Institute of Dermatology, Department of Medicine pointed out that "vitiligo" is not a contagious disease. But it affects the patient's psychological and ทางเข้า slotxo  beautiful. Patients are often worried because the treatment has slow response. Suggestions should understand and encourage the patient.Dr. Narong Apikulvanich, Deputy Director-General of the Department of Medical Services, said that vitiligo is not a contagious disease. The cause of the disease is currently unknown. It can be caused by a number of factors, such as heredity, an immune system disorder that causes the loss of pigment cells. Or found in patients with thyroid disease, anemia, disorders of the adrenal glands, SLE disease, rheumatoid arthritis It can be found in both children and adults. The symptom is the skin is white like fresh milk. Smooth appearance Not protruding from normal skin, with clear edges, can occur anywhere on the body. Be it the face, lips, hands, limbs, if it occurs in areas of hair or hairs May cause hair or hairs in that area to be white. Symptoms are usually gradual. Lesions may be increased, enlarged, or new lesions may develop. However, the improvement of pigmentation lesions can be spontaneous or caused by sun exposure. The likelihood that the lesion will heal entirely on its own is low.

Ms. Minkwan Wichaidit, Director of the Institute of Dermatology, Department of Medical Affairs added that vitiligo is not dangerous but affects the patient's mind in beauty And confidence Sometimes cosmetic masking or pigmentation may be used if the lesion is wide and does not respond to treatment. A method may be used to change the color of the patient's skin to white as well as white stains by using certain drugs and lasers. For treatment, there are several methods, including

1. Treatment with steroid topical drugs was effective in a group of patients with vitiligo with not much lesion area. But there must be an evaluation of changes such as having narrowed spots or lesions. If there is no drug can be stopped within 2 months.

2. The topical use of Calcineurin inhibitor drugs such as tacrolimus and pimecolimus was found to respond well, especially lesions on the face. Or in combination with sun exposure

3. Light therapy Suitable for patients who can receive treatment on a regular basis. If unable to continue treatment The treatment result will not be good. And may have high side effects

4. Other laser therapy and light generator, Excimer laser, Helium-neon laser.

5. Skin graft surgery treatment It is used in patients who are unresponsive to drug therapy. Which the process of treatment is complicated There are several treatments for vitiligo, so they must be chosen to suit each individual patient. More importantly, those close to you should understand And encouraging patients to live a quality life and live happily in society.