Vitiligo Treatment in Practice
Léčba vitiliga v praxi
Autorka po shrnutí recentních poznatků o etiopatogenezi uvádí praktický postup pro vyšetřování pacienta s vitiligem, příslušné diferenciální diagnózy, algoritmus základní anamnézy a dalších vyšetření, včetně laboratorních. V přehledu informuje o současných dostupných možnostech léčby, které rozlišuje podle indikace pro jednotlivé typy vitiliga. Podrobněji rozebírá pro praxi nejčastěji použitelné metody - lokální kortikosteroidy a fototerapii, kde prezentuje zahraniční i své klinické zkušenosti. Informuje o perspektivních lécích a metodách pro lokální terapii i fototerapii, mikrochirurgických i depigmentačních technikách. Probírá otázky kvality života pacientů s vitiligem a zdůrazňuje význam edukace a oboustranné motivace pacienta i lékaře.
Klíčová slova:
vitiligo - diferenciální diagnostika - vyšetřování - léčba
Authors:
N. Benáková
Authors‘ workplace:
Sanatorium Achille Praha, vedoucí lékař MUDr. N. Benáková
Published in:
Čes-slov Derm, 81, 2006, No. 5, p. 282-289
Category:
Pharmacologyand Therapy, Clinical Trials
Overview
Author summarizes recent knowledge about vitiligo etiopathogenesis and introduces practical scheme of patient examination, differential diagnosis, algorithm of basic patient’s history and further examination including laboratory tests. Author reviews the contemporary available therapeutic modalities which are differentiated according to specific vitiligo types and discusses in details the most common methods – topical corticosteroids and phototherapy with regard to her as well as international experience. Perspective drugs and topical therapy, phototherapy, microsurgery and depigmentation techniques are also mentioned. The quality of life of patients with vitiligo is discussed and education as well as bilateral doctor and patient motivation are stressed out.
Key words:
vitiligo – differential diagnosis – examination – therapy
Labels
Dermatology & STDs Paediatric dermatology & STDsArticle was published in
Czech-Slovak Dermatology
2006 Issue 5
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