Selsun blue for vitiligo: Skin Pigment Symptoms & Treatment
Selsun Blue Topical: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing
This medication is used to treat dandruff and a certain scalp infection (seborrheic dermatitis). It reduces itching, flaking, irritation, and redness of the scalp. Selenium sulfide is also used for a condition that causes discoloration of the skin (tinea versicolor). This medication belongs to a class of medications called anti-infectives. It works by slowing the growth of the yeast that causes the infection.
How to use Selsun Blue 1 % Shampoo
This medication is for use on the skin only. Some brands require shaking before use. Check your product package to see if your brand needs to be shaken. Before using this medication, remove any jewelry to avoid damage to it. Avoid getting this medication into your eyes, inside your nose or mouth, or on any areas of broken/inflamed skin since it may cause irritation. If this occurs, flush the area with plenty of water. Consult your doctor or pharmacist if you have any questions about how to use this medication properly.
For the treatment of dandruff or scalp dermatitis, follow the manufacturer’s instructions, or use as directed by your doctor. Wet the scalp and massage the medication onto the wet scalp. Leave it on your scalp for 2-3 minutes and rinse thoroughly. Some brands may require a second application. Check your product package to see if your brand requires a repeat application. Be sure to rinse your hair and scalp well with water after each application, especially on bleached, tinted, or permed hair. This medication is usually used 1 or 2 times per week to treat dandruff or seborrheic dermatitis, or less often to maintain control of dandruff.
For the treatment of tinea versicolor, apply selenium sulfide to the affected skin. Lather with a small amount of water. Allow it to remain on your skin for 10 minutes. Rinse your skin thoroughly with water after each use. If the medication touches the genital areas or skin folds, rinse the area well with water for a few minutes to prevent irritation. This medication is applied usually once daily for 7 days to treat tinea versicolor, or use as directed by your doctor.
Wash your hands after using selenium sulfide. Do not leave this medication on your hair, scalp, or skin for a longer period or use it more often than directed. Your condition will not clear faster, but side effects may be increased.
If your condition worsens or does not improve, tell your doctor or pharmacist promptly.
Skin irritation, dry skin, oily or dry hair/scalp, or temporary hair loss may occur. If any of these effects last or get worse, discontinue use and consult your doctor or pharmacist promptly. Hair discoloration may occur and can be reduced by carefully rinsing the hair thoroughly after each treatment.
If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US –
In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Before using selenium sulfide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: red/irritated/broken skin.
This medication is not recommended for children younger than 2 years. Consult your doctor before using this medication.
If you are using selenium sulfide on the body for tinea versicolor, this medication should be used during pregnancy only when clearly needed. Discuss the risks and benefits with your doctor.
It is unknown if this drug passes into breast milk. Though there have been no reports of harm to nursing infants, consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.
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This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
Keep all medical and lab appointments.
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.
Store at room temperature. Avoid freezing. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.
How To Use, Benefits, And Side Effects
Selsun Blue is a common trade name for selenium sulfide. It is used commonly in anti-dandruff shampoos. It reduces scalp greasiness and itchiness and slows down the growth of dandruff-causing skin cells on the scalp. Besides, anecdotal evidence suggests that using Selsun Blue on the skin may help treat several skin conditions apart from an itchy scalp.
But what does science say? Is Selsun Blue safe to use on the skin? Or does it cause more harm? In this article, we discuss the benefits of Selsun Blue for skin and its potential risks. Keep reading.
In This Article
Benefits Of Selsun Blue For Skin
The Selsun shampoo contains selenium sulfide, a substance that effectively treats a number of scalp disorders like dandruff and psoriasis by reducing inflammation and inhibiting the proliferation of skin cells. Keep reading to know more Selsun shampoo uses and benefits that you should know about.
1. May Help Treat Thickening Of Skin
A study suggests that topical application of a selenium sulfide lotion or shampoo may treat hyperkeratosis (thickening of skin’s outer layer), especially involving palms and soles (1). As part of the study, three individuals with hyperkeratosis were successfully treated with selenium sulfide in either a 2.5% lotion/shampoo or a 2.75% foam without any adverse effects. Besides, the response was not only rapid but also complete and sustained.
In the US, 1.5% selenium sulfide is available over the counter. However, you’ll need a prescription to get 2.5% selenium sulfide. However, in Canada, 2.5% is the maximum strength of selenium sulfide sold over the counter.
