Vitiligo
https://en.wikipedia.org/wiki/Vitiligo


Non-segmental vitiligo

Ang vitiligo ay minsan maaaring sinamahan ng puting buhok.
relevance score : -100.0%
References
Vitiligo: A Review 32155629Ang Vitiligo ay isang pangkaraniwang sakit sa balat na nagdudulot ng mga patak ng puting balat dahil sa pagkawala ng mga melanocytes. Ipinakikita ng kamakailang pananaliksik na ito ay isang sakit na autoimmune. Bagamat madalas itong itinuturing na kosmetikong isyu, maaari itong lubos na makaapekto sa kalusugang pangkaisipan at sa pang-araw-araw na buhay. Noong 2011, inuri ng mga eksperto ang isang uri na tinatawag na segmental vitiligo bilang hiwalay sa iba.
Vitiligo is a common skin disorder that causes patches of white skin due to the loss of melanocytes. Recent research shows it's an autoimmune disease. While it's often seen as a cosmetic issue, it can deeply affect mental well-being and daily life. In 2011, experts classified a type called segmental vitiligo separately from others.
Advances in vitiligo: Update on therapeutic targets 36119071 NIH
Ang mga aktibong pasyente ng vitiligo ay may ilang opsyon sa therapy, tulad ng systemic glucocorticoids, phototherapy, at systemic immunosuppressants. Ang mga pasyenteng may matatag na vitiligo ay maaaring makakuha ng ginhawa mula sa topical corticosteroids, topical calcineurin inhibitors, phototherapy, at mga pamamaraan ng grafting. Ang mga kamakailang pag-unlad sa pag-unawa sa mga pinagbabatayang proseso ng vitiligo ay nagbunsod ng pagbuo ng mga target na therapy. Sa kasalukuyan, ang JAK inhibitors ang pinaka‑promising, dahil nag‑aalok ito ng mahusay na tolerability at functional na resulta, kahit na may panganib ng pag‑activate ng nakatagong impeksyon at systemic side effects na karaniwan sa ibang immunosuppressive agents. Ang patuloy na pananaliksik ay naglalayong tukuyin ang mga pangunahing cytokine na kasangkot sa pagbuo ng vitiligo (IFN-γ, CXCL10, CXCR3, HSP70i, IL-15, IL-17/23, TNF). Ang pagharang sa mga cytokine na ito ay nagpakita ng pangako sa mga modelo ng hayop at ilang pasyente. Bukod pa rito, isinasagawa ang mga pag-aaral sa miRNA‑based therapeutics at adoptive Treg cell therapy.
Current models of treatment for vitiligo are often nonspecific and general. Various therapy options are available for active vitiligo patients, including systemic glucocorticoids, phototherapy, and systemic immunosuppressants. While stable vitiligo patients may benefit from topical corticosteroids, topical calcineurin inhibitors, phototherapy, as well as transplantation procedures. Recently, a better understanding of the pathophysiological processes of vitiligo led to the advent of novel targeted therapies. To date, JAK inhibitors are the only category that has been proved to have a good tolerability profile and functional outcomes in vitiligo treatment, even though the risk of activation of latent infection and systemic side effects still existed, like other immunosuppressive agents. Research is in progress to investigate the important cytokines involved in the pathogenesis of vitiligo, including IFN-γ, CXCL10, CXCR3, HSP70i, IL-15, IL-17/23, and TNF, the blockade of which has undergone preliminary attempts in animal models and some patients. In addition, studies on miRNA-based therapeutics as well as adoptive Treg cell therapy are still primary, and more studies are necessary.
○ Paggamot
#Phototherapy
#Excimer laser
#Tacrolimus ointment