Vitiligo And Skin Diseases.: September 2013

Friday, September 20, 2013

World Vitiligo Day - 2013(WVD)

World Vitiligo Day 2013 was made extra special this year by the participation of support groups and organizations from all over the world , but it was made extra special by the participation of individuals who , in many different countries , really went all out do their bit to help spread awareness and raise the profile of the campaign.Obviously , as a non profit advocacy organization , we had very little funding to work with and couldn't make T-shirts , but it didn't matter as the WVD T-shirt challenge got a fantastic response from literally hundreds of people all over the world , sporting their own WVD T-Shirts to help spread the message. Thank you to everyone that printed , designed , made their T-shits , you are all awesome.

Last year World Vitiligo Day was focused on rome and had a great response and this year in Detroit the Henry Ford Hospital and vitiligo treatment centre team with Dr.Henry Lim and other many more Vitiligo support groups and vitiligo Research foundation really managed to put together a wonderful event that really did make it a special and high profile day.

The press conferences was held , In recognition of the efforts of those in Detroit to raise vitiligo awareness , the mayor of Detroit and the governor of Mishigan were both moved to give official proclamations declaring the Detroit and the state of Michigan Officially recognize World Vitiligo Day.

Support group from all over the world held World Vitiligo Day support meeting and events including events in puerto Rico , USA , South Africa , UK , France and Germany .In Boston , Following World Vitilgo Day the Boston city Council delivered a resolution in support of the VITFriends efforts in increasing awareness and offering education about Vitiligo.

Through out this year there will be events focused on awareness and also focused on research and filling new treatments happening all over the world . We will be keeping track of these as they happen and keeping everyone up to date. World Vitiligo Day 2014 will be coming from Sao Paolo in Brazil .

Thursday, September 19, 2013

About My Result With This Medicine :-

Hello guys , These are medicines that are preferred by doctor(Dr.lalan) to me.

Melgain

Mesoral-10

Medrol(16 mg)

Metasone

UVB

I use melgain(liquid) every night 1-2 hours before going to sleep and in morning 15-20 minutes sunbathing is important . Mesoral-10 is tablet that i take 3 days a week and after having tablet , UVB is necessary after 2 hour . Medrol(16 mg) is also a tablet i take 2 days a week. Every morning after sunbath Metasone cream is layered over white patches. This is my routine and i have adopted to these medicine. Consult with your doctor about these medicine.

Tuesday, September 17, 2013

UV Ray :- http://www.youtube.com/watch?v=XnrnDSlS48I

UV Ray Phototheraphy :-

1.Narrowband UVB :- Now considered the gold standard of treatment for vitiligo covering more than 20% of the body . Narrowband UVB (NB) uses the portion of the UVB spectrum from 311-312 nm. This region has been determined to help stimulate pigment cells to produce melanocytes in less time than it takes to burn the skin . Any kind of light therapy has a suppressive effect on the immune system , so it can possibly stop new areas from forming as well. NB can be done in the doctor's office with a full-body cabinet or, with a doctor's prescription , from home using a full-length panel or a handheld device . The handheld are very convenient for small areas of vitiligo but are too tedious and cumbersome to use for larger percentages as they cover a very small area at a time . NB is sometimes used in combination with other topical treatments, but is effective for many on its own. NB can be used on children old enough to stand still and keep goggles on . Results are often seen beginning between 30 to 60 treatment is usually given 3 time a week. Potential side effects of NB include burning if used for too long. If using a full-body panel or box , the normal skin may tan , increasing the contrast . Only full sized body units provide the immune suppression needed for stabilization that may halt further pigment loss , a the handheld units only treat isolated areas . As long as the patient is old enough to understand that they must keep their eyes closed at all times , and has as annual eye exam , research has shown that it is safe to expose the eyelid to NB-UVB light . The exception to this would be if a psoralen had been used.

2. Psoralen Plus UVA Light (PUVA) :-

Formerly the gold standard of treatment , PUVA has mostly been surpassed by NB-UVB as NB-UVB is at least as effective and has fewer side effects . The psoralens are typically taken orally , but can also be used topically . A UVA light box or sun may be used to provide the light component . Melaginina that is available in countries outside the US is a psoralen and must be used with caution and under a doctor's care .Treatments are usually given 3 times per week . Side effects of PUVA include burning , stomach upset , liver issues , and cataracts . To prevent the possibility of cataract formation you must wear sunglasses , which protest your eyes against UVA , for 12-24 hours after taking the tablets. Sunglasses labeled uv 400/UVB/UVA protection 100% are recommended. PUVA is used less often in children because of the risk of side effets.

Mometasome Furoate Cream USP 0.1 :- http://oppsvitiligo.blogspot.com

Mometasone Furoate Cream USP 0.1:-

Mometasone Furoate Cream USP , 0.1% contains mometasone furoate , USP fordermatologic use. Mometasone furoate is a synthetic corticosteroid with anti-inflammatory activity.

