Was ist Vitiligo?
Bei der Weißfleckenkrankheit (Vitiligo) kommt es stellenweise zu einem Verlust des braunen Haut-Farbstoffes Melanin. Die Ursachen dieser Pigmentstörung sind nicht genau bekannt. Neben einer erblichen Veranlagung spielt möglicherweise eine Fehlregulation des Immunsystems eine Rolle. Wieso das Immunsystem die Melanozyten angreift, ist nicht bekannt. Auffällig ist, dass der Verlust des Pigmentes oft halbwegs symmetrisch auftritt (rechte und linke Körperhälfte).
Vitiligo ist nicht ansteckend. Die Hautveränderungen an sich stellen normalerweise auch kein gesundheitliches Problem dar. Viele Patienten empfinden sie jedoch als kosmetisch störend. Leider haben Betroffene auch immer noch mit Vorurteilen in ihrer Umgebung zu kämpfen.
Vitiligo kann mit einer Pilzerkrankung, der Pityriasis versicolor verwechselt werden. Diese Pilze (Malessia furfur) besiedeln die Haut vor allem im feuchten Milieu und treten deshalb vor allem bei Sportler/innen auf. Behandlung ist hierbei ziemlich einfach: Anti-Fungales Duschgel/ Shampoo und nach 2 Wochen ist der Pilz verschwunden. Die weißen Stellen können jedoch noch mehrere Monate länger bestehen, da sich das Pigment erst nachbilden muss.
Wer bekommt Vititigo?
Vitiligo ist eine relativ häufig auftretende Erkrankung, die meist zwischen dem 10. Und 30. Lebensjahr erstmalig auftritt. Grundsätzlich können sich die weißen Flecken an jeder Körperstelle bilden, jedoch zumeist beginnt die Erkrankung an den Händen, den Füßen oder im Gesicht. Auch behaarte Körperstellen und sogar Schleimhäute können betroffen sein. Manchmal ist schon eine Vorerkrankung wie Diabetes, Augen oder Schilddrüßenerkrankungen bekannt. Der bekannteste Promi mit Vitiligo war Michael Jackson, der sich anscheinend nur wegen seiner Erkrankung die Haut bleichen lies.
Warum entsteht Vitiligo?
Die Ursache von Vitiligo ist noch immer nicht gänzlich geklärt. Sowohl eine genetische, vererbbare Komponente als auch eine auto-immunologische Komponente werden diskutiert. Bei der auto-Immunologischen Komponente geht man davon aus, das körpereigene Antikörper Melanozyten zerstören. Man weiß jedoch nicht genau, welche Antikörper Vitiligo auslösen und warum nur spezielle Areale betroffen sind. Dementsprechend kann man auch keine Ursache, sondern nur die Symptome behandeln.
Wie wird Vitiligo behandelt?
Vitiligo ist leider nicht heilbar und wird deshalb vorwiegend symptomatisch behandelt.
- Ärzte setzen hierbei oft auf Lichttherapie. Dabei wird die Haut mit einer speziellen Wellenlänge (UV-B) bestrahlt um die Bildung von Pigment anzuregen. In manchen Fällen kann diese Anregung zu einer Bräunung der weißen Flecken führen, in den meisten Fällen bleibt dieser Ansatz jedoch leider ohne Erfolg. Wer anspricht und wer nicht, kann man leider im Vorhinein nicht sagen.
- Verstärken kann man diese Lichttherapie mit Psoralene. Diese spezielle Creme erhöht die Lichtempfindlichkeit der Haut und kann somit die Wirkung der UV-A Strahlen verstärken (PUVA-Therapie).
- Ein essentieller aber oft leider zu wenig beachteter Faktor ist der Sonnenschutz. Einerseits können auch Vitiligo- Patienten Hautkrebs entwickeln und als zweiten, für den meisten fast noch wichtigeren Faktor, wird die umgebende Haut weniger gebräunt. Dadurch erscheinen die weißen Flecken weniger markant.
