48 years female depigmented patches around areola of both breast since 1 year. Another patch on leg. what is the diagnosis. which management is the best.

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AREOLAR VITILIGO, Segmental Vitiligo, affecting Both Areolae--- If Oral N Topical Medications don't work--- - Here is da best treatment is PERFORMING SURGERY--- - The Epidermal layer of da Skin of Areolae should be Carefully Dissect N Excised on Both Side N Excised Areolar Skin should be sent to da Pathology Department for Histopathology Examination. - In such cases, Surgical Therapy Must B Considered Only after Proper Medical Therapy N da lesions R Stationary N No - More Progress--- - Surgical techniques, Including--- - Blister Grafting - Pinch Grafting - Autologous Melanocyte Transplantation - Surgical Tattooing

Aero large, segmental vitiligo.
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Vitiligo TREAT- Deca peptide lotion (melgain) topical application.two times a day Tacroliumis 03 /0.1%+ oint placentax gel locally apply night Oral theropy.... Trisalxin 10 mg & Multivitamins.... once a day 2 to 4 months

Yes Dr. Dhara It's SEGMENTAL VITILLIGO It could be due to hypersensitivity reaction of polyester straps of Bra. Before going to treatment Avoid contact allergens. And before surgical procedures, try needling therapy. It is economic OP procedure. And good respond in short time.

Can u tell about needling therapy sir?
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Vitiligo Depigmentation macules with scalloped margin and form geographical pattern are suggestive features. Rx Oral PUVA/NB UAV as per guidelines. Tacrolimus topically. Placental extract topically. Levamisol weekly.

Vitiligo. Sir homoeopathic treatment gives best result in such cases if proper selection of remed

Vitiligo

Vitiligo

Vitiligo

Vitiligo

Dx is vitiligo do a WLE and you will see BRIGHT BLUISH WHITE FLUORESCENCE AROUND LESION....@Dr. P.kishore Kumar please correct me if I'm wrong

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