Course: IDCP2022-M19 Vitiligo
M19: Vitiligo
Raja Sivamani, MD MS AP +2

Welcome to module 19 as we get a view into vitiligo!

Update on Pathophysiology of Vitiligo

This session will review the pathophysiology of vitiligo.
After completing this activity, participants will be able to:
  1. Describe the impact vitiligo has on quality of life
  2. Identify autoimmune diseases that can be associated with vitiligo
  3. List factors that contribute to the pathogenesis of vitiligo

Therapy of Vitiligo

Vitiligo is a challenging yet common condition with a complex literature. We review the therapeutic updates to discern the highest level of evidence and most up-to-date therapeutic approaches.
After completing this activity, participants will be able to:
  1. Describe the therapeutic treatment ladder for vitiligo
  2. Outline some of the promising agents under study
  3. Identify some of the potential adverse effects and potential pitfalls of the therapies

Diet and Foods

This activity will review the role of diet and foods in vitiligo, including the role of fatty foods, the association with gluten free diet, and the role of antioxidant rich food ingestion.
After completing this activity, participants will be able to:
  1. Evaluate the evidence for the role of foods in vitiligo
  2. Review the association between vitiligo and celiac disease

Botanicals and Supplements in Vitiligo

Vitiligo remains a very challenging condition with many unmet needs. We review the literature on botanicals and supplements in detail and discuss their clinical implications.
After completing this activity, participants will be able to:
  1. Describe the unmet needs in the therapy of vitiligo
  2. Outline some promising botanicals and supplements for the treatment of vitiligo
  3. Identify some of the potential pitfalls of using some of these therapeutic approaches

Practical Integration with Pharmaceuticals in Vitiligo

This lecture summarizes integrative approaches that can augment standard pharmaceutical treatments of vitiligo.
After completing this activity, participants will be able to:
  1. List a supplement that has evidence for augmenting the benefits of phototherapy in the treatment of vitiligo
  2. Recognize an Autoimmune Protocol diet
  3. Describe how Medical Hypnosis can be helpful for treating autoimmune disease



User: Raja Sivamani
Raja Sivamani

Dr. Raja Sivamani is a board-certified dermatologist and practices as an integrative dermatologist at Pacific Skin Institute. He is an Adjunct Associate Professor of Clinical Dermatology at the University of California, Davis and Director of Clinical Research and the Clinical Trials Unit.He is also an Adjunct Assistant Professor in the Department of Biological Sciences at the California State University, Sacramento and an Associate Professor of Dermatology at California Northstate University, College of Medicine.He engages in clinical practice as well as both clinical and translational research that integrates bioengineering, nutrition, cosmetics, and skin biology. With training in both Allopathic and Ayurvedic medicine, he takes an integrative approach to his patients and in his research.He has published over 100 peer-reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, 3rd Edition with a passion for expanding the evidence and boundaries of integrative medicine for skin care.

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Peter Lio

Dr. Peter Lio is a Clinical Assistant Professor of Dermatology and Pediatrics at the Northwestern University Feinberg School of Medicine. He received his medical degree from Harvard Medical School, completed his internship in Pediatrics at Boston Children's Hospital, and his Dermatology training at Harvard where he served as Chief Resident in Dermatology. Dr. Lio is the founding director of the Chicago Integrative Eczema Center and has spoken nationally and internationally about atopic dermatitis, as well as alternative medicine.

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User: Apple Bodemer
Apple Bodemer

After finishing Medical School and Dermatology Residency at the University of Wisconsin, Dr. Bodemer completed a fellowship in Integrative Medicine at the University of Arizona. She was the first Dermatologist to be board certified in both Dermatology and Integrative Medicine and currently is the only Dermatologist to serve on the Integrative Medicine Board. She has authored academic texts and curriculum and has spoken widely on a variety of topics related to Integrative Dermatology. She has always been drawn to exploring how lifestyle choices impact skin health and disease and feels that the most powerful role a physician can play is as an educator and guide, empowering people to get healthy and stay healthy.

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