Difficult Vitiligo

Some factors that make vitiligo more challenging/difficult to treat are the type, location, severity, duration, previous treatments, white or absent hairs, age of patient, coexisting disease conditions, and underlying deficiencies/ imbalances. However, we believe that there is no vitiligo that is inherently “challenging/difficult to treat”. There are always some ways to cope with most of the vitiligo cases. Miracles can happen even in the most challenging vitiligo. Successful repigmentation is the ultimate outcome in difficult vitiligo for a committed, determined, disciplined and involved patient. These are the ones who focus on the process so that they achieve the better goal. They are first satisfied in following the treatment process and eventually become satisfied because of the treatment. They allocate some time for their vitiligo fight and focus on life style changes, diet modifications, stress management, skin care and be compliant in treatment and follow ups.