Chemically , mometasone furoate is 9alpha ray,21-Dichloro-11beta ray , 17-dihydroxy-16alpha ray-methylpregna-1,4-diene-3,20-dione 17-(2-furoate), with the empirical formula C27H30cl2o6 , a molecular weight of 521.4 and the following structural formula :

Mometasome furoate is a white to off-white powder practically insoluble in water , slightly soluble in octanol , and moderately soluble in ethyl alcohal.Each gram of mometasone furoate cream USP , 0.1% contains 1 mg mometasone furoate , USP in a cream base of hexylene glycol , phosphoric acid , propylene glycol strearate , stearyl alcohol alcohol and ceteareth 20 , titanium dioxide , aluminum starch octenylsuccinate , beeswax ,white petralatum , and purified water .

CLINICAL PHARMACOLOGY :-

Like other topical corticosteroids , mometasone furoate has anti-inflammatory , anti-pruritic , and vasoconstrictive proporties. The mechanism of the anti-inflammatory activity of the topical steroids , in general , is unclear . However , corticosteroids are thought to act by the induction of phospholipase A2 inhibitory proteins , collectively called lipocortins . It is postulated that these proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor arachidonic acid. Arachidonic acid is released from membrance phospholipids by phospholipase A2.

Dosage and Administration :-

Apply a thin film of mometasome furoate cream USP , 0.1 % to the affected skin areas once daily . Mometasome furoate cream USP , 0.1 % may be used in pediatric patients 2 years of age or older . Since safety and efficacy of mometasone furoate cream USP , 0.1% have not been adequately established in pediatric patients below 2 years of age , its use in this age group is not recommended . As with other corticosteroids , therapy should be discontinued when control is achieved . If no improvement is seen within 2 week , reassessment of diagnosis may be necessary . Safety and efficacy of mometasone furoate cream USP , 0.1% in pediatric patients for more than 3 week of use have not been established.

Sunday, September 15, 2013

Medrol -https://vitiligo.see.me/

Methyprednisone-Medrol (16 mg)

Methylprednisolone is a steroid that prevents the release of substance in the body that cause inflammation. Methylprednisolone is used to treat many different inflammatory conditions such as arthritis , lupus , psoriasis , ulcerative colitis, allergic disorders , gland (endocrine) disorders , and conditions that affect the skin , eyes , lungs , stomach , nervous , system , or blood cells.

Methylpredisolone may also be used for purposes not listed in this medication guide. You should not use methylprednisolone if you are allegic to it , or if you have fungal infection anywhere in your body.Methylprednisolone can weaken your immune system , making it easier for you to get an infection. Steroids can also worsen an infection you already have , or reactivate an infection you recently had. Tell your doctor about any illness or infection you have had within the past several week.

To make sure methylprednisolone is safe for you , tell your doctor if you have ;

Heart disease , High blood pressure , Kidney or liver disease (especially cirrhosis); a history of tuberculosis ; a parasite infection (pinworms); Glaucoma or cataracts ; a recent head injury; Stomach ulcers , ulcerative colitis , or diverticulitis ; a thyroid disorder; low bone mineral density ( steroid medication can increase your risk of bone loss) ; depression or mental illness ; a muscle disorder such as myasthenia gracis ; seizures or epilepsy.It is not known whether medrol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Saturday, September 14, 2013

Methozsalen Tablets (Mesoral-10) -https://vitiligo.see.me/

Methozsalen Tablets (Mesoral-10) VIDEO <= click here:-

Merhoxsalen (also called xanthotxin , marketed under the trade names Oxsoralen , Deltasoralen , Meladinine ) is a drug to treat Psoriasis , eczema , vitiligo , and some cutaneous lymphomas in conjunction with exposing the skin to UVA light from lamps or sunlight . Methoxsalen modifies the way skin cells receive the UVA radiation , allegedly clearing up the disease. The dosage comes in 10 mg tablets ,which are taken in the amount of 30 mg 75 minutes before a PUVA (psoralen + UVA) light treatment . Chemically , methoxsalen belongs to a class of organic natural molecules known as furanacoumarins. They consist contents :-

1. Natural occurrences

2. Biosynthesis:

a.Synthesis of umbelliferone

b.Synthesis of methoxsalen

3. Risks and side effects

4. Cultural aspects

5. References.

# Natural occurrences :-

Methoxsalen is extracted from Ammi majus , a Plant of the family Apiaceae. The substance is also present in other Apiaceae Biosythesis.

The biosynthetic pathway is a combination of the shikimate pathway , which produces umbelliferone , and the mevalonate pathway.

Synthesis of umbelliferone

Umbelliferone

Umbelliferone is a phenylpropanoid and as such is synthesized from L-pheylalanine , which in turn is produced via the shikimate pathway. Phenylalanine is lysated into cinnamic acid , followed by hydroxylation by cinnamate 4-hydroxylase to yield 4-coumaric acid. The 4-coumaric acid is again hydroxylated by cinnamate/coumarate 2-hydroxy to yield 2,4- dihydroxy-cinnamic acid (umellic acid) followed by a bond rotation of the unsaturated bond adjacent to the cardoxylic acid group. Finally an intermolecular attack from the hydroxyl group of c2 to the carboxylic acid group closes the ring and forms the lactone umbelliferone.

