What Treatment Options Are Available?

The main goal of treating vitiligo is to improve appearance. Therapy for vitiligo takes a long time—it usually must be continued for 6 to 18 months. The choice of therapy depends on the number of white patches; their location, sizes, and how widespread they are; and what you prefer in terms of treatment. Each patient responds differently to therapy, and a particular treatment may not work for everyone. Current treatment options for vitiligo include medical, surgical, and adjunctive therapies (therapies that can be used along with surgical or medical treatments).

Medical Therapies

A number of medical therapies, most of which are applied topically, can reduce the appearance of white patches with vitiligo. These are some of the most commonly used ones:

Topical steroid therapy—steroid creams may be helpful in repigmenting (returning the color to) white patches, particularly if they are applied in the initial stages of the disease. Corticosteroids are a group of drugs similar to hormones such as cortisone, which are produced by the adrenal glands. Doctors often prescribe a mild topical corticosteroid cream for children under 10 years old and a stronger one for adults. You must apply the cream to the white patches on the skin for at least 3 months before seeing any results. Corticosteriod creams are the simplest and safest treatment for vitiligo, but are not as effective as psoralen photochemotherapy (see below). Yet, like any medication, these creams can cause side effects. For this reason, the doctor will monitor you closely for skin shrinkage and skin striae (streaks or lines on the skin). These side effects are more likely to occur in areas where the skin is thin, such as on the face and armpits, or in the genital region. They can be minimized by using weaker formulations of steroid creams in these areas.

Psoralen photochemotherapy—also known as psoralen and ultraviolet A therapy, or PUVA therapy, this is probably the most effective treatment for vitiligo available in the United States. The goal of PUVA therapy is to repigment the white patches. However, it is time-consuming, and care must be taken to avoid side effects, which can sometimes be severe. Psoralen is a drug that contains chemicals that react with ultraviolet light to cause darkening of the skin. The treatment involves taking psoralen by mouth (orally) or applying it to the skin (topically). This is followed by carefully timed exposure to sunlight or to ultraviolet A (UVA) light that comes from a special lamp. Typically, you will receive treatments in your doctor’s office so you can be carefully watched for any side effects. You must minimize exposure to sunlight at other times. Both oral and topical psoralen photochemotherapy are described below.

Topical psoralen photochemotherapy—often used for people with a small number of depigmented patches affecting a limited part of the body, it is also used for children 2 years old and older who have localized patches of vitiligo. Treatments are done in a doctor’s office under artificial UVA light once or twice a week. The doctor or nurse applies a thin coat of psoralen to your depigmented patches about 30 minutes before exposing you to enough UVA light to turn the affected area pink. The doctor usually increases the dose of UVA light slowly over many weeks. Eventually, the pink areas fade and a more normal skin color appears. After each treatment, you wash your skin with soap and water and apply a sunscreen before leaving the doctor’s office.

There are two major potential side effects of topical PUVA therapy: (1) severe sunburn and blistering and (2) too much repigmentation or darkening (hyperpigmentation) of the treated patches or the normal skin surrounding the vitiligo. You can minimize your chances of sunburn if you avoid exposure to direct sunlight after each treatment. Usually, hyperpigmentation is a temporary problem that eventually disappears when treatment is stopped.

Oral psoralen photochemotherapy—used for people with extensive vitiligo (affecting more than 20 percent of the body) or for people who do not respond to topical PUVA therapy, oral psoralen is not recommended for children under 10 years of age because it increases the risk of damage to the eyes caused by conditions such as cataracts. For oral PUVA therapy, you take a prescribed dose of psoralen by mouth about 2 hours before exposure to artificial UVA light or sunlight. If artificial light is used, the doctor adjusts the dose of light until the skin in the areas being treated becomes pink. Treatments are usually given 2 or 3 times a week, but never 2 days in a row.

For patients who cannot go to a facility to receive PUVA therapy, the doctor may prescribe psoralen that can be used with natural sunlight exposure. The doctor will give you careful instructions on carrying out treatment at home and monitor you during scheduled checkups.

Known side effects of oral psoralen include sunburn, nausea and vomiting, itching, abnormal hair growth, and hyperpigmentation. Oral psoralen photochemotherapy may also increase the risk of skin cancer, although the risk is minimal at doses used for vitiligo. If you are undergoing oral PUVA therapy, you should apply sunscreen and avoid direct sunlight for 24 to 48 hours after each treatment to avoid sunburn and reduce the risk of skin cancer. To avoid eye damage, particularly cataracts, you should also wear protective UVA sunglasses for 18 to 24 hours after each treatment.

