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Vitiligo treatments series: Corticosteroids

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Corticosteroids

Topical corticosteroids are a standard treatment option to decrease inflammation. Because they are often associated with side effects such as atrophy, striae, and telangiectasia, they are not recommended for large lesions or areas of the body that are more susceptible to side effects such as the face. Systemic corticosteroids have reported success in rapidly progressing vitiligo. However, due to adverse effects and inconsistent response, steroid monotherapy has long been viewed as a less than ideal treatment. Studies have found that one can often reap more benefit from these drugs by combining them with phototherapy. For example, a randomized left-right comparison study showed that topical fluticasone combined with UVA phototherapy was better than either alone.

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6 thoughts on “Vitiligo treatments series: Corticosteroids”

  1. So we actually found a doctor that we like now. He did explain to us that he is confident that it is Vitiligo and it’s actually more popular then what we read however they don’t have a cure for it or know exactly why it does happen. He gave us two different creams, one of which is for his face and the other one is for the rest of his body (hands, knees and elbows.) He told us that about 40% of people that treat Vitiligo will regain pigment. I would encourage you to seek out a second opinion or 3rd or even 4th. This doctor actualy sat us down for about an hour just answering our questions etc. They told us that for his age that the cream is the best thing as of right now. He said he does have alot of success with the UVB light but they really don’t recommend it under 9 or 10 years old.

  2. No they didn’t test him for any of that yet. We are going to a different doctor tomorrow to see what he says. The hardest part is trying to find a good doctor. It seems as if they just get you in and try to get yu out as fast as they can.

  3. Josh,

    Have they tested him for fungus? Did they look at him with
    What they call a woodlight( I think that’s what they call it).

    Thanks for your post.

  4. Rosie,

    My family and I are in the exact same boat as you. My son is only 5 years old and when we first took him to his doctor he said it wasn’t Vitiligo. However with reserching it online and not liking the doctors comments we decided to get multiple opinions. We have now been to 4 dermos and 2 say he has it and 2 says he doesn’t. The last 2 have said yes he does have it. They perscribed him desonide cream. We just picked it up tonight but we are still really uneasy about applying it. We just don’t want to make the situation worse or have bad side affects. We still don’t like this doctore we are currently seeing now. I hate how these doctors just like to throw something at you without explaining anything. Maybe it’s because that’s all they know how to do is just throw some medicine at you. I wish you the best of luck and please let me know your situation. Maybe we can share what is working for both of our kids.

    Thanks
    Josh

  5. Hello,
    We are overwhelmed with my sons recent diagnosis of possible vitaligo.
    He has the signs but Dr says it’s too soon to diagnose him with Vitaligo.
    All signs point to vitiligo.. In your opinion what’s the best treatment for a newly diagnosed patient?

    I’ve read about ultraviolet therapy and it looks promising..

    Thank you

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