2. May Help Treat Seborrheic Dermatitis
This skin condition is characterized by red patches with yellow-gray scales that mostly appear on the face, scalp, upper chest, and back. A study found that selenium sulfide used in concentrations of 0.5% to 2.5% in lotion, ointment, cream, and jelly vehicles may help treat the skin condition effectively. Besides, concentrations of 0.5% and 1% were found to be less irritating than and as effective as the higher concentrations (2).
This disease may often occur in conjunction with other skin conditions like acne vulgarisi XA skin condition caused by inflammation and obstruction of the hair follicles by oil and dead skin cells. and eczema (3). Hence, treating seborrheic dermatitis may help reduce the flare-up of these conditions, as it works as an anti-infective agent.
Related: 4 Remedies For Seborrheic Dermatitis Hair Loss & Treatment
3. May Help Treat Pityriasis Versicolor
Pityriasis (tinea) versicolor is a skin condition that causes hyperpigmented and hypopigmented scaly patches. It is caused by the fungus Malassezia furfur. Research suggests that selenium sulfide may treat this skin condition effectively with its antifungal properties, besides showing better efficacy than sodium sulfacetamidei XA medication with antibiotic properties that is applied topically to treat pimples and seborrheic dermatitis. (4). However, it may cause certain adverse effects. Hence, practice caution.
Related: 3 Ways To Treat Hyperpigmentation And Tips To Prevent It
4. May Help Treat Rashes
Selenium sulfide is an antifungal agent. Anecdotal reports suggest that it may be used to treat skin rashes. However, consult a dermatologist before using Selsun Blue for rashes as it may cause side effects in some individuals.
These are the potential skin benefits of Selsun Blue. But how do you use it for achieving the desired results?
How To Use Selsun Blue For Skin
Related: How To Get Rid Of Dandruff Naturally – 18 Tips And Remedies
- Selsun Blue is meant for use on the skin only. Ensure you shake the package before use (as directed on the package). Remove jewelry before using the product. Rinse your hair and scalp before applying the product to treat seborrheic dermatitis or scalp dandruff. Massage the product in and leave it on for the prescribed duration. Check the label to understand if the product can be used on color-safe and processed hair. Keep in mind that each skin or hair care product may have slightly different application instructions, so be sure to look out for those.
- For tinea versicolor, apply selenium sulfide to the affected area. Add a few drops of water to form lather. Leave it on the skin for about 10 minutes and wash off.
- Wash your hands after using selenium sulfide. Do not leave this medication on your hair, scalp, or skin for a longer period. Also, do not use it more often than directed.
- Consult a doctor or pharmacist if your condition worsens or does not improve despite using Selsun Blue.
Note: Do not apply any products containing Selsun Blue into your eyes, nose, or mouth. Avoid applying it to broken or inflamed skin, unless directed by a medical professional, as it may cause swelling and irritation.
The United States approved using selenium sulfide for medical purposes around 1951. The chemical is also included in the World Health Organization (WHO) Essential Medicines List.
Selenium compounds are not easily absorbed through the skin. Hence, using medicated shampoos containing selenium is generally considered safe. However, one may still experience side effects like contact dermatitisi XAn itchy rash on the skin caused by contact with a specific substance or allergen, making the skin red and inflamed. (5). Read to know the other side effects of Selsun Blue in the following section.
Selsun Blue: Side Effects And Precautions
The side effects of Selsun Blue include (6):
- Redness, burning, itching, stinging, and irritation of the skin
- Scalp sores, increased skin oiliness, and nail hyperpigmentation
- Scalp hyperpigmentation
- Scalp discoloration
- Alopecia (hair loss)
- Rarely, nausea may occur due to the medication’s odor
Note: Children aged below five years and women who are pregnant or breastfeeding should not use Selsun shampoo.
Do not use Selsun shampoo if:
- You are allergic (hypersensitive) to selenium sulfide or any of the other ingredients of the medicated shampoo. You should always do a patch test before using it as directed for your condition to ensure that you do not have any sensitivities to the product.
- You have broken or severely inflamed skin
Do you know that food we take contains selenium? But does it make the food healthy or harmful? Keep scrolling to know the answers.
Is It Wrong To Eat Food With Selenium?
No. Selenium is an essential nutrient for humans and animals. People receive a majority of their daily selenium intake from food, and to a lesser extent, from water. However, selenium can be harmful when regularly taken in amounts higher than those needed (6).