Depigmentation—this treatment involves fading the rest of the skin on the body to match the areas that are already white. For people who have vitiligo on more than 50 percent of their bodies, depigmentation may be the best treatment option. Patients apply the drug monobenzylether of hydroquinone (monobenzone or Benoquin*) twice a day to pigmented areas until they match the already-depigmented areas. You must avoid direct skin-to-skin contact with other people for at least 2 hours after applying the drug, as transfer of the drug may cause depigmentation of the other person’s skin. The major side effect of depigmentation therapy is inflammation (redness and swelling) of the skin. You may experience itching or dry skin. Depigmentation tends to be permanent and is not easily reversed. In addition, a person who undergoes depigmentation will always be unusually sensitive to sunlight.

*Brand names included in this booklet are provided as examples only, and their inclusion does not mean that these products are endorsed by the National Institutes of Health or any other Government agency. Also, if a particular brand name is not mentioned, this does not mean or imply that the product is unsatisfactory.

什么治疗选项是可得的?

注入白斑病的主要目标将改善外征。 对于白斑病的治疗花长的时间-它通常一定被继续 6-18个月。 治疗的选择仰赖白色片的数字; 他们的位置，尺寸, 和他们是多么广大; 而且你在治疗的名词中偏爱的。 每个患者不同地回应治疗，而且特别的治疗可能不为每个人工作。 对于白斑病的现在治疗选项包括医学、外科、和附属的治疗。 (能向前被用的治疗与外科的或治疗)

医学的治疗

一些医学的治疗,哪一个谈论地被应用的大部分, 能用白斑病减少白色片的外征。 这些是一些那最普遍用了一:

局部的类固醇治疗-类固醇的乳酪可能是有帮助的在把白色的片再加颜色 (归还颜色给) 方面，特别地如果他们在疾病的开始阶段中被应用。 皮质类固醇是与荷尔蒙内分泌，像是肾上腺皮质素, 被肾上腺生产类似的一群药物。 医生时常为孩子开药方温和的局部皮质类固醇乳酪在 10 岁之下和成人的较强壮的。 你在见到任何的结果之前一定在至少 3个月的皮肤上应用乳酪到白色的片。 Corticosteriod 乳酪是白斑病的简单又安全的治疗, 但是不是像 psoralen photochemotherapy 一样的有效。 (在下面见到) 然而, 喜欢任何的药物治疗, 这些乳酪能引起副作用。 对于这理由，医生将会为皮肤收缩和皮肤 striae 接近地监测你。 (条理或线在皮肤上) 这些副作用更有可能在区中发生哪里皮肤是瘦、如此的当做在脸和腋窝上, 或在生殖的区域中。 他们能藉由在这些区中使用类固醇乳酪的较弱的形成被减到最少。

Psoralen photochemotherapy-也当做 psoralen 知道和紫外线的一种治疗、或 PUVA 治疗, 这是在美国得到的白斑病的或许最有效的治疗。 治疗将把白色的片再加颜色的 PUVA 的目标。 然而，它是耗时的，而且照料一定被采取避免副作用,有时可能是严格的。 Psoralen 是引起皮肤的弄暗包含以紫外线的光反应的化学药品的一个药物。 治疗包括拿嘴 (口头地) 的 psoralen 或应用它到皮肤。 (谈论地)这被对日光的小心地计时的照射跟随或者对紫外线一 (UVA) 光哪一来自一个特别的灯。 典型地，你将会在你医生的办公室中接受治疗，如此你能小心地被留意任何的副作用。 你在其他的时代一定将对日光的照射减到最少。 口服和局部的 psoralen photochemotherapy 在下面被描述。

局部的 psoralen photochemotherapy-时常为人被影响身体的一个有限制部份的少数的 depigmented 片用, 它也作为孩子 2 岁和旧的谁已经本土化白斑病的片。 治疗轻装地在人为的 UVA 下面的一个医生的办公室中被做一次或一个星期两次。 医生或护士在使你暴露在充足的 UVA 光转受到影响的区粉红色之前应用一件 psoralen 的瘦外套到你的 depigmented 片大约 30 分钟。 医生许多星期以来通常慢慢地增加 UVA 光的剂量。 最后，粉红的区衰弱和一种较多的常态皮肤颜色出现。 在每治疗之后，你在离开医生的办公室之前用肥皂和水洗你的皮肤而且应用一个太阳油。

