Vitiligo diet:Foods to eat and avoid

Vitiligo is caused by a lack of skin pigmentation known as melanin, For some the condition is hereditary. Most commonly seen on the neck, hands and face because they tend to be the most exposed to the sun which can accelerate the process. The actual underlying cause, though, is due to the lack of Melanin in your skin. Melanin is produced by melanocytes, and if your body has an insufficient amount of these it will stop producing the required amount of melanin.

Some key points to a vitiligo diet include, boosting the immune system with foods rich in phytochemicals, beta carotene, and antioxidants to slow down disease progression; avoiding foods that contain hydroquinones, which have depigmentation properties; avoiding citrus fruits and turmeric as they can result in additional skin problems; and avoiding red meat and dairy, especially if you have an allergy, as they can negatively impact your vitiligo.

There may not be enough scientific evidence to prove how these foods worsen leucoderma (vitiligo) but our clinical experience has shown that many patients report worsening of their vitiligofrom these items and hence they are better avoided.

Surgical Therapies for Vitiligo

Vitiligo is a chronic skin disorder that causes areas of skin to lose colour. It presents as depigmented (white) patches. Exposed body sites, such as the face, elbows, knees, hands and feet, are often involved, resulting in significant cosmetic concerns. Vitiligo is usually treated with creams and tablets, or by phototherapy. Vitiligo may fail to improve or clear with these treatments.

Surgical therapies can be used for areas of stable vitiligo. There are a variety of grafting and transplant procedures used. Small grafts of skin can be removed from normal skin that is in an unseen area and grafted onto areas with vitiligo. Light is often used to stimulate the pigment to spread beyond the grafted area. Some regions, like India, are using small samples of normal skin and culturing either melanocytes or a combination of melanocytes and keratinocytes that are then spread over the areas of vitiligo that have been abrased to allow the cells to penetrate. The area is covered with a dressing for some period of time. Surgical therapies can often be used with success on segmental vitiligo, as the vitiligo is usually stable after the initial spread. Due to the risk of the skin trauma activating the vitiligo, surgical therapies are rarely performed unless the patient has been stable for at least a year. Side effects of these surgical therapies can be spreading in the area where the graft/sample is taken, a cobblestone or patchwork effect, or scarring.
Surgical therapies include grafts and transplants:
Mini-punch grafting takes small full-thickness grafts and places them in the depigmented area, with topical PUVA used to stimulate pigmentation. The main downside is a cobblestone effect.
Thin split-thickness grafts take a thinner slice but are similar to the mini-punch grafting. They require general anesthesia and are often successful for the lips/hands. Scarring may occur in both donor and grafted areas.
Suction blister grafting separates the epidermis from the dermis with a suction device that causes blisters. The epidermis is then placed on an abraded vitiligo area. Areas between the grafts may remain hypopigmented, but scarring is usually minimal.

Transplant therapies include transplantation of pure melanocytes or melanocytes and keratinocytes together. In either technique the area with vitiligo that is to receive the transplant is roughed up or abraded, sometimes with a laser, then a dressing with the melanocyte mixture is placed on the site and covered until the area heals. Some form of light is often used to help stimulate the pigment to spread out.
Learn more vitiligo causes,symptoms and treatment

Early Signs (symptoms) of Vitiligo

Vitiligo is a skin condition in which the skin loses melanin, the pigment that determines the color of your skin, hair and eyes. Vitiligo occurs when the cells that produce melanin die or no longer form melanin, causing slowly enlarging white patches of irregular shapes to appear on your skin. And the truth is, there is no known cure for this disease. All that can be done is try and control its symptoms, the white patches. It is not a communicable disease.

Any part of the body may be affected by Vitiligo, depigmentation usually develops first on sun exposed areas of the skin, such as hands, feet, arms, face and lips. Genitals also may be affected. It can start to appear at any age, Vitiligo usually first appears between the ages of 10 and 30. Vitiligo generally appears in one of three patterns – Generalized. In this most frequent subtype, pigment loss is extensive across many parts of the body, often evenly.

