Under these circumstances, melanocyte repopulation of the achromic areas is not possible, unless a new source of pigment cells is placed by surgical methods within the depigmented lesion/s.ĭifferent corrective surgical methods have evolved during the last four decades. Any attempt to repigment these resistant patches with conventional medicinal modalities is often unsuccessful and sometimes frustrating, indicating the absence of a melanocytes reservoir, to induce repigmentation. However, several patients remain recalcitrant or respond only partially. Many patients respond to standard medical treatment options. However, the ultimate goal remains the same, which is, replenishment of lost pigment.
The treatment has undergone an enormous evolutionary change from the Vedic days of ‘Vasuchika’ to the most modern transplantation techniques. References to this disease can also be found in the ancient Koran and Buddhist scripts. Others believe that the actual word was first used by Celsus in his tome De Medicina in the first century A.D. The exact word ‘Vitiligo’ may have been derived from the Latin word vitium meaning ‘blemish,’ or possibly vitulum meaning ‘small blemish.’Īnother theory is that the Latin derivation is from the white, glistening flesh of calves (vitelius).
#VITILIGO SUCCESS STORY SKIN#
Also the theory of vitiligo as a dirty / polluted / contaminated disease was initiated, as the word ‘Tzaraat’ refers to a group of skin diseases, which, according to the Old Testament, renders one ritually unclean. The word got translated as ‘lepra’ in the Greek and English translations of the Bible. In truth, in all likelihood, most cases of biblical ‘leprosy’ were achromic or hypochromic disorders that would include vitiligo, some cases of psoriasis, cases of pityriasis alba, probably albinism, and also leprosy. Along with this the phonetic resemblance of the word Tsoraath (which in Ashkenazi pronunciation would read tsoraas) led to the belief that ‘leprosy’ was psoriasis. Tsoraath was translated using the Greek word “Lepros,” which means a scale or scales.
In the Old Testament, the white spots were also described in Verse 2 of Chapter 13 of Leviticus under the Hebrew word ‘Zora at’ or ‘Tzaraat/Tzoraath’. This was referred to as ‘Swethakushtha’(white leprosy) in the Atharba Veda (1400 BC).Īn accurate description also exists in a collection of Japanese Shinto prayers, Amarakosa, dating from 1200 BC. Unfortunately in some of the prominent ancient texts the disease was confused with leprosy and also other skin diseases like psoriasis. In 1550 BC, information regarding vitiligo was noted in the Ebers Papyrus. The disease was mentioned in ‘Tarkh-e-Tibbl-e-Iran’ in the period of the Aushooriyan, as early as 2200 BC.
It is interesting to note that as per a Vedic myth the anthropomorphic adoration of the sun, Bhagavantam, developed vitiligo after being gazed upon by his illegitimate son. In the Rigveda it was referred to as ‘Kilas’ meaning a white spotted deer. In all the ancient civilizations and religions there is some reference to vitiligo.
Vitiligo is the most significant form of cutaneous achromia which is an illusive, if not enigmatic problem down the ages.
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