Wednesday, September 28, 2011

Professor Zou Xianbiao on prev

Vitiligo is a common multiple of pigmented skin disease usually does not endanger the patients lives but affects artisticly, operative treatment methods have made some progress in recent years. On April 28, the medical Forum network invited to the first affiliated hospital of Chinese PLA General Hospital Dermatology Zou Xianbiao Director interviews with guest experts, analysis of netizens have Vitiligo related issues.  Interviews focused on common surgical treatment for Vitiligo, contraindications, and the latest progress in these areas. Professor Zou noted that the surgical treatment of Vitiligo is almost ten years of the new methods of treatment, surgery there are many ways, the current domestic common methods of main body, black pigment by epidermal cell culture suspension law transplant and implantation of epidermal cells suspension. Among them, limbs epidermal grafting method of simple and intuitive, apply at least six months or more the rash appears and no new area of spots smaller patients, this operation and quick, epidermal survival rate up to 95%.  Culture conditions of melanoma cell suspension graft law requires higher, more difficult to separate, and implantation of epidermal cells suspension have an advantage in this regard.  General indications for surgery in treatment of Vitiligo is hospitalized in stable condition and lesions in patients with small, avoiding surgery for advanced, preventing Vitiligo with reaction. Progress in treatment of Vitiligo, there are treatments there is drug therapy, drug therapy, phototherapy, surgical therapy and therapy of Chinese medicine. Among them, outside the medication most commonly used is the hormone, its therapeutic mechanism is to use the hormone “ side effects ” the blackening of the skin, but to prevent atrophy of the skin, so clinicians should pay attention to the frequency and duration of drug use in medication. Immunomodulator common beauty of Tacrolimus and Tacrolimus. Preparation of vitamin D3 derivative commonly used the card three alcohol and his card parking West of alcohol, such drugs can be alone and you can also use hormones or immunomodulator therapy.  Treatment can be smoked or psoralen tincture in treating.  Immunomodulator main medicine drug and hormone drugs, oral administration of hormones on child Vitiligo Vitiligo treatment in patients with short term spread faster or better, a common dose is 0.3 mg/kg bw. Commonly used is a narrow-band UVB phototherapy treatment, such treatment has side effects is small, the effect of high photosensitive drugs, do not eat and advantages of the short exposure time and suitable for children.  , 308 nm excimer lasers for short-term effect good, immune regulation effects, but costs. TCM focus on overall regulation, clinicians common integrated medicine therapy for Vitiligo.  In General, clinicians should according to different situation choice in patients with different treatment methods, course of treatment is typically 3 to six months, before taking a single treatment, if the effect is not obvious, then double or triple therapy, and stressed that appropriate individual treatment. Vitiligo causes many, have inherited, autoimmune factors, melanin cell self-destruction theory, trauma, mental factors, as well as trace elements such as the lack of, in which spirit and traumatic factors is a major factor, so in terms of prevention and treatment of Vitiligo, the patient must pay attention to their own emotional adjustment, to have a regular life and balanced diet. Video link: interview with expert 17th Zou Xianbiao – prevention and treatment of Vitiligo    

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