Segmental loss of skin color happens on only one side of the body. This is more inclined to happen at a younger age, progress for a year or two, and then stop.
Focal depigmentation is limited to one or a few areas of the body.
The areas most commonly affected by vitiligo include:
the skin around your mouth and eyes
fingers and wrists
armpits
groin
genitals
inside your mouth
It can also sometimes develop where there are hair roots, such as on your scalp. The lack of melanin in your skin can turn the hair in the affected area white or grey.
Vitiligo often starts as a pale patch of skin that gradually turns completely white. The centre of a patch may be white, with pale skin around it. If there are blood vessels under the skin, the patch may be slightly pink, rather than white.

The edges of the patch may be smooth or irregular. They're sometimes red and inflamed, or there's brownish discolouration (hyperpigmentation).
Learn about : how to cure vitiligo

Zhongke Vitiligo Hospital - Vitiligo Casuse ,Vitiligo Cure

Vitiligo is a long term skin condition characterized by patches of the skin losing their pigment. The patches of skin affected become white and usually have sharp margins. The hair from the skin may also become white.
Casuses of Vitiligo
The cause is typically unknown. It is believed to be due to genetic susceptibility that is triggered by an environmental factor such that an autoimmune disease occurs. This results in the destruction of skin pigment cells. Risk factors include a family history of the condition or other autoimmune diseases, such as hyperthyroidism, alopecia areata, and pernicious anemia. Vitiligo is classified into two main types: segmental and non-segmental. Most cases are non-segmental meaning they affect both sides and typically get worse with time. About 10% of cases are segmental meaning they mostly involve one side of the body and do not typically worsen with time. Diagnosis can be confirmed by tissue biopsy

The Experts of Beijing Zhongke Vitiligo Hospital think that the vitiligo treatments take 3 steps.

1.First of all, we will control the development

2.Secondly,Repigmentation.

3.Thirdly, prevent relapse

Those 3 steps are a comprehensive therapy?

Vitiligo looks like a skin disorder, actually which is a melanocyte disease. It is caused by the local skin melanocytes’ apoptosis or necrosis. The melanocyte likes a seed if it can work which depends on the surrounding environments of local skin immune, blood, and trance element, etc.
The existing environment disorder will lead the apoptosis, which is caused by the whole internal organs’ disorder.

There is a conclusion through a great deal of clinic cases: vitiligo treatments should never only focus on the skin white spot symptoms, indeed which refers to blood, immune system, trance element, even the internal organs’ function. Through this theory, you should have known why vitiligo is hard to be cured? Why it is easy to relapse? Do you?
Therefore, we have studied a system of modern feature therapy based on above triggers, the new treatment system is named as UM-D curative system which includes traditional Chinese medicine (TCM), western treatments, and modern medical equipment. With this medical theory, many patients have been cured around the world.


Treatment Cycle
This treatment cycle takes 15-20 days, which is not fixed, but it depends on your time basically. The treatment cost is about $ 8000-12000.
Vitiligo Pictures

Vitiligo Hospital : Vitiligo Causes and Symptoms

Vitiligo, a relatively common skin condition, is sometimes linked to hearing loss, autoimmune diseases, or other disorders.
When a person has vitiligo, melanocytes are destroyed and blotches of white skin may appear on the body. Lack of melanocytes may even turn hair white in affected areas.
What causes Vitiligo?
There is no known cause of vitiligo, reports NIH. However, there is some speculation that it might be an autoimmune disease, which occurs when a person's immune system attacks some parts of their own body.
Some researchers believe that the melanocytes might be destroying themselves. Meanwhile, others think that vitiligo can be caused by a single event like a sunburn or emotional distress, although there is no evidence to prove this hypothesis.
What are symptoms of vitiligo
The main sign of vitiligo is pigment loss that produces milky-white patches (depigmentation) on your skin. Other less common signs may include:
Premature whitening or graying of the hair on your scalp, eyelashes, eyebrows or beard
Loss of color in the tissues that line the inside of your mouth (mucous membranes)
Loss or change in color of the inner layer of your eye (retina)
Although any part of your body may be affected by vitiligo, depigmentation usually first develops on sun-exposed areas of your skin, such as your hands, feet, arms, face and lips. Vitiligo generally appears in one of three patterns:
Focal. Depigmentation is limited to one or a few areas of your body.
Segmental. Loss of skin color occurs on only one side of your body.

Generalized. Pigment loss is widespread across many parts your body.

Which is the Best Cure Vitiligo ?

