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Behandlungsoptionen in der Praxis

Therapie der Vitiligo

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ästhetische dermatologie & kosmetologie Aims and scope

Das Spektrum der Therapiemöglichkeiten bei Vitiligo hat sich in den letzten 10 Jahren deutlich erweitert, und wir können unseren Patienten, gestützt durch europäische Leitlinien und Konsensusfindung, wirksamere Behandlungsstrategien anbieten. Die topische Therapie und die UV-Therapie sind die wichtigsten Komponenten der Vitiligobehandlung, die häufig kombiniert werden. Die wichtigsten Zielparameter sind Ausmaß und Dauer der Repigmentierung, das Anhalten der Progression, Vermeidung von Nebenwirkungen und die Besserung der Lebensqualität. Die Wirksamkeit der derzeit verfügbaren Behandlungen ist oft nicht ausreichend. Neue Optionen umfassen antioxidative und melanozytenstimulierende Adjuvanstherapien meist in Kombination mit UV- oder Laserlicht sowie eine topische Erhaltungstherapie zur Rezidivprophylaxe. In vielen Fällen ist eine begleitende psychologische Betreuung sinnvoll.

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  1. Stiftung zur Förderung der Hochschulmedizin, Fetscherstr. 74, 01307, Dresden, Deutschland

    Michael Meurer

  2. Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus, Dresden, Deutschland

    M. Schild

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Meurer, M., Schild, M. Therapie der Vitiligo. ästhet dermatol kosmetol 9, 27–37 (2017). https://doi.org/10.1007/s12634-017-5517-9

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