Synthesis of methoxsalen

Dimethyallyl pyrophosphate.

The biosynthetic route then continues with the activation of dimethylallyl pyrophosphate (DMAPP) , produced via the mevalonate pathway , to form a carbo-cation via the cleavage of the diphosphates . Once activated , the enzyme umbelliferone 6-prenyltranferase catalyzes a C-alkylation between DMAPP and umbelliferone at the activated position ortho to the phenol , yielding demethylsuberosin. This is then followed by a hydroxylation catalyzed by the enzyme marmesin synthase to yield marmesin. Another hydroxyation is catalyzed by psoralen synthase to yield psoralen .A third hydroxylation by the enzyme psoralen 8-monooxygenase yields xanthotoxol which is followed by a methylation via the enzyme xanthotoxol 0-methyltransferase and s-adenosyl methionine to yield methoxsalen.

# Risks and side effects :-

Patients with high blood pressure or a histroy of liver problems are at risk for inflammation and irreparable damage to both liver and skin . The eyes must be protected from UVA radiation . Side effects include nausea , headaches , dizziness , in rare cases insomnia. Methoxsalen has also been classified as an IARC Group 1 carcinogen but only cancerous when combined with Ultra Voilet-A radiation.

Thursday, September 12, 2013

MELGAIN - https://vitiligo.see.me/

MELGAIN :- Anybody Wanna Help

Vitiligo/Leucoderma/white patches of skin are an acquired loss of pigment resulting in white patches of skin . It affects all races and is referred to as an acquired idiopathic , macular , total loss of pigmentation of skin . This disorder is wide spread and its incidence may be higher in india , Asian and middle east countries.

Melgain is uses for vitiligo (for external use only). Local application of melgain on vitiligo patches produces normal pigmentation by stimulating the multiplication of pigment producing cells ,melanocytes , at the root of hair and at the edges of the vitiligo/white patch and their migration. Melgain is effective alone or in combination with other modules of treatment . No contraindications or side effects have been reported. The local application of melgain on punch grafted vitiligo patches also accelerates re-pigmentation many fold.

Melgain is made up of :- Each ml contains Deca-peptide-1mg (Isopropyl alcohol , Myristate and Glycol-Q.S.)

How to use =>

1. Melgain is presented in a glass bottle with Gufic roller (Separately packed in a pouch).

2. Gently open out the 'teflon plug' the comes along with the bottle.

3. Hold the bottle firmly and replace the plug with the roll on provided in the pouch(placed inside the cartoon).

4. After ensuring proper fixing of the roll-on,gently move the roll on to apply the lotion on the affected area.

Result =>

With the above regimen the pigmentation response can be noticed in most cases in about 3 to 6 months in the form of pigmentation at the boarders or inside the patches as dots of pigment. Significant re-pigmentation in about 80 % of patients has been reported after one year of treatment as mono-therapy.For more fast result exposure to sunlight or the treated patches may be exposed to UV lamps which are commercially available.

About vitiligo in my life. :) -https://vitiligo.see.me/

VITILIGO WITHIN ME

Vitiligo is disease that effect skin then force pigmentation of skin to fail and white patches are created . There is no care....... that's not true . I am vitiligo patient and my hobby was to be soldier but due to vitiligo my aim just cracked.Here goes my story and how i am able to fight back?

FIG .a

FIG .b

FIG .c

I don't want to break my aim and myself . I was about 13 when i got white patches on my back and neck. Doctor told me it was 'Fungal Infection' so they suggests me"Ketonal"(fig.1). It was great Shampoo(Ketonal) within 3 weeks all thing was back with me but the action was not over, when i was 14 , again white patch knock my body this time it break inside me from my leg. I tried same medicines as before but this time it failed totally. My sister used to work at Skin hospital so, she take me for check up. First of all, Doctor said"I was in initial stage so, not to worry." . He provided me with herbs medicines named 'pigmento' and 'Ludoil' both have bad smell , i was 14 so white patches was no problem for me. I was unaware that white patch was increasing . Suddenly, i get cut in leg then it didn't heal instead it leave huge white patch on my leg(fig .b). Still, non of family including me was that such serious.

Few year past away. While i was bathing i notice that i got white patches and i started counting them. There were 13(2008) white patches(fig .c). Now i was full of fear so, i ask my mom (soft voice) "I got white patches on my leg and chest." Mom makes fun of mine, "Not to worry boy , Girl will like you, Anyway girl like white boys." I just shy and ran to upstairs . My elder sister was busy in laptop so, i said to my another sister about white patches she wish to have a look then she notice that it was increasing faster and faster so, she decided to take me to Doctor again. This time Doctor was more serious i was able to notice that from his body language.

How the regimentation occurs

Doctor said "These are vitiligo (dhubi)." I wasn't scared nor anybody in that room but i just came to know new guest name of my body.Then i started to have high medical care that include 3 tablet (all sucks) , 2 creams and U.V ray.I am still using these medicine and it's been about 2 months(2013) and Now i am able to see brilliant result but uh i still think my aim to be soldier will crash anyway , better i grab good aim . What you say guys?

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