How do dermatologists treat vitiligo?
If you have vitiligo, you should discuss treatment options with your dermatologist. There are many treatment options. The goal of most treatments is to restore lost skin color.
Here are some key facts about treatment options to help you start a conversation with your dermatologist. The type of treatment that is best for you will depend on your preference, overall health, age and where the vitiligo appears on your body. Some people choose not to treat vitiligo.
1. No medical treatment (use cosmetics to add lost color):
Cosmetic options include makeup, a self-tanner and skin dye.
Offers safe way to make vitiligo less noticeable.
Often recommended for children because it avoids possible side effects from medicine.
Drawbacks: Must be repeatedly applied, can be time-consuming, takes practice to get natural-looking result.
2. Medicine applied to the skin:
Several different topical (applied to the skin) medicines can repigment the skin.
Prescribed for small areas.
The most commonly prescribed medicine is a potent or super-potent topical corticosteroid. About half, 45 percent, of patients regain at least some skin color after 4 to 6 months.
A topical corticosteroid may be combined with another medicine to improve results.
Topical medicine works best in people with darkly pigmented skin.
Topical medicines are most effective on certain areas of the body, such as the face. They are least effective on the hands and feet.
Not all topical medicines should be used on the face.
Drawbacks: These medicines have possible side effects, so patients must be carefully monitored. A possible serious side effect of using of a topical corticosteroid for a year or longer is skin atrophy. This means the skin becomes paper thin, very dry and fragile.

3. Light treatment for Vitiligo :
Uses light to repigment the skin.
Patient may sit in a light box or receive excimer laser treatments.
Light box used to treat widespread vitiligo; laser used to treat small area.
Works best on the face; least effective on hands and feet.
Effective for many patients; about 70 percent see results with excimer laser.
Results can disappear. About half, 44 percent, see results disappear within 1 year of stopping treatment. After 4 years, about 86 percent lose some color restored by treatment.
May cause patients with darkly pigmented skin to see areas of darker skin after treatment, but treated skin usually matches untreated skin within a few months.
Requires a time commitment. Patients need 2 to 3 treatments per week for several weeks.
May be combined with another treatment such as topical corticosteroid.
4. PUVA light therapy for vitiligo :
Uses UVA light and a medicine called psoralen to restore skin color.
Psoralen may be applied to the skin or taken as a pill.
Can treat widespread vitiligo.
About 50 percent to 75 percent effective in restoring pigment to the face, trunk, upper arms and upper legs.
Not very effective for the hands or feet.
Time-consuming, requiring treatment at a hospital or PUVA center twice a week for about 1 year.
Psoralen can affect the eyes, so this treatment requires eye exams before starting treatment and after finishing treatment.
To help prevent serious side effects, patients need to be carefully monitored.
Learn more Acupuncture can treat vitiligo
5. Surgery for Vitiligo:
May be an option when light therapy and medicines applied to the skin do not work.
For adults whose vitiligo has been stable (not changed) for at least 6 months.
Not for children.
Not for people who scar easily or develop keloids (scars that rise above the skin).
Different surgical procedures available. Most involve removing unaffected skin or skin cells and placing where need pigment.
Can be effective for 90 percent to 95 percent of patients.
Possible side effects include failure to work, cobblestone-like skin and infection.
6. Unconventional treatment for Vitiligo:
Some vitamins, minerals, amino acids and enzymes have been reported to restore skin color in people who have vitiligo.
Most have not been studied, so there is no evidence to support these treatments and no knowledge of possible side effects.
Ginkgo biloba, an herb, has been studied in a clinical trial. Results from this trial indicate that the herb may restore skin color and stop vitiligo from worsening.
In the ginkgo biloba trial, 10 patients given ginkgo biloba had noticeable or complete return of skin color. Two patients taking the placebo (contains no active ingredient) also had noticeable or complete return of skin color.

Because some patients taking the placebo regained their skin color, more study is needed.

Natural Cure For Vitiligo By Chinese Medicine 

UM-D treatment is a combination of traditional Chinese medicine and modern advanced instruments. It is the herb medicine, not like the hormone medicine, anti-immune, anti-inflammation medicine. The Chinese herbs come from the nature medical plants and animals. The human body has five main internal organs like heart, liver, spleen, lung, and kidney. And in the nature there are five elements like gold, wood, water, fire, and soil. Those five elements influence and work with each other. In the same way, the five internal organs also have the same relation. That means the people also related to the nature, and human body is also a part of the nature. If we have any problem showed on skin surface, which is related to the internal organs.

