitors, laser-assisted therapies, and combination approaches, while also offering step by step procedural guidance on surgical techniques including melanocyte transplantation and suction blister grafting.
Phototherapy is discussed in depth, with detailed explanations of protocols such as narrowband ultraviolet B (NB-UVB), psoralen ultraviolet A (PUVA), and excimer laser; emphasising its use for optimal results and minimal side effects.
The text is enhanced by case studies, clinical images and comparative treatment visuals, ensuring practical insights and comprehensive understanding.
Psychosocial aspects of the condition are considered and guidance offered on counselling techniques tailored to individual patients’ needs.
Madhulika Mhatre MBBS MD (Gold Medalist) FRGUHS (Aesthetic Dermatology)
Director and Consultant Dermatologist, Skin Saga Centre for Dermatology, Mumbai, Maharashtra, India; Founding Secretary, Vitiligo Foundation of India
Aseem Sharma MBBS MD DNB MBA
Director and Chief Dermatologist, Skin Saga Centre for Dermatology; Director, ADMIRE Academy; Ex-Assistant Professor of Dermatology, LTMMC and GH, Mumbai, Maharashtra, India
- Introduction: Overview of Vitiligo and Historical Perspective
- Etiology and Pathophysiology
- Clinical Presentation and Diagnosis (Classifying Vitiligo: Types and Patterns; Diagnostic Tools and Criteria)
- Stability of Vitiligo: Recommendations and Controversies
- Topical Treatments
- Systemic Treatments in Vitiligo: Immunosuppressants - Oral Mini Pulse, Methotrexate, Cyclosporine, and Others
- Systemic Treatments in Vitiligo: Emerging Biologics and Systemic Janus Kinase Inhibitors
- Tissue Grafting Techniques in Vitiligo
- Surgical and Adjunctive Therapies: Cellular Grafting in Vitiligo
- Role of Lasers and Medication in Depigmentation in Vitiligo
- Light-based Therapy in Vitiligo
- Vitiligo: Special Considerations
- Psychosocial Aspects of Vitiligo
- Camouflaging Techniques for Vitiligo
- Vitiligo Future Trends and Diet
- Resources: Guidelines for Practitioners - Algorithmic Approach
- Resources: Role of Patient Education and Support Groups in Vitiligo
- Resources: List of Phototherapy Chambers and Excimer Lamps in India
- Remembering Dr Sanjeev Mulekar