Vitiligo Treatment

Eczema Treatment & Management

DTAP Clinic (Caring & Treating Since 2005)

Vitiligo has no cure. But effective treatments are available to help control the disease in the majority of patients.

The main aims of treatment are to:

  1. Slow down and stop the spread of vitiligo patches
  2. Gradually restore colour back to a depigmented skin

There are several ways to treat vitiligo. Not every method is suitable for all patients.

The optimal method or combination of methods will depend on the type of vitiligo, the extent of depigmentation, how the patient responds to the treatment, patient’s other medical conditions, patient’s preference and commitment to treatment.

Treatment Of Vitiligo

Vitiligo has no cure. But effective treatments are available to help control the disease in the majority of patients.

The main aims of treatment are to:

  1. Slow down and stop the spread of vitiligo patches
  2. Gradually restore colour back to depigmented skin

There are several ways to treat vitiligo. Not every method is suitable for all patients.

The optimal method or combination of methods will depend on the type of vitiligo, the extent of depigmentation, how the patient responds to the treatment, patient’s other medical conditions, patient’s preference and commitment to treatment.

Vitiligo Treatment Methods

Method: Apply makeup, self-tanners or skin dyes to even out skin tone approaching that of surrounding normal skin

Suitable for: Patients with small areas of stable vitiligo patches

Advantage: Avoid side effects of medication

Disadvantage: Short term patch-up, needs to be applied repeatedly, can be time-consuming, takes practise to achieve natural looking colour

Method: Daily to twice daily external application of a high strength corticosteroid cream or immune modulating agent known as calcineurin inhibitor to areas of discoloured skin.

Suitable for: Patients with limited areas of vitiligo patches (usually less than 10% of total body surface area).  Creams or ointment can also be used in conjunction with phototherapy to improve results.

Advantage: Established method of treatment with proven results in clinical trials, ease of use, convenience of self treatment at home

Disadvantage: Potential side effects of corticosteroid creams include local skin thinning, appearance of streaks or lines, bruising, increased hair growth.

Method: Daily or twice weekly intake of an oral corticosteroid tablet for several months or until symptoms are controlled.

Suitable For: Patients with rapidly spreading vitiligo patches

Advantage: Helps to stop disease progression 

Disadvantage: Not effective in restoring colour back to skin. Multiple potential side effects such as weight gain, acne, thinning of the skin and bones, high blood pressure and high blood glucose, fluid retention, mood swings, insomnia, increased vulnerability to infection, muscle weakness and eye disorders. 

To minimise these potential side effects, doses are usually kept low and duration of use kept to the shortest possible for achieving intended effect. May not be suitable for patients with certain medical conditions.

Method: Ultraviolet (UV) light treatment. This can either take the form of 1) whole-body treatment where the patient stands within an enclosure lined with UV lamps and receives UV irradiation that covers the entire body surface or 2) localised treatment where the UV beam is delivered to specific parts of the skin via handheld devices.  Treatment needs to be repeated regularly until the desired outcome is achieved.

Suitable for: Most patients including children, except those with significant history of skin cancer or severe light sensitivity due to underlying medical conditions such as systemic lupus erythematosus.

Advantage: Safe, effective and painless treatment for a broad range of conditions including widespread and progressive vitiligo.

Disadvantage: Requires time commitment to attend 2 to 3 treatment sessions per week.

Method: Various techniques are in use.  They generally involves removing the top layer of discoloured vitiliginous skin to replace it with well-pigmented skin or its elements that were harvested from elsewhere in the body.

Suitable for: Patients with localised stable vitiligo for whom other medical treatments (as mentioned above) have been tried but did not work.

Advantage: High success rate of re-pigmentation if performed by qualified personnel.  Can be a once off treatment, although procedure may be necessary 

Disadvantage: Risk of infection, scarring, cobblestone-like skin, failure of treated area to recolour, new vitiligo patches may develop at harvest site.

Method: Removes remaining colour from skin by daily application of a medicated cream

Suitable for: Patients with widespread vitiligo 

Advantage: Allows patient with severe, widespread vitiligo to achieve a single skin colour (white)

Disadvantage: Depigmentation is often permanent.  Patients will always be extremely sensitive to sunlight as a result of complete depigmentation.

Limited studies suggest that supplementation with certain vitamins (C, E, B12, folic acid), anti-oxidants (alpha-lipoic acid) and herbs (Ginkgo biloba) especially when used in conjunction with phototherapy may increase the success of treatment and repigmentation.  Current evidence is limited however, and more studies are needed to establish efficacy before they can be recommended in routine treatment.

Vitiligo, Psoriasis & Skin Clinic by DTAP (Dr. Tan & Partners) provides comprehensive treatment and management services for Vitiligo, Psoriasis & other skin conditions.

Vitiligo is treatable and requires careful and thorough examination to find out the cause and accurately classify Vitiligo before deciding on an appropriate treatment plan.

Speak to our doctors today!

Address:

Scotts Medical Center (Pacific Plaza)
9 Scotts Road, #06-06
Singapore 228210

Telephone:+65 6694 2348

Message:+65 8922 0083 

Email: hello.skin@dtapclinic.com

Operating Hours

Monday to Friday:
9:00 AM – 1:00 PM
2:00 PM – 6:00 PM

Saturday: 9:00 AM – 2:00 PM

Closed on Sunday & Public Holidays

Nearest MRT Station:
Orchard MRT Station

Request An Appointment

Fill out the form below and we will contact you during our working hours. For urgent requests, please call +65 6694 2348.

Skin Conditions We Treat

  • Skin Infection
  • Ring Worms
  • Athlete’s Foot
  • Jock Itch (Tinea Cruris)
  • Skin Rashes
  • Allergy Testing

teleconsult-dtapclinic-singapore

Teleconsult & Medication Delivery

We are offering DTAP Teleconsult. This teleconsult service allows our current patients and new patients to connect with our doctors during clinic operating hours for non-emergency consults.

After assessment and consultation, we will also deliver your medications straight to your doorstep!

Request An Appointment

Speak to our doctors about your medical concerns today.

We will only be attending to essential health concerns during the circuit breaker period.
Please take advantage of our teleconsult service to determine if your clinic visit is necessary.
We also offer a home medication delivery service.

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