Meurer M, Schild M
Stiftung zur Förderung der Hochschulmedizin in Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus, Dresden, Deutschland.
Hautarzt. 2016 Mar;67(3):249-64. doi: 10.1007/s00105-016-3768-4.
The range of treatment options for vitiligo has significantly expanded in the last 10 years and we can offer our patients more effective treatment strategies supported by European guidelines and consensus findings. Topical and UV therapy are-often in combination-the main components of vitiligo treatment. The main outcome parameters include extent and maintenance of gained repigmentation, cessation of spreading, avoidance of side effects and the influence of the treatment on the quality of life. The efficacy of the currently available treatments is often limited. New options include antioxidative or melanocyte-stimulating adjuvant therapies in combination with UV or laser light as well as a topical maintenance treatment to reduce the risk of recurrences. In many cases, psychological support is indicated.
在过去10年中，白癜风的治疗选择范围显著扩大，我们可以为患者提供更多由欧洲指南和共识结果支持的有效治疗策略。局部治疗和紫外线治疗通常联合使用，是白癜风治疗的主要组成部分。主要的疗效参数包括色素再生的范围和维持情况、白斑停止扩散、避免副作用以及治疗对生活质量的影响。目前可用治疗方法的疗效往往有限。新的选择包括抗氧化或刺激黑素细胞的辅助疗法与紫外线或激光联合使用，以及局部维持治疗以降低复发风险。在许多情况下，需要给予心理支持。