The seriousness of the adverse effects depends on how much selenium is taken and how often. Brittle hair and deformed nails can develop even if mildly excessive amounts of selenium are taken over long periods.
Anecdotal evidence suggests that people may also lose feeling and control in their arms and legs in extreme cases. Swallowing a large amount of selenium supplement pills could be life-threatening without immediate treatment.
In A Nutshell
Selsun Blue or selenium sulfide is a common ingredient in anti-dandruff shampoos. The antifungal properties of the ingredient help protect the skin from infections and treat several skin issues. The benefits of Selsun Blue include treating skin conditions like tinea versicolor, dermatitis, rashes, and hyperkeratosis. You can use this ingredient on your skin and hair, but remove your jewelry before using it. Also, do not keep the skin in contact with this ingredient for more than the prescribed duration. It may also cause side effects like discoloration, blistering, and rashes. Finally, always use the product as per the instructions given outside the package or by a doctor.
Frequently Asked Questions
Can you sleep with Selsun Blue on?
No. Leaving Selsun Blue on your skin for too long may result in an allergic reaction (6). Ensure you follow the instructions for safe results.
Can we use Selsun Blue for skin psoriasis?
Yes. Scientific evidence suggests that topical selenium sulfide may effectively improve psoriatic plaques (1).
Does Selsun Blue get rid of white spots on skin?
Yes. Selsun Blue has antifungal properties that may treat the white spots (hypopigmentation) on the skin (7). Consult your doctor for proper instructions and dosage.
Can we use selenium sulfide for burnt skin?
There is currently no research to support the use of Selsun Blue on burnt skin. Consult a doctor for more information.
How long should you leave Selsun Blue on sunspots?
Leave Selsun Blue on the affected areas for 10 to 15 minutes before washing it off with water.
- Selsun Blue (or selenium sulfide) is a common ingredient in anti-dandruff shampoos that also reduces scalp greasiness.
- It works as an antifungal agent and reduces the risk of infections, such as tinea versicolor, flaky scalp, and seborrheic dermatitis.
- Selsun Blue should only be applied to the skin and left on for the prescribed time duration.
Learn how to use anti-dandruff shampoo safely and effectively to clear up acne. Check out this video to get more information.
Articles on StyleCraze are backed by verified information from peer-reviewed and academic research papers, reputed organizations, research institutions, and medical associations to ensure accuracy and relevance. Read our editorial policy to learn more.
- Topical Selenium Sulfide for the Treatment of Hyperkeratosis
- Observations on the Use of Selenium Sulfide and Hydrocortisone Ointment
- Seborrheic Dermatitis and Malassezia species
- A Double-Blind Comparative Study of Sodium Sulfacetamide Lotion 10% Versus Selenium Sulfide Lotion 2.5% in the Treatment of Pityriasis (Tinea) Versicolor
- CONTACT DERMATITIS FROM SELENIUM SULFIDE SHAMPOO
- Tinea Versicolor – An Epidemiology
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90,000 own clinical experience. Scientific section of the IAKI clinic
Konstantinova Veronika Albertovna
Dermatologist, cosmetologist, Institute of Allergology and Clinical Immunology, Moscow
Oxidative stress is considered one of the reasons for the violation of melanogenesis, leading to the development of vitiligo. In the scientific literature, there are reports that melanocytes in the foci of vitiligo retain their viability, but their pigment-forming function is suppressed. Under the influence of some stimuli, they can restore their activity, in particular, a therapeutic effect is noted not only from the use of selective phototherapy with UV radiation, but also from the use of antioxidants.
In this article, the author describes his own clinical experience of successfully treating patients with vitiligo using intradermal injections of an antioxidant cocktail.
Key words: vitiligo, antioxidants, mesotherapy.
Vitiligo is one of the most common types of hypomelanosis. According to official data, it affects from 3 to 6% of the world’s population (the largest number of cases was recorded in Asia and the Middle East). however, in recent years, it appears that the number of patients with vitiligo has been steadily increasing. Recall that dyschromia is manifested by depigmentation spots due to the loss of the ability to produce melanin in certain areas of the skin. This is due to the absence of the tyrosinase enzyme in melanocytes, which stimulates the process of pigment formation. Due to the presence of a pronounced cosmetic defect, patients with vitiligo experience severe stress and psycho-emotional discomfort. This dictates to clinicians and researchers the need to find new ways to treat this disease.
