VITILIGO CONCERNS TO BE ADDRESSED

1) Will it spread in spite of treatment?
•Yes, in progressive cases of vitiligo, it can spread. Therefore its very important to clarify to the patient in the case history itself that yours is a case of progressive vitiligo and can spread in spite of treatment. It is a very unpredictable illness. However if the patient is regular with the medicines, the rate of progress can be slowed down. In case of patients using steroids, tapering of the steroids can lead to the spots coming back and hence should not be mistaken as disease or medicinal aggravation

2) Will it get completely cured?
The cure depends on the following factors
a)Chronicity- more chronic, bad prognosis
b)Extent of spread- generalised bad prognosis, focal and segmental-good prognosis
c)Location- muscular araes better prognosis then lip-tip, joint areas better prognosis as compared to allopathic view
d)Associated autoimmune disease- uncontrolled thyroid or diabetes bad prognosis, hence regular investigations and treatment
e)Suppression by steroids

3) Will it recur back after going away completely?
Generally no recurrence but if some triggering factor, then can come back, but with homeopathy recovery can be faster.

VITILIGO PROGNOSIS

Bad Prognosis
•Strong Family History
•High Stress levels
•Association with other autoimmune disorders like Thyroid, DM, Pernicious Anemia
•Type- Generalised Vitiligo,Spreading or Progressive Vitiligo
•Location- Lip tip, Joint prominences, Perorificial, non hairy areas
•Chronicity

Good Prognosis
•Young people
•Compliant with medications
•No Family History
•No H/O Major Stressors in Life
•Hairy areas affected
•Type- Stable Vitiligo, Focal or Segmental Vitiligo
•Location- Hairy areas, Muscular areas, Vitiligo on Exposed areas
•Stable Emotional Status

CAUSES OF SQ VITILIGO

1)Lip-tip, bony prominences, joints
2)Progressive cases, spreading vitiligo
3)Long term vitiligo
4)Uncontrolled stress about diseases and personal issues
5)Associated autoimmune diseases and deficiencies
6)Poor lifestyle- alcoholism, smoking, improper diet
7) Changes in life- puberty, menopause
8) Diseases like Typhoid, malaria
9) Anxiety about the disease and outcome
10)Suppression by allopathy, ayurveda or homeopathy
11) Strong Family History
12) Perceptional SQ