Leucoderma, also known as vitiligo, is a distressing skin condition. The word literally means white skin. There is a gradual loss of the pigment melanin from the skin layers which results in white patches. These patches look ugly, especially in persons with a dark complexion. The condition can affect the skin on any part of the body. It can also affect hair and the inside of the mouth.
This disease is caused neither by any germs, nor is it due to bad blood. It is considered to be neither infectious nor contagious. Normally, the color of hair and skin is determined by melanin. Vitiligo occurs when cells that produce melanin die or stop functioning. We don’t know exactly why this happens. It might be an autoimmune condition, where your body’s defenses turn on your own cells instead of attacking invading germs.
Unfortunately, currently there is no cure for leucoderma. It is easiest to treat symptoms in the early stages of the condition. Therefore, it is best to consult with a doctor as soon as vitiligo is suspected. A doctor may prescribe a corticosteroid topical medication which can be effective, especially in its early stages. Another treatment doctors use is Psoralen, which is extracted from the seeds of the psoralea corylifolia L. plant, also known as Bakuchi. This substance is used with UV light or UV laser therapy and has been shown to be a very effective combination.
Symptoms of Leucoderma
Small White Patch Appear in Beginning
The problem usually starts with a small white spot which later develops into patches. These patches are pale in the beginning, but become whiter and whiter as time passes by due to loss of pigment. As the spots enlarge, they merge into each other and, in course of time, form a very broad patch. In some cases, most of the skin of the body may be covered with white patches.
Patchy loss of skin color, which usually first appears on the hands, face, and areas around body openings and the genitals
- Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard
- Loss of color in the tissues that line the inside of your mouth and nose
- Vitiligo can start at any age, but usually appears before age 30.
Causes of Leucoderma
It’s difficult to predict how your disease will progress. Sometimes the patches stop forming without treatment. In most cases, pigment loss spreads and eventually involves most of your skin. Occasionally, the skin gets its color back.
- Excessive Mental Worry, Chronic or Acute Gastric Disorders
People with vitiligo may be at increased risk of:
- Social or psychological distress
- Eye problems
- Hearing loss
Your doctor will ask about your medical history and physical examine your skin, possibly with a special lamp. Your evaluation might also include a skin biopsy and blood tests.
The choice of treatment depends on your age, how much skin is involved and where, how quickly the disease is progressing, and how it’s affecting your life.
If you and your doctor decide to treat your condition with a drug, surgery or therapy, the process may take many months to judge its effectiveness. And you may have to try more than one approach or a combination of approaches before you find the treatment that works best for you.
- Drugs that control inflammation. Applying a corticosteroid cream to affected skin might return color. This is most effective when vitiligo is still in its early stages.
Corticosteroid pills or injections might be an option for people whose condition is progressing rapidly.
- Medications that affect the immune system. Calcineurin inhibitor ointments, such as tacrolimus (Protopic) or pimecrolimus (Elidel) might be effective for people with small areas of depigmentation, especially on the face and neck.
1. Light therapy.
2. Combining psoralen and light therapy. This treatment combines a plant-derived substance called psoralen with light therapy (photo chemotherapy) to return color to the light patches.
3. Removing the remaining color (de-pigmentation). This gradually lightens the skin so that it blends with the discolored areas. The therapy is done once or twice a day for nine months or longer
- Skin grafting.
- Blister grafting.
- Cellular suspension transplant.
Diet for Leucoderma
Well-balanced Diet – The patient may, thereafter, gradually embark upon a well-balanced diet of seeds, nuts, grains, vegetables, and fruits. This diet may be supplemented with cold-pressed vegetable oils, honey, and yeast. Juice fasting may be repeated at intervals of two months or so. drinking lots of water.
Avoid Tea/Coffee, Polished Rice, Tinned or Bottled Foods etc. The patient should avoid tea, coffee, alcoholic beverages, all condiments and highly- flavoured dishes, sugar, salt white flour products, denatured cereals like polished rice and pearled barley, and tinned or bottled foods.
You should also subtract pizzas, refined confectionery, sweets, and spicy food from your diet.
· Vegetables such as brinjal, pumpkin, arbi leaves, rajma, chole etc are bad in such cases.
· For the full cure, just obstruct non-vegetarian stuffs from your diet.
- Protect your skin from the sun and artificial sources of UV light.
- Conceal affected skin.
- Don’t get a tattoo.
ACCORDING TO AYURVEDA It is the skin disease known as “Shwitra Kushta”. According to Ayurveda, leucoderma is caused by the aggravation of pitta dosha.
Home Remedies for Leucoderma
. Leucoderma Treatment Using Psoralea The best-know home remedy for leucoderma is the use of seeds of psoralea (babchi). These seeds should be steeped in the juice of ginger for three days. The fluid should be renewed every day. The seeds should then be rubbed with the hands to remove the husks, dried in the shade and powdered. One gram of this powder should be taken every day with one cup of fresh milk for forty days continuously.
· Leucoderma Treatment Using Red Clay Another useful remedy for leucoderma is red clay found by the river side or on hill slopes. The clay should be mixed in ginger juice in a ratio of 1:1, and applied over the white spots once a day. The copper contained in the clay seems to bring back skin pigmentation.
· Leucoderma Treatment Using Radish A paste made from the seeds of the radish is valuable in treating leucoderma. About thirty-five grams of these seeds should be powdered in two teaspoons of vinegar and applied on the white patches.
· Leucoderma Treatment Using Goose Foot The use of goose foot is beneficial in the treatment of this disease. This vegetable should be taken twice daily, in the morning as well as in the evening, for two months continuously. Simultaneously, the juice of the leaves should be applied over the patches of leucoderma.
· Leucoderma Treatment Using Turmeric Turmeric mixed with mustard oil has also proved useful in leucoderma. About 500 gm of turmeric should be pounded and soaked in 8 litres of water at night. It should be boiled in the morning till only one litre of water is left, and then be strained and mixed with 500 ml of mustard oil. This mixture should be heated till only the oil is left. It should then be strained and preserved in a bottle. The mixture should be applied on the white patches every morning and evening for a few months.
- Tab. Haridra 1-2 tab. Twice in a day
- Pancha Tikt Ghrit Guggulu 2 tab twice in a day
- Mandukaparmi Churna 3-5 gm twice in a day
- Chalmoogra oil for local application
- Neem leaves for oral use and Neem oil for Local use
- Kahdira in power 3-5 gm twicr in a day or qwatha form 15-20 ml with equal amount of water
- Chandanaasaw 25 ml with equal amount of water
- Tankana Bhasama 250 mg trice daily
- Immunomodulatory herbs like Geloy , Tulasi , Ashwagandha. 2-2 tab twice in a day
- Immusante tablet 1 tab twice in a day
- Bhastrika pranayama– 5 minutes
- Kapalbhati pranayama– 15-20 minutes
- Bhramri pranayama– 5 minutes
- Anulom vilom pranayama– 15-20 minutes
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