Currently, the lack of a holistic concept of the pathogenesis of vitiligo makes it difficult to develop a unified approach to treatment and predict the clinical course of this disease. In a number of scientific studies of the pathogenesis of vitiligo, various theories are preferred: genetic, neurogenic, autoimmune, the theory of oxidative stress, etc. All these theories have been repeatedly confirmed experimentally, but scientists have not yet come to a consensus. In addition, there are also a number of provoking factors: exposure to UV radiation, psycho-emotional stress, changes in the state of the peripheral nervous system, etc.
Pathogenetic features of vitiligo
In recent years, scientists around the world are increasingly inclined to the leading role of oxidative stress in the development of vitiligo. Man, like other aerobic organisms, needs oxygen for his life. however, a significant increase in the level of oxygen in the tissues is detrimental to aerobes. It is not oxygen itself that has a toxic effect, but its so-called active forms (ROS), some of which are free radicals. Normally, the formation and breakdown of ROS are in a state of balance, and they do not accumulate in cells. The content of ROS can increase with an increase in the rate of their formation or a decrease in the ability of cells to neutralize them. The combination of these processes creates conditions for oxidative stress. At the cellular level, there are disturbances in the functioning of the electron transport chains of mitochondria or microsomes, changes in the activity of enzymes (including dehydrogenases – enzymes that catalyze the reactions of biological oxidation and reduction), lipid peroxidation.
The trigger factor for the formation of ACF in the body is exposure to UV radiation. In moderate doses, it stimulates melanogenesis, which manifests itself in the form of a tan. But with an increase in the intensity and duration of exposure, direct damage to melanocytes is possible, including due to disruption of the work of the cell’s own antioxidant systems . In addition, under the influence of UV rays, the activity of the sympathetic division of the autonomic nervous system increases and the synthesis of catecholamines increases, which suppress the production of melanin, the main chromophore that absorbs UV rays. All this together leads to an increase in the level of ACE in the blood plasma, epidermis, interstitial fluid of depigmented areas of the skin of patients with vitiligo, contributing to the development and progression of the disease.
The drug of choice and treatment tactics
There are reports in the scientific literature that melanocytes in vitiligo foci remain viable, but their pigment-forming function is suppressed. however, under the influence of some stimuli, they can restore their activity . In particular, there is a therapeutic effect from the use of not only ultraviolet (selective phototherapy), but also antioxidants.
The idea of using NCTF135 (FILLMED, Laboratoires Filorga) in the treatment of vitiligo to reduce the effect of oxidative stress on melanocytes arose naturally from the analysis of its composition. it includes a polyrevitalizing complex of 55 active ingredients (13 vitamins, 23 amino acids, 6 minerals, 6 coenzymes, 5 nucleotides, glutathione and hyaluronic acid at a concentration of 0.025 mg/ml). It is known that the antioxidant system of the body is multicomponent and is divided into extra- and intracellular protection. it is represented by non-enzymatic substances (for example, tocopherols, carotenoids, ascorbic acid, uric acid, glutathione) and true enzymes (superoxide dismutase, catalase, transferase, etc.) . If you carefully study the components of the NCTF135 preparation, then it includes glutathione, hyaluronic and ascorbic acids, tocopherol (vitamin e) as antioxidants. All of them are the most important link in the protection of cells from ROS. With an increase in the intracellular concentration of glutathione, the antioxidant protection of cells increases and their trophism improves. In addition to antioxidants, NCTF135 contains hyaluronic acid, which activates neoangiogenesis, improving blood circulation in the injection area. Against this background, the introduced vitamins and microelements are better absorbed, cell proliferation is activated and the main metabolic processes in them proceed more intensively.
NCTF135 is well established in the treatment of a number of skin conditions, but we did not find any mention of the use of intradermal injections of antioxidants in vitiligo lesions. In addition, vitiligo is also absent from the list of indications for the use of NCTF135. Therefore, in this case, we can only talk about “off label” therapy, i.e. use of the drug for indications not approved by state regulatory authorities and / or not mentioned in the instructions for use. It should be noted that many medicines are used in the “off label” mode in modern medical practice in the Russian Federation, so our observation is not something extraordinary from a legal point of view.
Under our supervision there were 7 patients (all women) aged 25 to 54 years. Complaints when applying for rashes in the form of multiple white spots of various shapes and sizes on the skin of the face, neck, trunk and extremities. Most of them have been sick since childhood, one patient noted the onset of the disease during pregnancy. In all patients, rashes (at the time of therapy initiation) were of a progressive nature. Heredity is not burdened: blood relatives do not have vitiligo. Allergological anamnesis is not burdened.