有局部 PUVA 治疗的二个主要潜在副作用: (1) 严格的晒斑而且水泡和 (2) 太多再色素沈着或围住白斑病的被对待的片或正常的皮肤弄暗 (色素沉着过度)。 如果你避免照射指示每治疗后的日光，你能将你的晒斑的机会减到最少。 通常，当治疗被停止的时候，色素沉着过度是最后消失的一个暂时的问题。

口服 psoralen photochemotherapy-二手的为人用广泛的白斑病 (影响超过身体的 20% 的) 或为不回应局部的 PUVA 治疗的人, 口服因为它增加对由情况，像是白内障所引起的眼睛伤害的危险，所以 psoralen 没被为孩子在 10 年年龄之下推荐。 对于口服 PUVA 治疗，你在照射之前对人为的 UVA 光或日光花嘴的一被开药方的剂量 psoralen 大约 2个小时。如果人为的光被用，医生调整光的剂量，直到在被对待的区的皮肤变成粉红。 治疗通常一星期 2 或 3 次有, 但是从不连续 2 天。

因为不能够诉诸于设备受到 PUVA 治疗的患者, 医生可能开药方能被天然的日光照射用的 psoralen。 医生将会在预定的审查期间给你关于在家实行治疗的小心操作而且监测你。

口服 psoralen 的已知副作用包括晒斑，恶心与呕吐,搔痒, 反常的头发生长、和色素沉着过度。 口服 psoralen photochemotherapy 也可能增加皮肤癌的危险，虽然危险在作为白斑病的剂量是最小的。 如果你正在接受口服 PUVA 治疗，你在避免晒斑而且减少皮肤癌的危险的每治疗之后应该应用太阳油而且避免直接的日光 24-48 小时。 避免眼睛损害, 特别地白内障, 你在每治疗之后也应该戴给予保护的 UVA 太阳眼镜 18-24 小时。

Depigmentation-这治疗包括身体上时尚皮肤的其它部分相配已经白色的区。 因为在超过他们的身体的 50% 上有白斑病的人, depigmentation 可能是最好的治疗选项。 患者一天两次应用对苯二酚 (monobenzone 或者 Benoquin*) 的药物 monobenzylether 把区加颜色直到他们相配那已经-depigmented 区。 你一定避免直接的皮肤-到-皮肤连络与至少 2 小时的其他人，在应用药物之后，当药物的转移可能引起另一个人的皮肤的 depigmentation 之时。 depigmentation 治疗的主要副作用是皮肤的发炎 (红和膨胀) 。 你可能经历渴望的或干皮肤。 Depigmentation 容易是烫发而且不容易被颠倒。 除此之外, 接受 depigmentation 的一个人总是将会是异常地敏感的对日光。

*被包含在这小册子之中的商标只有当做例子被提供，而且他们的内含物不意指这些产品被国家卫生局或任何其他的政府机关支持。 同时, ，如果一个特别的商标没被提到，这不意指或者暗示产品是令人不满意的。

Surgical Therapies

All surgical therapies must be considered only after proper medical therapy is provided. Surgical techniques are time-consuming and expensive and usually not paid for by insurance carriers. They are appropriate only for carefully selected patients who have vitiligo that has been stable for at least 3 years:

Autologous skin grafts—the doctor removes skin from one area of your body and attaches it to another area. This type of skin grafting is sometimes used for patients with small patches of vitiligo. The doctor removes sections of the normal, pigmented skin (donor sites) and places them on the depigmented areas (recipient sites). There are several possible complications of autologous skin grafting. Infections may occur at the donor or recipient sites. The recipient and donor sites may develop scarring, a cobblestone appearance, or a spotty pigmentation, or may fail to repigment at all. Treatment with grafting takes time and is costly, and many people find it neither acceptable nor affordable.

Skin grafts using blisters—in this procedure, the doctor creates blisters on your pigmented skin by using heat, suction, or freezing cold. The tops of the blisters are then cut out and transplanted to a depigmented skin area. The risks of blister grafting include scarring and lack of repigmentation. However, there is less risk of scarring with this procedure than with other types of grafting.

