Przegląd Dermatologiczny

Abstract

1/2019 vol. 106
Special paper

Vitiligo. Diagnostic and therapeutic recommendations of the Polish Dermatological Society

  1. Department of Dermatology, Sexually Transmitted Diseases and Immunodermatology, Faculty of Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
  2. Department of Dermatology, Sexually Transmitted Diseases and Clinical Immunology, University of Warmia and Mazury, Olsztyn, Poland
  3. Department of Dermatology and Venereology, Medical University of Bialystok, Poland
  4. Chair and Department of Dermatology, Venereology and Pediatric Dermatology, Medical University of Lublin, Poland
  5. Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Poland
  6. Department of Aesthetic Dermatology, Pomeranian Medical University, Szczecin, Poland
  7. Department of Dermatology, University of Rzeszow, Poland
  8. High-Med Specialist Clinic, Warsaw, Poland
  9. Department of Dermatology, Medical University of Warsaw, Poland
Dermatol Rev/Przegl Dermatol 2019, 106, 1–15
Online publish date: 2019/03/19
View full text
Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
Vitiligo is an idiopathic chronic dermatosis manifested by depigmented patches of skin due to the loss of normal pigment-producing cells (melanocytes) and pigment (melanin). The disease develops more commonly in genetically predisposed individuals affected by various adverse external and internal factors inducing cellular stress in melanocytes. Cellular stress activates autoimmune and autoinflammatory mechanisms leading to melanocyte destruction. The disorder affects 0.5–4.0% of the world population, with no predilection for either sex. Manifestations can appear at any age, however in more than half of patients vitiligo starts before the age of 20 years. The course of the disease is varied – from stable cases with small isolated vitiligo patches to the rapid progression of lesions resulting in large areas of the skin being affected. There are multiple methods of treating vitiligo including pharmacological and surgical modalities, and phototherapy. Another essential aspect is patient education. Available treatment methods do not always yield the expected therapeutic effect. The Recommendations contain information about the diagnosis of vitiligo, and describe the recommended therapeutic methods.
Share
without publication fees
without publication fees