All patients observed by us were examined to rule out concomitant diseases. In particular, a clinical blood test, a biochemical blood test, and thyroid function (including ultrasound) were checked. In all patients, the level of TSH, T3 free, T4 free, AT to TPO and AT to TG was determined in the blood. In 2 out of 7 patients, an elevated level of antibodies to TG was detected (in one patient, the norm was exceeded by 3 times, in the second – by 50 times). both patients were consulted by an endocrinologist with a diagnosis of autoimmune thyroiditis. These patients were observed by an endocrinologist without prescribing symptomatic therapy. No other pathology from the internal organs was revealed. Prior to the start of mesotherapy, the patients received the treatment presented in the table.
- Patient 1: course of vitamin therapy (3 months), 2-month course of topical agents (ointment Protopic 0.1%) 2 times a day. The treatment was completed 4 months before the start of mesotherapy and, according to the patient, had no effect.
- Patient 2: previously used celandine tincture for 1.5 months without any visible effect. The treatment was completed 2 months before the start of mesotherapy.
- Patients 3 and 4: not previously treated. The diagnosis was established initially.
- Patient 5: received a course of selective phototherapy 311 nm (3 times a week, 20 sessions) without visible effect. The treatment was completed 5 months before the start of mesotherapy.
3-month course of vitamin therapy + 2-month course of Protopic ointment 0.1%, 2 times a day
1.5-month course of celandine tincture
not previously treated
not previously treated
1 course selective phototherapy 311 nm (3 times a week, 20 sessions)
1 course of excimer laser (10 sessions) with 1st and 2nd degree burns in the area of lesions
1 course of excimer laser (10 sessions) with 1st and 2nd degree burns in the area of lesions
rice. Fig. 1. Patient 3: vitiligo foci in the area of the hands before (a) and 2 weeks after the course of NCTF135 (B)
rice. Fig. 3. Patient 5: vitiligo lesions in the décolleté before (a) and 2 weeks after the course of NCTF135 (B)
rice. Fig. 4. Patient 7: vitiligo foci in the face and neck before the course of NCTF135 (a, B) and 2 weeks after the end of the course of NCTF135 (c, D)
Patients 6 and 7: received a course of excimer laser (10 sessions each) with 1st and 2nd degree burns in the area of the foci. however, according to the patients, they did not observe repigmentation after restoring the integrity of the skin in the foci. The treatment was completed 8 and 12 months before the start of mesotherapy, respectively.
Despite the lack of clinical improvement after previous treatment, all patients were motivated to undergo mesotherapy.
At the time of examination, depigmented white spots were localized on the skin of the periorbital and perioral areas, neck and décolleté, hands, axillary areas, and inner thighs (Fig. 1a, 2a, 3a, 4a, B). Photofixation of the foci was carried out before the start of therapy and 2 weeks after the 5th procedure.
Before starting therapy, all patients participating in the study signed an informed consent to the off label procedure and permission to publish their photographs in scientific journals.
The course of mesotherapeutic procedures with NCTF135 consisted of 5 sessions with a frequency of 1 time per week.
Previously, Emla cream was used for 30–45 minutes as a local anesthesia for patients. Then the NCTF135 preparation was injected in a volume of 3.0 ml intradermally, by papular technique, at a distance of approximately 1.0 cm from each other (Fig. 5). A 30G × 13 mm needle was used for injections. The duration of the procedure was 15–20 min (excluding the time of anesthesia).
During therapy, all 7 patients showed the disappearance of a sharp border between lesions and healthy skin (“levelling” of the outer boundaries of lesions), as well as complete or partial repigmentation in lesions previously devoid of pigment. natural pigmentation was restored both along the periphery and in the central part of the lesions . Moreover, in 6 patients, spotted (“mosaic”) repigmentation was visually recorded in all lesions in which intradermal injections of the drug were performed (Fig. 1B, 2B, 3B), and in one patient, almost complete repigmentation in the focus at the right corner of the mouth. In addition, in the last patient, on the lateral surface of the neck on the left, the focus decreased in size, was partially repigmented, and was divided into two parts by the isthmus (Fig. 4c, D).