Micropigmentation (tattooing)—this procedure involves implanting pigment into the skin with a special surgical instrument. This procedure works best for the lip area, particularly in people with dark skin. However, it is difficult for the doctor to match perfectly the color of the skin of the surrounding area.

The tattooed area will not change in color when exposed to sun, while the surrounding normal skin will. So even if the tattooed area matches the surrounding skin perfectly at first, it may not later on. Tattooing tends to fade over time. In addition, tattooing of the lips may lead to episodes of blister outbreaks caused by the herpes simplex virus.

Autologous melanocyte transplants—in this procedure, the doctor takes a sample of your normal pigmented skin and places it in a laboratory dish containing a special cell-culture solution to grow melanocytes. When the melanocytes in the culture solution have multiplied, the doctor transplants them to your depigmented skin patches. This procedure is currently experimental and is impractical for the routine care of people with vitiligo. It is also very expensive, and its side effects are not known.

Additional Therapies

In addition to medical and surgical therapies, there are many things you can do on your own to protect your skin, minimize the appearance of white patches, and cope with the emotional aspects of vitiligo:

Sunscreens—people who have vitiligo, particularly those with fair skin, should minimize sun exposure and use a sunscreen that provides protection from both the UVA and UVB forms of ultraviolet light. Sunscreen helps protect the skin from sunburn and long-term damage. Sunscreen also minimizes tanning, which makes the contrast between normal and depigmented skin less noticeable.

Cosmetics—some patients with vitiligo cover depigmented patches with stains, makeup, or self-tanning lotions. These cosmetic products can be particularly effective for people whose vitiligo is limited to exposed areas of the body. Dermablend, Lydia O’Leary, Clinique, Fashion Flair, Vitadye, and Chromelin offer makeup or dyes that you may find helpful for covering up depigmented patches. Selftanning lotions have an advantage over makeup in that the color will last for several days and will not come off with washing.

Counseling and support groups—many people with vitiligo find it helpful to get counseling from a mental health professional. People often find they can talk to their counselor about issues that are difficult to discuss with anyone else. A mental health counselor can also offer support and help in coping with vitiligo. In addition, it may be helpful to attend a vitiligo support group.

Surgical Therapies

All surgical therapies must be considered only after proper medical therapy is provided. Surgical techniques are time-consuming and expensive and usually not paid for by insurance carriers. They are appropriate only for carefully selected patients who have vitiligo that has been stable for at least 3 years:

Autologous skin grafts—the doctor removes skin from one area of your body and attaches it to another area. This type of skin grafting is sometimes used for patients with small patches of vitiligo. The doctor removes sections of the normal, pigmented skin (donor sites) and places them on the depigmented areas (recipient sites). There are several possible complications of autologous skin grafting. Infections may occur at the donor or recipient sites. The recipient and donor sites may develop scarring, a cobblestone appearance, or a spotty pigmentation, or may fail to repigment at all. Treatment with grafting takes time and is costly, and many people find it neither acceptable nor affordable.

Skin grafts using blisters—in this procedure, the doctor creates blisters on your pigmented skin by using heat, suction, or freezing cold. The tops of the blisters are then cut out and transplanted to a depigmented skin area. The risks of blister grafting include scarring and lack of repigmentation. However, there is less risk of scarring with this procedure than with other types of grafting.

Micropigmentation (tattooing)—this procedure involves implanting pigment into the skin with a special surgical instrument. This procedure works best for the lip area, particularly in people with dark skin. However, it is difficult for the doctor to match perfectly the color of the skin of the surrounding area.

The tattooed area will not change in color when exposed to sun, while the surrounding normal skin will. So even if the tattooed area matches the surrounding skin perfectly at first, it may not later on. Tattooing tends to fade over time. In addition, tattooing of the lips may lead to episodes of blister outbreaks caused by the herpes simplex virus.

Autologous melanocyte transplants—in this procedure, the doctor takes a sample of your normal pigmented skin and places it in a laboratory dish containing a special cell-culture solution to grow melanocytes. When the melanocytes in the culture solution have multiplied, the doctor transplants them to your depigmented skin patches. This procedure is currently experimental and is impractical for the routine care of people with vitiligo. It is also very expensive, and its side effects are not known.

Additional Therapies

In addition to medical and surgical therapies, there are many things you can do on your own to protect your skin, minimize the appearance of white patches, and cope with the emotional aspects of vitiligo:

Sunscreens—people who have vitiligo, particularly those with fair skin, should minimize sun exposure and use a sunscreen that provides protection from both the UVA and UVB forms of ultraviolet light. Sunscreen helps protect the skin from sunburn and long-term damage. Sunscreen also minimizes tanning, which makes the contrast between normal and depigmented skin less noticeable.

