How to treat vitiligo?

The article was professionally consulted by Specialist Doctor I Le Thi Thu Hang - Dermatologist - Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.

Ringworm is a fungal skin disease that can be cured. Depending on the severity, after the diagnostic test confirms the fungus, the doctor will prescribe topical or oral antifungal drugs.

Tinea versicolor is a skin disease, occurs when the skin is infected with a fungus of the Malassezia group and usually does not affect health, but in severe cases, the fungus develops, leaving patches of discolored skin.
Tinnitus is very common and can occur in any age or race, but most commonly occurs in adolescence and young adulthood. This is a common dermatological disease in tropical and subtropical regions due to the hot and humid climate. When vitiligo, the patient's skin will appear light-colored spots, initially 1-2 spots, then spread if left untreated, located on the neck, chest, back and arms. Those light-colored spots gradually increase in size, causing unsightly, but they will return to normal when treated.

The doctor will accurately identify the patient with tinea versicolor based on the clinical features, with the same test for fungi and lesions on Wood's light:
Vigorous examination for fungi (with 10% KOH) : You will see short mycelium, with many spores, scattered or concentrated in the shape of a bunch of grapes. Examine on Wood's light: The edge of the lesion may fluoresce bright yellow-brown or yellow.

Due to the low itch nature of vitiligo, patients are often detected late, leading to widespread damage causing cosmetic loss.
3.1. Folk tips for treating ringworm at home Some applied tips can be mentioned as: Treating tinea versicolor with laksa leaves, treating tinea versicolor with galangal root, treating tinea versicolor with green bananas...
Very folk remedies simple and easy to implement, low cost, but the effectiveness is difficult to evaluate. In addition, in some people with sensitive skin, when applying folk remedies can cause skin irritation or allergies. Therefore, patients need to be very careful when choosing these tips. Patients should see a dermatologist as soon as possible for early diagnosis and treatment.
Folk tips:
Treatment of tinea versicolor with laksa leaves: Take 1 handful of laksa leaves, wash them, soak them in salt water for about 10 minutes, then crush them, extract the juice and apply it to the affected area.
Do it daily to see the effect.
Treatment of tinea versicolor with galangal: Use a small galangal tuber, wash the skin and then pound it finely.
Squeeze a few drops of lemon juice and mix well with the grated galangal.
Squeeze out the juice to apply on the affected area and let it dry naturally.
Treatment of vitiligo with green bananas: Bananas choose green and young fruits to have more resin.
Cut green banana into thin slices. Wash the affected skin area and then use sliced ​​green bananas on top to allow the banana sap to absorb into the diseased skin.
Apply for 1 to 2 hours and then rinse with clean water.
3.2. Drug use 3.2.1. Topical If the symptoms are not severe, topical antifungal medications such as Clotrimazole, Miconazle, Terbinafine, Ciclopirox olamine can be used...

3.2.2. Oral medications Dermatologists may prescribe oral antifungal drugs if the manifestation of the disease is severe, recurrent. The drug is indicated for short-term use. However, antifungal medicines can cause unwanted side effects and affect other medicines you are taking.
Oral antifungal antibiotics include:
Ketoconazole 200mg/day x 5-7 days
Itraconazole 100-200 mg/day x 5 days
Fluconazole 300mg/week x 2 weeks

After treatment for vitiligo, to avoid recurrence, the patient should apply some of the following body care methods:
Avoid exposing the skin to environments with excessive heat, or hot and humid environments. . When the weather is sunny and hot, it is necessary to wear loose, thin clothes that absorb sweat well, change clothes immediately when wet. Regularly keeping personal hygiene clean, not sharing clothes or towels with others is an effective way to avoid spreading the disease, especially with people who are sick with ringworm. Regularly wash clothes, blankets, should dry in the sun or dry to kill all fungi. For young children, after bathing, they need to dry themselves thoroughly before putting on clothes, to avoid getting wet. Furthermore, you can prevent recurrence of fungal skin infections by: avoiding exposure to extreme heat, or direct sunlight, avoiding excessive sweating, taking medications, and applying medications as prescribed. doctor. Ringworm is a dermatological disease caused by a fungus that affects the skin. The disease is not too dangerous, but if not carefully prevented, it can spread to everyone around, causing discomfort and directly affecting daily activities.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.
Doctor Thu Hang has over 10 years of experience in the field of dermatology. Especially experienced in the treatment of adult and pediatric skin diseases, sexually transmitted diseases, autoimmune and rare skin diseases. The doctor has obtained certificates and university degrees at home and abroad such as: Degree I - Dermatology, Hanoi Medical University, DFMS Degree - Dermatology, University of Paris XIII, France before becoming a doctor. dermatology at the Department of Internal Medicine, Vinmec Hai Phong Hospital today.