After the therapy, the patients began to notice a decrease in the sensitivity of depigmented lesions to sunlight. Short-term exposure to UV light no longer caused pronounced prolonged hyperemia in the lesions, as it was before treatment. During the mesotherapy course, there were no allergic reactions or exacerbation of the underlying disease (appearance of new spots). At the end of the course of therapy, as a preventive measure, the patients were recommended sunscreens with SPF 50+.
At further follow-up (6 months after the completion of the mesotherapy course), repigmentation in all patients was persistent and accounted for about 30% of the entire affected area. Six months after the 1st course of mesotherapy with antioxidants, 2 out of 7 patients received a second course of mesotherapy with the same drug. As a result, the process of repigmentation in the foci continued and amounted to about 15–20% of the entire area of depigmentation. the remaining 5 people refused to continue treatment due to financial difficulties.
Thus, in total, in 2 patients after two courses of mesotherapy with antioxidants, persistent repigmentation amounted to 50% of the total area of the lesion. This allows us to talk about a persistent effect of repigmentation in vitiligo foci after an injection course of antioxidants, as well as an increasing effect with repeated course use of the drug.
rice. 5. intradermal injections (patient 7) in lesions on the skin of the face (a) and neck (B)
These results clearly demonstrate the effectiveness of combined preparations with antioxidants (in particular, NCTF135) in restoring natural pigmentation in vitiligo lesions. In addition, the positive effect of intradermal injections of antioxidants in the treatment of vitiligo is additional confirmation of the leading role of oxidative stress in the development of this disease.
This technique provides a permanent restoration of pigment in existing stains, solving aesthetic and cosmetic problems. Before starting treatment, it is necessary to inform the patient that mesotherapy does not contribute to the stabilization of the process and does not prevent the appearance of new spots.
Clearly, more and more in-depth clinical studies are needed to bring the diagnosis of vitiligo into the list of indications for the use of drugs like NCTF135. however, it can already be argued that antioxidants have a great future in therapy and solving the aesthetic problems of dermatological patients suffering from vitiligo.
Vitiligo: treatment, causes, symptoms – learn everything about the disease from the doctor of the MEDSI clinic
Vitiligo (leukoderma) is a disease characterized by the loss of natural skin pigmentation due to the destruction of melanin. With pathology, certain parts of the dermis become discolored, which makes the cover mottled. The disease is acquired and actively progresses over time. Age spots on the body, the treatment of which is not carried out in a timely manner, may increase in size. That is why it is very important to see a doctor as soon as possible.
Typically, the disease develops in patients:
- In adolescence
- During menopause
- During pregnancy
The reasons for the development of pathology include prolonged exposure to the sun.
Experts identify other factors that can provoke the appearance of spots on the skin.
- Autoimmune diseases. With such pathologies, antibodies to their own tissues are formed in the body. The main causes of vitiligo are thyroid disorders, rheumatoid arthritis and diabetes mellitus
- Genetic predisposition. If in the family close relatives (fathers, mothers, sisters and brothers) were diagnosed with vitiligo, it is highly likely that you will also have the pathology. Interestingly, people with dark eyes most often suffer from the disease
- Neuroendocrine pathologies. These include both stressful conditions and changes in hormonal levels
- Trophic disorders. Such causes of vitiligo include trauma to the skin and malnutrition of the dermis
- Exposure to certain drugs and chemicals
- Hepatic pathologies
Vitiligo is manifested by the following symptoms:
- Lesions or clear spots of white (milky) color
- Lack of pigmentation on the hands, near the ears, eyes, mouth and nose
- Presence of well-defined spots in patients with dark skin
In some cases, areas above the lips, chin and scalp are affected.
Foci of vitiligo are not the only symptom of pathology.
Also, the signs of pathology include:
- Graying or significant lightening of the hair in certain areas
- Inflammation of the choroid
- Small light spots on the skin
Diagnosis of the cause of vitiligo
Treatment (elimination) of the causes of vitiligo is always carried out only after a thorough diagnosis. It is important to understand that milk spots on the skin are not always symptoms of vitiligo. Pathology is often confused with eczema, dermatitis, lichen, secondary syphilis.
That is why it is very important to conduct a comprehensive diagnosis. It is based on a careful study of the anamnesis, since genetic and other factors play a role in the development of vitiligo. Pathology is always preceded by some disease or disorder in the body.
An accurate diagnosis can be made after a biopsy. This diagnostic technique is based on the sampling of a skin area both from the center and from the periphery of the focus and its careful study. During a histological examination, a specialist reveals signs characteristic only of vitiligo (absence of melanocytes, for example, which produce melanin that stains the skin).