- Zusätzlich dazu kann man durch eine lokale Hemmung des Immunsystems, wie z.B. durch Kortison-Cremen oder Calcipotriol einen positiven Einfluss auf die Vitiligo-Bildung haben. Diese Behandlungen zielen darauf ab, die immunologische Komponente von Vitiligo zu hemmen.
- Als neue Methode, die noch nicht ausgereift ist, steht die Operation. Hierbei werden die betroffenen Hautstellen durch Derm-Abrasion entfernt. Ähnlich zu einer Schleif-Maschine wird die oberste Schicht der Haut entfernt. Danach kann man entweder eigene Haut oder Melanozyten aus nicht-betroffenen Stellen transplantiert. Diese Behandlung ist noch keine Standard-Therapie und wird nur selten angewandt. Sie sollte nur bei hohem Leidensdruck der Patienten angewandt werden.
DISCLAIMER
Dieser Artikel erhebt keinen Anspruch auf Vollständigkeit und liefert lediglich einen Anhaltspunkt. Bitte frage deinen betreuenden Arzt um eine belastbare Diagnose und die entsprechende Therapie zu erhalten.
Thoma, W., H‐J. Krämer, and P. Mayser. „Pityriasis versicolor alba.“ Journal of the European Academy of Dermatology and Venereology 19.2 (2005): 147-152.
Boissy, R. E., and J. J. Nordlund. „Vitiligo: current medical and scientific understanding.“ Giornale italiano di dermatologia e venereologia: organo ufficiale, Societa italiana di dermatologia e sifilografia 146.1 (2011): 69-75.
Bystryn, Jean-Claude, and Susan Pfeffer. „Vitiligo and antibodies to melanocytes.“ Progress in clinical and biological research 256 (1988): 195-206.
Boissy, Raymond E. „15: The Intrinsic (Genetic) Theory for the Cause of Vitiligo.“ Vitiligo: A Monograph on the Basic and Clinical Science (2000): 123.
HANN, SEUNG-KYUNG, and W. H. Chun. „17: Autocytotoxic Hypothesis for the Destruction of Melanocytes as the Cause of Vitiligo.“ Vitiligo: A Monograph on the Basic and Clinical Science(2000): 137.
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롤강의 롤게임 ⌒⌒ＮａＶＥ８８ㆍＣｏＭ ♠ 카카오 톡 СΟｍｅ９９⌒⌒
롤강의 롤게임 아시아 게이밍라이센스 보유 롤강의 롤게임 롤강의 롤게임 정식인증 업체
롤강의 롤게임 롤강의 롤게임 ∞해외
정식 라이센스 보유∞ 롤강의 롤게임 롤강의 롤게임 ⇔pc & 모바일 완벽구현⇔ 롤강의 롤게임 롤강의 롤게임 ◇국내 최다회원 보유◇ 롤강의