Cosmetics—some patients with vitiligo cover depigmented patches with stains, makeup, or self-tanning lotions. These cosmetic products can be particularly effective for people whose vitiligo is limited to exposed areas of the body. Dermablend, Lydia O’Leary, Clinique, Fashion Flair, Vitadye, and Chromelin offer makeup or dyes that you may find helpful for covering up depigmented patches. Selftanning lotions have an advantage over makeup in that the color will last for several days and will not come off with washing.

Counseling and support groups—many people with vitiligo find it helpful to get counseling from a mental health professional. People often find they can talk to their counselor about issues that are difficult to discuss with anyone else. A mental health counselor can also offer support and help in coping with vitiligo. In addition, it may be helpful to attend a vitiligo support group.

外科的治疗

只有在适当的医学治疗被提供之后，所有的外科治疗一定被考虑。 外科的技术是耗时和贵的而且通常不支付为藉着保险公司。 他们只是为有已经是至少 3 年的马房的白斑病的小心挑选的患者充用:

自体的皮肤移植物抗宿主反应医生移除你的身体的来自一个区的皮肤而且把它附在另外的一个区。 接枝的这类型的皮肤有时用白斑病的小片作为患者。 医生移除常态的切片, 把皮肤 (捐赠人位置) 加颜色而且放他们在 depigmented 区上。 (接受者位置) 有接枝的自体皮肤的一些可能复杂化。 感染可能在捐赠人或领受的位置发生。 接受者和捐赠人位置可能发展结疤, 一个圆石形态或一个遍处斑点的色素沈着, 或可能无法全然再加颜色。 治疗与接枝花时间而且是昂贵的，而且许多人找它不可接受的也不可负担的。

皮肤接枝使用水69-在这一个步骤，医生藉由使用热，吸力在你的被皮肤加颜色的上产生水69, 或冻结寒冷。 水69 的顶端然后被切割出而且移植到一个 depigmented 皮肤区。 接枝的水69 的危险包括结疤而且再色素沈着缺乏。 然而，有较少的危险以这一个步骤结疤超过与接枝的其他类型。

Micropigmentation(纹身)-这一个步骤包括用一个特别的外科器具将色素植入皮肤。 这一个步骤为唇区最工作, 特别地在人中以黑暗的皮肤。 然而，医生完全地相配周围区的皮肤的颜色是困难的。

被纹身的区将不在颜色中改变当对太阳暴露, 当周围的正常皮肤会的时候。 因此即使被纹身的区起先完全地相配周围的皮肤, 它稍后不可能。 纹身容易随着时间的过去褪色。 除此之外，唇的纹身可能导致由单纯  疹病毒所引起的水69 爆发的插曲。

自体的黑素细胞移植-在这一个步骤，医生拿被把皮肤加颜色的一个你的常态的样品而且把它放在实验室盘子包含特别的细胞-文化的解决种植黑素细胞。 当文化解决的黑素细胞已经乘的时候，医生对你的 depigmented 皮肤片移植他们。 这一个步骤现在实验而且以白斑病对人的例行照料是不实用的。 它也非常贵，而且它的副作用没被知道。

另外的治疗

除了医生和外科的治疗之外，有你能靠你自己做保护你的皮肤,将白色片的外征减到最少, 而且应付白斑病的情绪面的许多事物:

太阳油-有白斑病的人, 特别地那些用公平的皮肤，应该将太阳照射减到最少而且使用一个提供来自 UVA 和 UVB 的防护紫外线光的表格的太阳油。 太阳油帮助保护皮肤免于晒斑和长期的损害。 太阳油也将硝皮,使常态和 depigmented 之间的对比剥皮比较不引人注目减到最少。

化妆品-一些患者用白斑病掩护 depigmented 以污染，化妆或自我硝皮的外用药水补缀。 这些化妆用的产品能对白斑病被限制于身体的暴露区的人是特别地有效的。Dermablend 、小亚细亚西部的富裕古国 O"Leary 、倩碧 、流行锐利的眼力、 Vitadye 和 Chromelin 为在 depigmented 片上面包含的提供你可能找的化妆或者颜料有帮助的。Selftanning 外用药水最后比在那颜色中的化妆占优势将会好几天而且将不以洗濯脱落。

