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The assessment of quality of life should always be made during the first consultation, because there may be a difference between patient��s and physician assessment of severity, and it should be followed during treatment to assess the patient��s satisfaction. Studies suggest that vitiligo imparts a mental and emotional burden comparable to that of chronic hand eczema or psoriasis, and that women tend to suffer more than men. Vitiligo patients also experience sexual difficulties and a variety of psychological problems, such as adjustment disorder, sleep disturbance, depression, anxiety, and so-called ��dysthymia��.

Clinical variables, such as duration, facial or chest involvement, unsuccessful previous treatment, darker skin type, and the extent of disease may predict a poorer quality of life. In fact, vitiligo may be, or may become, a psychologically devastating disorder. The fact that it typically occurs in exposed areas (face and hands) has a major impact on self- esteem and perception of the self. In many societies, vitiligo is poorly understood and is believed to be a sign of leprosy or sexually transmitted infection. In these societies, women with vitiligo have difficulty getting married and finding educational and vocational opportunities according to their skills. Many patients worry about the disease worsening, have their social life affected, and feel embarrassment, depression, and shame. 

Correct information on vitiligo (extended to non-affected subjects, media system and to the Authorities) will rapidly change this outrageously and incredible discriminated attitude against the alteration of the color of the skin. Vitiligo support groups and the VRF are committed to fighting against all irrational feelings and behaviors which negatively impact the quality of life of vitiligo patients all over the world.

Author: Prof. Torello Lotti, MD

www.kerneluvb.com-- the leader manufacturer of uv phototherapy.