롤게임 롤강의 롤게임 ⊆검증돤 바다이야기⊇ 롤강의 롤게임 롤강의 롤게임
⒧첫충 10% 매충 10%⒧ 롤강의 롤게임 롤강의 롤게임 ♬화려한 그래픽 높은환수율♬ 롤강의 롤게임 롤강의 롤게임 ∇시원하게 터지는 잭팟 pc & 모바일∇ 롤강의 롤게임 롤강의 롤게임 §검증된 메이저 바다이야기§ 롤강의 롤게임 롤강의 롤게임 toto 롤강의 롤게임
롤강의 롤게임 (메이저 모바일&롤강의 롤게임) 롤강의 롤게임 롤강의 롤게임 news 롤강의 롤게임 롤강의 롤게임 아시아카지노라이센스를
롤강의 롤게임 롤강의 롤게임 join 롤강의 롤게임 롤강의 롤게임 code 롤강의 롤게임 롤강의 롤게임
롤강의 롤게임 ⌒⌒ＮａＶＥ８８ㆍＣｏＭ ♠ 카카오 톡 СΟｍｅ９９⌒⌒
롤강의 롤게임 아시아 게이밍라이센스 보유 롤강의 롤게임 롤강의 롤게임 정식인증 업체 롤강의 롤게임 롤강의 롤게임 ∞해외 정식 라이센스 보유∞ 롤강의 롤게임
롤강의 롤게임 ⇔pc & 모바일 완벽구현⇔ 롤강의 롤게임
롤강의 롤게임 ◇국내 최다회원 보유◇
롤강의 롤게임 롤강의 롤게임 ⊆검증돤 바다이야기⊇ 롤강의 롤게임 롤강의 롤게임 ⒧첫충 10% 매충 10%⒧ 롤강의 롤게임 롤강의 롤게임 ♬화려한 그래픽 높은환수율♬ 롤강의 롤게임 롤강의 롤게임
∇시원하게 터지는 잭팟 pc & 모바일∇ 롤강의 롤게임 롤강의 롤게임 §검증된 메이저 바다이야기§ 롤강의
롤게임 롤강의 롤게임 toto 롤강의 롤게임 롤강의 롤게임 (메이저 모바일&롤강의 롤게임) 롤강의 롤게임 롤강의 롤게임 news 롤강의 롤게임 롤강의 롤게임 아시아카지노라이센스를 롤강의 롤게임 롤강의 롤게임
join 롤강의 롤게임 롤강의 롤게임 code 롤강의 롤게임
롤강의 롤게임
모바일야마토 바다이야기사이트 모바일야마토 모바일릴게임
PC바다이야기-http://mir101.com/
롤게임-http://mir101.com/
릴게임-http://mir101.com/
모바일릴게임-http://mir101.com/
모바일바다이야기-http://mir101.com/
모바일야마토-http://mir101.com/
바다이야기-http://mir101.com/
바다이야기사이트-http://mir101.com/
야마토사이트주소-http://mir101.com/
야마토-http://mir101.com/
야마토게임-http://mir101.com/
야마토사이트-http://mir101.com/
오션파라다이스-http://mir101.com/
오션파라라다이스-http://mir101.com/
PC바다이야기-http://nave88.com/
롤게임-http://nave88.com/
릴게임-http://nave88.com/
모바일릴게임-http://nave88.com/
모바일바다이야기-http://nave88.com/
모바일야마토-http://nave88.com/
바다이야기-http://nave88.com/
바다이야기사이트-http://nave88.com/
야마토사이트주소-http://nave88.com/
야마토-http://nave88.com/
야마토게임-http://nave88.com/
야마토사이트-http://nave88.com/
오션파라다이스-http://nave88.com/
오션파라라다이스-http://nave88.com/
PC바다이야기-http://damoa.club/
롤게임-http://damoa.club/
릴게임-http://damoa.club/
모바일릴게임-http://damoa.club/
모바일바다이야기-http://damoa.club/
모바일야마토-http://damoa.club/
바다이야기-http://damoa.club/
바다이야기사이트-http://damoa.club/
야마토사이트주소-http://damoa.club/
야마토-http://damoa.club/
야마토게임-http://damoa.club/
야마토사이트-http://damoa.club/
오션파라다이스-http://damoa.club/
오션파라라다이스-http://damoa.club/
PC바다이야기-http://mmu838.com/
롤게임-http://mmu838.com/
릴게임-http://mmu838.com/
모바일릴게임-http://mmu838.com/
모바일바다이야기-http://mmu838.com/
