Vitiligo. These are more illustrations of fairly extensive cases of vitiligo. The condition tends to progress and may even become universal. A variety of treatment modalities are commonly employed, with varying degrees of success. The patient and family should be made aware of the sophisticated cover-up cosmetics that are now available. The use of broad-spectrum sunscreen lotions during the summer months minimizes the contrast between normal and involved skin. For some patients, the application of corticosteroids or topical calcineurin inhibitors such as tacrolimus (Protopic) and pimecrolimus (Elidel) early in the course of the disease may induce repigmentation. Narrowband UVB is also an effective treatment. It is much safer than the varying combinations of topical or oral psoralens and ultraviolet A light (PUVA) that were used in the past.
Color Atlas of Pediatric Dermatology Samuel Weinberg, Neil S. Prose, Leonard Kristal Copyright 2008, 1998, 1990, 1975, by the McGraw-Hill Companies, Inc. All rights reserved.
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