If other skin diseases are suspected, additional examinations are prescribed. These include blood and urine tests, allergy tests, etc.
Having specified the cause of the appearance of age spots on the back and other parts of the body, the doctor prescribes treatment. If comorbidities are found, their therapy is also carried out. As a result of successful treatment, the patient completely gets rid of white spots.
Treatment of age spots of vitiligo is carried out mainly with medication.
Important! When choosing methods of therapy, one should take into account the fact that the pathology affects not only the skin, but also the nervous, endocrine and immune systems.
To eliminate the causes of age spots and treat vitiligo, the following groups of drugs are used:
- Glucocorticoids. These funds are taken to eliminate allergic reactions and inflammatory processes. Patients are prescribed both hormonal ointments and drugs for oral administration. The course of treatment usually lasts 3-4 months. Particular attention in therapy is paid to reducing the side effects of drugs
- Photosensitizers. Thanks to them, the sensitivity of skin cells that produce melanin to ultraviolet radiation increases. After taking the drugs, the skin is irradiated. For this, an ultraviolet lamp
- Means for the elimination of concomitant pathologies (dermatitis, psoriasis, etc.)
Also, the treatment (elimination) of the causes of age spots on the arms, legs, neck and other parts of the body is carried out using:
- Antioxidants that start the recovery processes of valuable substances contained in the skin
- Preparations that compensate for certain vitamin deficiencies to maintain a stable skin color
- Immunomodulators that maintain the overall protective barrier of the body
New in treatment
The treatment of vitiligo is constantly being improved.
Today, laser therapy is actively carried out. It is aimed at treating skin areas without pigmentation with radiation with a wavelength of 308 nm. Such therapy allows you to slow down the development of the pathological process, reduce the area of skin lesions and restore pigmentation. Irradiation with an excimer laser is aimed at:
- Improvement of metabolic processes
- Accelerated production of melanin
- Activation of skin cells that produce melanin
When irradiated, only the affected areas are affected. Healthy skin nearby is not damaged. Due to this, the procedure has almost no contraindications and is absolutely painless. During treatment, the patient feels only warmth and a slight tingling sensation. Such treatment of vitiligo spots is prohibited only for oncology and pregnancy. The result of therapy is a long-term remission. Usually, patients forget about the spots for several years. Then the processing can be repeated.
PUVA therapy is also performed. Such treatment consists in irradiating the patient with ultraviolet light with a wavelength of 320-390 nm with the preliminary use of a drug that enhances susceptibility to it. Procedures are performed in courses, 2-3 sessions per week. PUVA therapy is recommended for patients who have not responded to medical treatment alone and stains extend to more than 30% of the body surface.
Selective phototherapy is also popular. With this treatment, the patient’s skin is irradiated with two types of light rays: medium and long wavelengths. Such rays provide a local effect and increase the number of melanocytes. This prevents the destruction of melanin and starts the process of formation of a new one. The course usually includes 30-50 sessions, which are held 3-4 times a week.
For the treatment of white age spots on the face, after clarifying the causes of their appearance, in some cases, skin whitening is performed. It is important to understand that this therapy is aimed only at masking the existing defect. For treatment, special drugs are used. Many of them are quite aggressive and have a large number of side effects. In addition, the cost of the funds used is quite high.
The most aggressive treatment for vitiligo is skin grafting, which also does not eliminate the causes of the pathology. The method is expensive and traumatic. Patients often experience complications after surgery. In addition, the intervention does not guarantee a lasting effect.
Vitiligo, the treatment of which is carried out professionally and comprehensively, in a specialized medical center by experienced specialists, almost always gives the desired result. That is why we strongly recommend contacting professionals!
Advantages of treatment in MEDSI clinics
Treatment of vitiligo in Moscow in our clinics is carried out:
- Experienced professionals. They have all the necessary skills and knowledge to eliminate not only the external manifestations of the pathology, but also its causes
- Only after careful visual examination, history taking, biopsy and histology
- With laser light phototherapy. For therapy, the Excilite µ system (“Exilite mu”) is used, which is a representative of the latest generation equipment and has already proven itself in European countries
- Painless and safe for the patient, in the shortest possible time and in comfortable conditions
- Using only highly effective comprehensive programs and proven methods
In order to undergo treatment for vitiligo, just call us at +7 (495) 7-800-500 and make an appointment with a dermatologist.