모바일야마토-http://mmu838.com/
바다이야기-http://mmu838.com/
바다이야기사이트-http://mmu838.com/
야마토사이트주소-http://mmu838.com/
야마토-http://mmu838.com/
야마토게임-http://mmu838.com/
야마토사이트-http://mmu838.com/
오션파라다이스-http://mmu838.com/
오션파라라다이스-http://mmu838.com/
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카지노사이트 ◐ΝΑＶЕ８８．Ｃｏｍ ∽ 카카오 톡 соме99 ◑ 카지노사이트
카지노사이트 ◐ΝΑＶЕ８８．Ｃｏｍ ∽ 카카오 톡 соме99 ◑ 카지노사이트 아시아 게이밍라이센스 보유 카지노사이트 카지노사이트
정식인증 업체 카지노사이트 카지노사이트
♬해외 정식 라이센스 보유¿ 카지노사이트 카지노사이트 ｛8년 무사고 안전메이저｝ 카지노사이트 카지노사이트 ▶매일 매일 다양한
이벤트 카지노사이트 카지노사이트 조작x 유출x 밸런스x 카지노사이트 카지노사이트 첫충 10% 매충 10% 카지노사이트 카지노사이트 사다리게임의 끝판왕
짬뽕사다리 업데이트 카지노사이트 카지노사이트 ㈨안전 놀이공원㈨ 카지노사이트 카지노사이트 ⌆메이저 공원⌆ 카지노사이트 카지노사이트 toto 카지노사이트 카지노사이트 (정직한사다리게임과 크로스배팅이가능한 스포츠) 카지노사이트 카지노사이트
∽먹튀 걱정없는 안전한 메이저 사이트∽ 카지노사이트
카지노사이트 아시아카지노라이센스를 카지노사이트 카지노사이트 join 카지노사이트 카지노사이트 “k스포츠 메이져 사설토토 라이브 바카라 사이트” 카지노사이트 카지노사이트
카지노사이트 ◐ΝΑＶЕ８８．Ｃｏｍ ∽ 카카오
톡 соме99 ◑ 카지노사이트 아시아 게이밍라이센스 보유 카지노사이트 카지노사이트 정식인증 업체 카지노사이트 카지노사이트 ♬해외 정식 라이센스 보유¿ 카지노사이트 카지노사이트 ｛8년 무사고 안전메이저｝
카지노사이트 카지노사이트 ▶매일 매일 다양한 이벤트 카지노사이트 카지노사이트 조작x 유출x 밸런스x
카지노사이트 카지노사이트 첫충 10% 매충 10% 카지노사이트 카지노사이트
사다리게임의 끝판왕 짬뽕사다리 업데이트
카지노사이트 카지노사이트 ㈨안전 놀이공원㈨ 카지노사이트 카지노사이트 ⌆메이저 공원⌆ 카지노사이트 카지노사이트 toto 카지노사이트 카지노사이트 (정직한사다리게임과
크로스배팅이가능한 스포츠) 카지노사이트 카지노사이트 ∽먹튀 걱정없는 안전한
메이저 사이트∽ 카지노사이트 카지노사이트 아시아카지노라이센스를 카지노사이트 카지노사이트 join 카지노사이트 카지노사이트 “k스포츠
메이져 사설토토 라이브 바카라 사이트” 카지노사이트 카지노사이트
카지노사이트 ◐ΝΑＶЕ８８．Ｃｏｍ ∽ 카카오 톡 соме99 ◑
카지노사이트 아시아 게이밍라이센스 보유
카지노사이트 카지노사이트 정식인증 업체 카지노사이트 카지노사이트 ♬해외 정식 라이센스 보유¿ 카지노사이트 카지노사이트
｛8년 무사고 안전메이저｝ 카지노사이트 카지노사이트 ▶매일 매일 다양한 이벤트 카지노사이트 카지노사이트 조작x 유출x 밸런스x
카지노사이트 카지노사이트 첫충 10% 매충 10% 카지노사이트
카지노사이트 사다리게임의 끝판왕 짬뽕사다리 업데이트 카지노사이트 카지노사이트 ㈨안전 놀이공원㈨ 카지노사이트 카지노사이트 ⌆메이저 공원⌆
카지노사이트 카지노사이트 toto 카지노사이트
카지노사이트 (정직한사다리게임과 크로스배팅이가능한 스포츠) 카지노사이트
카지노사이트 ∽먹튀 걱정없는 안전한 메이저 사이트∽ 카지노사이트 카지노사이트 아시아카지노라이센스를 카지노사이트 카지노사이트 join 카지노사이트 카지노사이트 “k스포츠 메이져 사설토토 라이브 바카라 사이트” 카지노사이트 카지노사이트
카지노사이트 ◐ΝΑＶЕ８８．Ｃｏｍ ∽ 카카오 톡 соме99 ◑ 카지노사이트 아시아 게이밍라이센스 보유 카지노사이트 카지노사이트 정식인증 업체 카지노사이트 카지노사이트 ♬해외 정식 라이센스 보유¿
카지노사이트 카지노사이트 ｛8년 무사고 안전메이저｝
카지노사이트 카지노사이트 ▶매일 매일