商议和支持小组-许多人用白斑病找拿从一个心理健康专业人士商议是有帮助的。 人们时常发现他们能与他们的顾问谈论难以和其他任何人讨论的议题。 一个心理健康顾问也能在控制白斑病方面提供支持而且帮助。 除此之外，叁加一个白斑病支持小组可能是有帮助的。

外科的治疗

只有在适当的医学治疗被提供之后，所有的外科治疗一定被考虑。 外科的技术是耗时和贵的而且通常不支付为藉着保险公司。 他们只是为有已经是至少 3 年的马房的白斑病的小心挑选的患者充用:

自体的皮肤移植物抗宿主反应医生移除你的身体的来自一个区的皮肤而且把它附在另外的一个区。 接枝的这类型的皮肤有时用白斑病的小片作为患者。 医生移除常态的切片, 把皮肤 (捐赠人位置) 加颜色而且放他们在 depigmented 区上。 (接受者位置) 有接枝的自体皮肤的一些可能复杂化。 感染可能在捐赠人或领受的位置发生。 接受者和捐赠人位置可能发展结疤, 一个圆石形态或一个遍处斑点的色素沈着, 或可能无法全然再加颜色。 治疗与接枝花时间而且是昂贵的，而且许多人找它不可接受的也不可负担的。

皮肤接枝使用水69-在这一个步骤，医生藉由使用热，吸力在你的被皮肤加颜色的上产生水69, 或冻结寒冷。 水69 的顶端然后被切割出而且移植到一个 depigmented 皮肤区。 接枝的水69 的危险包括结疤而且再色素沈着缺乏。 然而，有较少的危险以这一个步骤结疤超过与接枝的其他类型。

Micropigmentation(纹身)-这一个步骤包括用一个特别的外科器具将色素植入皮肤。 这一个步骤为唇区最工作, 特别地在人中以黑暗的皮肤。 然而，医生完全地相配周围区的皮肤的颜色是困难的。

被纹身的区将不在颜色中改变当对太阳暴露, 当周围的正常皮肤会的时候。 因此即使被纹身的区起先完全地相配周围的皮肤, 它稍后不可能。 纹身容易随着时间的过去褪色。 除此之外，唇的纹身可能导致由单纯  疹病毒所引起的水69 爆发的插曲。

自体的黑素细胞移植-在这一个步骤，医生拿被把皮肤加颜色的一个你的常态的样品而且把它放在实验室盘子包含特别的细胞-文化的解决种植黑素细胞。 当文化解决的黑素细胞已经乘的时候，医生对你的 depigmented 皮肤片移植他们。 这一个步骤现在实验而且以白斑病对人的例行照料是不实用的。 它也非常贵，而且它的副作用没被知道。

另外的治疗

除了医生和外科的治疗之外，有你能靠你自己做保护你的皮肤,将白色片的外征减到最少, 而且应付白斑病的情绪面的许多事物:

太阳油-有白斑病的人, 特别地那些用公平的皮肤，应该将太阳照射减到最少而且使用一个提供来自 UVA 和 UVB 的防护紫外线光的表格的太阳油。 太阳油帮助保护皮肤免于晒斑和长期的损害。 太阳油也将硝皮,使常态和 depigmented 之间的对比剥皮比较不引人注目减到最少。

化妆品-一些患者用白斑病掩护 depigmented 以污染，化妆或自我硝皮的外用药水补缀。 这些化妆用的产品能对白斑病被限制于身体的暴露区的人是特别地有效的。Dermablend 、小亚细亚西部的富裕古国 O"Leary 、倩碧 、流行锐利的眼力、 Vitadye 和 Chromelin 为在 depigmented 片上面包含的提供你可能找的化妆或者颜料有帮助的。Selftanning 外用药水最后比在那颜色中的化妆占优势将会好几天而且将不以洗濯脱落。

商议和支持小组-许多人用白斑病找拿从一个心理健康专业人士商议是有帮助的。 人们时常发现他们能与他们的顾问谈论难以和其他任何人讨论的议题。 一个心理健康顾问也能在控制白斑病方面提供支持而且帮助。 除此之外，叁加一个白斑病支持小组可能是有帮助的。

ZZ-2紫外线治疗仪治疗各种皮肤病，安全，无任何毒副作用，还您健康美丽皮肤！！
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