So the Chinese doctors will adjust the immune disorder and internal organs disorder. The nature herbs can be used to oral herb medication, five element bath, Chinese medical steam therapy, and other types of combined treatment.

Learn about :
The best Chinese Medicine Vitiligo Hospital

Vitiligo - Effective Treatments - The Best Cure for Vitiligo

Vitiligo (vit-uh-lie-go) causes the skin to lose color. Patches of lighter skin appear. Some people develop a few patches. Others lose much more skin color.
Vitiligo is not contagious. It is not life-threatening. But, vitiligo can be life-altering. Some people develop low self-esteem. They may no longer want to hang out with friends or develop serious depression. Most people have vitiligo for life, so it’s important to develop coping strategies.
If you have vitiligo, you should discuss treatment options with your dermatologist. There are many treatment options. The goal of most treatments is to restore lost skin color.
Here are some key facts about treatment options to help you start a conversation with your dermatologist. The type of treatment that is best for you will depend on your preference, overall health, age and where the vitiligo appears on your body. Some people choose not to treat vitiligo.
Vitiligo is easy to spread,so without proper treatment, it will be easy to aggravate. And here are some introductions of our treatment,hope it will be helpful.
Our treatment is called UM-D. It is a combination of traditional Chinese medicine and modern advanced instruments. Although the herb medicine with a long time history and long term effect. But it is the medication so it shows a slow effect. Then we also introduced some of the latest treatments.
Light treatments like UV light, 308 nm excimer laser. The medication include tablet to adjust immune system and injection and infusion. The Chinese medical therapy is to remove the blood toxin, so we also used the superoxide O3 to remove the blood toxin directly.
It combined the Chinese treatments as well as the modern therapy, there are the advantages of both the two types of treatments.
It is safe and long term treatment without side effect. And it is a fast treatment to show effect, because there are a system of treatments, not only the cream and anti-immune and anti-inflammation medications.

If you don't believe our hospital can cure vitiligo ,you can our treatmens Cases pictures - Vitiligo Pictures

Vitiligo On Face - How To Treat Vitiligo Naturally

Leukoderma- the skin whitening disease is a gradual loss of pigment melanin from the skin layers resulting white patches on the surface of skin. Vitiligo is also a specific kind of leucoderma which has been used interchangeably with leukoderma. Leukoderma the distressing skin disease doesn’t make any organic harm as it is caused neither by germs nor due to bad blood.

This is a picture of Vitiligo on the face. Complete loss of melanin, the primary skin pigment, occurs for unknown reasons. The resulting lesions are white in comparison to the surrounding skin. Vitiligo may occur in the same areas on both sides of the face (symmetrically) or it may be patchy (asymmetrical). The typical vitiligo lesion is flat (macular) and depigmented, but maintains the normal skin texture. The dark areas around the eyes are this person's normal skin color.
For cosmetic and social reasons, patients with vitiligo always have a concern of spreading vitiligo on the face, the most visible area, as it can affect the self-esteem of the person.

Natural Herbal Treatments
Natural herbal treatments for vitiligo , notes nutrition researcher "Prescription for Nutritional Healing." Katuki is an herbal remedy that is commonly prescribed for vitiligo by practitioners of ayurvedic medicine, which is the traditional healing system of china. chinese medicine is used to help reduce the negative health effects of stress, while ginkgo may help retard the vitiligo disease course. Many non-herbal supplements may also be helpful in treating this condition, including vitamin B complex, essential fatty acids and silica.

Although several herbs have traditionally been used in treating vitiligo, not all natural herbal treatments may have been rigorously evaluated using conventional scientific testing methods. Some herbs may not be appropriate for this condition, especially if you have certain allergies or medical conditions. Herbal remedies may interact with your prescription medication, so it is always wise to discuss herb-related issues with a qualified health care provider before using herbs. A health care practitioner trained in herbal medicine can assist you in selecting herbal remedies that are best for you.

learn about how to cure vitiligo on hand

Vitiligo Treatment By Chinese Medicine Vitiligo Hospital

Vitiligo is the limitations of acquired a disfiguring skin disease.The lack of melanocyte lead to the depigmentation of local skin,mucosa and hair on the human body and head,and appear the white spot or patch on the skin.