다양한 이벤트 카지노사이트 카지노사이트 조작x 유출x 밸런스x 카지노사이트 카지노사이트 첫충 10% 매충 10% 카지노사이트 카지노사이트 사다리게임의 끝판왕 짬뽕사다리 업데이트 카지노사이트 카지노사이트 ㈨안전 놀이공원㈨ 카지노사이트 카지노사이트 ⌆메이저 공원⌆ 카지노사이트 카지노사이트 toto 카지노사이트 카지노사이트 (정직한사다리게임과
크로스배팅이가능한 스포츠) 카지노사이트 카지노사이트
∽먹튀 걱정없는 안전한 메이저 사이트∽ 카지노사이트 카지노사이트 아시아카지노라이센스를 카지노사이트
카지노사이트 join 카지노사이트 카지노사이트 “k스포츠 메이져 사설토토 라이브 바카라 사이트” 카지노사이트 카지노사이트
온라인카지노사이트 인터넷바카라 실시간바카라 카지노사이트
와이즈토토-https://www.facebook.com/mir101com
스포츠토토-https://www.facebook.com/mir101com
토토사이트-https://www.facebook.com/mir101com
안전놀이터-https://www.facebook.com/mir101com
사설토토-https://www.facebook.com/mir101com
메이저사이트-https://www.facebook.com/mir101com
와이즈토토-https://twitter.com/tvboda
스포츠토토-https://twitter.com/tvboda
토토사이트-https://twitter.com/tvboda
안전놀이터-https://twitter.com/tvboda
사설토토-https://twitter.com/tvboda
메이저사이트-https://twitter.com/tvboda
바카라사이트-https://twitter.com/tvboda
와이즈토토-https://www.mir101.com
스포츠토토-https://www.mir101.com
토토사이트-https://www.mir101.com
안전놀이터-https://www.mir101.com
사설토토-https://www.mir101.com
메이저사이트-https://www.mir101.com
와이즈토토-https://www.nave88.com
스포츠토토-https://www.nave88.com
토토사이트-https://www.nave88.com
안전놀이터-https://www.nave88.com
사설토토-https://www.nave88.com
메이저사이트-https://www.nave88.com
와이즈토토-https://www.damoa.club
스포츠토토-https://www.damoa.club
토토사이트-https://www.damoa.club
안전놀이터-https://www.damoa.club
사설토토-https://www.damoa.club
메이저사이트-https://www.damoa.club
토토사이트추천-https://www.nave88.com/
토토사이트-https://www.nave88.com/
놀이터추천-https://www.nave88.com/
사설토토-https://www.nave88.com/
메이저놀이터-https://www.nave88.com/
안전놀이터-https://www.nave88.com/
안전사이트-https://www.nave88.com/
메이저사이트-https://www.nave88.com/
안전공원-https://www.nave88.com/
토토-https://www.nave88.com/
토토사이트추천-https://mir101.com
토토사이트 -https://mir101.com
놀이터추천-https://mir101.com
사설토토-https://mir101.com
메이저놀이터-https://mir101.com
안전놀이터-https://mir101.com
안전사이트-https://mir101.com
메이저사이트-https://mir101.com
안전공원-https://mir101.com
토토-https://mir101.com
토토사이트추천-https://www.damoa.club/
토토사이트-https://www.damoa.club/
놀이터추천-https://www.damoa.club/
사설토토-https://www.damoa.club/
메이저놀이터-https://www.damoa.club/
안전놀이터-https://www.damoa.club/
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