Hi doctor, I have been suffering with a skin problem for a long time of four years. They are white patches. I have taken treatment from few doctors. Doctors have asked me to apply some lotion and show sunlight to them. They also gave some blue light therapy but I developed blisters after that. So, they stopped the treatment. They are mostly on my hands, feet and shins. My past medication includes drugs called Methoxalen lotion mixed in water ans some tablets called Aciloc, Zempred 4 and Shelcal. My friend advised me ayurvedic treatment for the same, but during treatment the spots started spreading to feet. So, I just stopped it. My CBC was normal, SGPT 24, SPOT 12 and creatinine 0.64. I am fed up. Please help.
Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). As you already know, these are patches of vitiligo. This disease can be effectively treated. 1. The blue light you are referring to should be NB-UVB (narrow band ultraviolet B) chamber treatment which is quite effective and safe modality.  2. The blisters can be easily managed by decreasing the duration of exposure. The only drawback is that you will have to visit the dermatologist every alternate day, which seems to be difficult for you.  3. Also, you are applying Melanocyl lotion (Methoxsalen). Since how long are you applying it? Did it have any good effect?  4. Another option is tablet Melanocyl. The usual dose is 20 mg on alternate days. Two hours later, sunlight exposure is given for 10-15 minutes.  5, Biopeptides, topical steroids, etc., can be given.  6. Skin grafting can be carried out.  7. Let me know what dose of Zempred 4 mg (Methylprednisolone) you are on? How many tablets per day and since how long?  8. Please send me photographs of the previous dermatologist's treatments you have taken so that further management can be planned.  9. Also tell me whether lesions are currently increasing or are they stable? If stable, since how long? Revert back with the answers to a dermatologist online.--->