Human skin is made of epidermis cuticular layer,dermis and subcutaneous tissue with appendant organ.Epidermis cuticular layer divide into five layers from shallow to deep strata:cuticle,stratum lucidum,stratum granulosum,pricle cell layer and basal layer.Keratinocyte cells and Non kerarinized cells constitute the epidermis, Keratinocyte cell can produce proteins,there are tonofilaments with desmosome in the cytoplasm,and Non kerarinized cells have no tonofilaments ,the cytoplasm is dendritic without desmosome.Non kerarinized cells include Langerhans cells ,melanocyte and Merkel cells and so on.
Melanocyte with the function of synthesis and secretion of melanin.Melanin is through the melanocyte dendrites to the cutin forming cells.Skin color is determined by the amount of melanin in cutin forming cells.Melanin produced by melanocyte.
Beijing Zhongke vitiligo hospital specialized in vitiligo diagnosis and treat, did many science researches and become the professional institution enjoy the most concern and support in the world health organization in the Asian-pacific region.
· In the may 2014, the 67th world health assembly passed a strategy on traditional medicine during the period of 2014-2023, urged governments in all countries to attach importance to the role of traditional medicine in health to further improve the normative and security of the traditional medicine help to promote vitiligo treatment by combining traditional Chinese and western medicine treatment.
· In China Beijing zhongke vitiligo hospital had authority about combining traditional Chinese and western medicine treatment of vitiligo have attracting many experts from home and abroad come to study and establish multiple co-operations. Successively co-operated with the old expert technical center, Chinese academy of sciences, the capital medical university friendship hospital and medical treatment, RCP, the university of Washington school of medicine skin disease reach center, dermatologist association of Canada hospital and other scientific research institutions to build the scientific research and remote diagnosis and treatment platform.

Beijing Zhongke Vitiligo Hospital takes the honorable responsibility of professional and technical innovation,clinical practice ,teaching output,demonstration and expansion as a symbolic flag in the leucoderma industry.Facing the leucoderma pathology factors which includes diversity,complexity,variability,we must use a set of the personalized examination ,diagnosis and treat and recovery differentiated system,so that we can fulfill the recovery results as soon as possible.To establish the first technical creative institution -- China North Leucoderma Medical Hospital, introduce different new diagnosis and treat methods.For instance,”Leucoderma CAS Melanin Gene Intervention Therapy” and “China Technical UM-D Multidimensional Recovery System” which had been branding not only in China but also over abroad and experts around the world were at present at the meeting of “China Technical UM-D Multidimensional Recovery System”results workshop.The achievement and clinical effects have been reported by China Central Television official authorities.

What Is Vitiligo ？ Why Do You Have Vitiligo

Vitiligo is quite a common condition which makes the skin, and sometimes the hair, turn white in patches. This is because melanocytes, the cells which give the skin its colour, have been damaged.

Vitiligo is a auto-immune disease.Unfortunately, doctors still have not been able to point out the exact cause for this condition. What doctors try to do instead is boost the melanin production in body and restore the skin color.
Vitiligo is not contagious. If you have the condition, you cannot pass it on to someone else by touching them and it is not infectious. Vitiligo is considered to be an ‘autoimmune’ condition in which the immune system attacks the body’s own tissues.

The most common form of vitiligo appears in symmetrical form (generalised vitiligo) affecting both sides of the body. In some cases only one half of the body is affected (segmental vitiligo); this type has limited progression and is more difficult to treat. Vitiligo can spread to cover the entire body surface (universal vitiligo) but this is not usual.

The way the condition develops varies from one person to another and it is unpredictable. Some people may not notice a change in their condition for many years; for others it can spread quite quickly. In some cases, the white patches can regain their colour without the person having any treatment. This is more likely with children. However, it is very unusual for the condition to be resolved completely without treatment.

Vitiligo affects at least one person in every hundred throughout the world, including in the UK.

Anyone can develop the condition, whatever their skin colour or ethnic origin.

Vitiligo can begin at any age but about 50% of people develop it before the age of twenty.

Beijing Zhongke Vitiligo Hospital - Symptoms and Signs of Vitiligo?

The typical symptom of Vitiligo is a milky white de-pigmented spot or spots. It may vary from a single white spot to multiple spots. The shape too is a variable; round or irregular in shape. In some cases generalized de-pigmentation observed all over the body. It has a tendency to start as a single spot and gradually grow in size and number. It may present with a single or several spots on limbs or abdomen or back and then spreading to other parts of the body. In some of the vitiligo patches the hair may turn grey suggesting of loss of melanin pigment at the roots.

Vitiligo has certain symptoms and telltale signs that should alert patients and their physicians. Some of the symptoms and signs of vitiligo are:
Sudden discoloration in any part of the body leaving milky white patches on the skin.
Premature whitening of scalp hair, eyebrows & eyelids and beards.
Loss of color in the tissues inside ones’ mouth or inner layer of the eyes.
The discoloration often affects areas that are directly exposed to sunlight such as the hands, feet, arms, face and lips. Other areas to that may get affected with Vitiligo are,
Armpits
Around the lips
Navel
Nostrils
Genitals
Eyes
Rectal areas
How Vitiligo Spreads?
The spread of vitiligo is governed by various factors such as
1. Genetic activity
2. Hormonal factors
3. Continued Stress factors

4. Exposure to chemicals, etc. Many patients may start with just a single spot and may not get more spots for many years or for throughout life time. Some patients may show rapid spread, as fast as from one spot to hundreds, in a few months time. It is not possible to predict the pace of spread. Also, some patients may show intermittent spread. It may be noted form experience that those who pace certain body areas affected such a finger tips, are at higher risk of having an aggressive spread; it is not a rule though. Some patients may present with grey hair, suggesting loss of pigment in the hair.

What Are Facts Of Vitiligo

Vitiligo is a disorder in which white patches of skin appear on different parts of the body. This happens because the cells that make pigment (color) in the skin are destroyed. These cells are called melanocytes . Vitiligo can also affect the mucous membranes (such as the tissue inside the mouth and nose) and the eye.

Vitiligo Facts
Vitiligo is an autoimmune disorder and not merely a “cosmetic” problem.
Vitiligo affects the immune system and manifests itself as a change in skin color presenting as white patches on the skin.
There is no known cure.
There is very little research funding for vitiligo to better understand the disease and develop new treatments.
Many of the currently available treatments are not covered by insurance.
70 million people across the world have vitiligo.
There are no boundaries of race, ethnicity or gender.
Vitiligo is difficult to hide. This disease is misunderstood and the isolation people with vitiligo feel can be crippling.
Anyone—children and adults representing all ethnicities— can get vitiligo at any time
20-35% of patients are children
Nearly 1% of the population are affected.
Vitiligo is NOT contagious
Psychologically devastating, many patients feel isolated and devastated by its impact on their relationships and personal and professional lives.
Various treatments, including topical creams and light therapy, can help some patients

More treatments and research are needed.

How To Best Cure Vitiligo

Leucoderma is a condition that causes skin to lose its pigmentation or colour. As a result, people with vitiligo have white patches on the skin. In an advanced stage, most of the body skin can lose its pigmentation.
Current treatments, such as steroid creams and light therapy, fall short as they are “not reliably effective in reversing the disease.” Researchers from Yale University used an existing FDA-approved medication for rheumatoid arthritis called tofacitinib citrate to successfully treat a patient suffering from vitiligo.

Leukoderma or vitiligo is more commonly found in women than in men. Impaired hepatic functions like jaundice, burn injuries, worms and other parasites in the alimentary canal, acute mental worry, gastric disorders, typhoid and faulty perspiratory mechanism are some of the main causes for vitiligo. Moreover, hereditary factors also affect the formation of leukoderma. Padanjali Ayurvedics offers the best treatment for vitiligo for more than a decade. Dr. Parameswaran Nair, a well known vitiligo expert in ayurveda medicine provides vitiligo natural treatment for major and minor vitiligo, child vitiligo, vitiligo on lips, hands, back, wrist, neck etc.
Agnijith, a natural medicine for vitiligo, is scientifically proven for its capability to produce pigmentation in areas lacking color. The medicine is very effective for preventing vitiligo by blocking the loss of pigment cells from the skin. The medicine is also a cream with high anti-microbial properties, which is easily absorbed by the skin and increases blood circulation at the capillary level.

For leukoderma and vitiligo treatments contact our doctor through telephone or sent us a mail with full details of the skin disease and photographs of the patches. The doctor will fix a treatment period and provide complete guidance on the usage of medicine.