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Old 08-26-2008, 09:21 AM   #1 (permalink)
 
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Vitiligo denial or....?

I have a client that I believe has vitiligo. She is fair(type 2 leaning towards type 3 skin). Her pigment loss is under her arms and under her breasts. I know it is typical for vitiligo to be under the arms, but until now I have not seen it under the breasts.

I have a lady who has vitiligo that I spray on a regular basis(every 10 days). I even have some of her before/after photos on our website: http://atyourfingertips-salon.com/tanning.html

The very first time I sprayed this client, I mentioned vitiligo, and she said, what's that? I responded with 'Oh, I thought I saw something, but it was probably the shadows and lighting.'

After spraying her multiple times, I am convinced she has vitiligo. I asked her a couple of weeks ago if she had visited our website, hoping this would turn a light on and enlighten her. She said she had and nothing else.

I am not sure what to do. She does not have a major case, I have seen much worse. The vitiligo is confined to the areas I mentioned above. Although, I did notice yesterday that she now has a very small spot on her hand. Do I say something? If so, how do I bring it up? Exactly where do my responsibilities lie? I do have a custom tan service that is $10 to $20 more than the standard full body spray. I don't want her to think I'm trying to get more money out of her.

Real delima.

Thanks,

Sharon.
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Old 08-26-2008, 09:26 AM   #2 (permalink)
I vote for DERF!
 
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Re: Vitiligo denial or....?

Seems like there is nothing you can do. Your not a doctor so diagnosing a client may not be in both of your interests.


http://en.wikipedia.org/wiki/Vitiligo
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Old 08-26-2008, 09:38 AM   #3 (permalink)
 
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Re: Vitiligo denial or....?

If she sees a Dr. he/she will probably prescribe a much higher intensity of UV rays that you are claiming as damaging on the front page of your website. Kind of ironic.
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Old 08-26-2008, 09:46 AM   #4 (permalink)
 
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Re: Vitiligo denial or....?

Eileen,

I have never known UV rays to help vitiligo. When this client came back from the beach, that is when I could really see the loss of pigment.

I also have another client that has come in several times for my help, when she first started coming in, her doctor was treating her with UV and it made her vitiligo stand out more. She has now discontinued the UV treatments and is using a steroid cream which sees to be helping. She still comes to me on a fairly regular basis.

Sharon
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Old 08-26-2008, 09:51 AM   #5 (permalink)
 
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Re: Vitiligo denial or....?

So you have more experience with Vitiligo then her Dr.? I'm not saying I agree with how they treat it but I totally agree with unity, don't play Dr.
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Old 08-26-2008, 10:06 AM   #6 (permalink)
 
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Re: Vitiligo denial or....?

I don't want to 'play' Dr. But, I don't know if I need to suggest she see a Dr.

I have a single client that I have been spraying for about a year. When I noticed a mole on her back was definately changing, I told her she may want to see a Dr about it. She did, and it did turn out to be cancer. She thanks me every time she comes in since I am the only person she get naked for and cancer does run in her family.

Since I see them as no one else sees them(usually), do I have a responsibility to let the know if I see something they may be missing? I don't pretend to diagnose or prescribe.

I realize the skin cancer and the vitiligo are totally different. I just wanted-- and appreciate your feedback.

Sharon.
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Old 08-26-2008, 10:19 AM   #7 (permalink)
 
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Re: Vitiligo denial or....?

I would have no problem mentioning it to her. I mentioned it to a client of mine that had trouble tanning some white spots on her abdomen. I personally thought it was vitiligo but didn't say it (I was wrong!). I said I'm pretty sure your Dr. can get that cleared up for you. She went he prescribed cream and it was gone in a few weeks. I didn't pry and ask what it was ever but she did say thanks and she was glad she went.

That is great about your client with skin cancer and you found it. I would think knowing it ran in your family you would be more dilligent in checking with a Dr.'s care.
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Old 08-26-2008, 10:24 AM   #8 (permalink)
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Re: Vitiligo denial or....?

Ya, the key is not to say what it COULD be but to to RECOMMEND they seek medical direction to the problem they *may* have.
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Old 08-26-2008, 10:32 AM   #9 (permalink)
 
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Re: Vitiligo denial or....?

Maybe it was vitiligo and she just didn't want to say. There is a steroid cream that will help some people. You have to be very consistant and avoid certain foods (I think --- I may not be rembering it correctly). I would be curious to know. I have done alot of research on vitiligo and skin conditions so I know more about what I am dealing with. Not saying you should ask.

I believe she thought she was being dilligent. The whole reason she was coming to me was because her sister had been recently diagnosed. It was just in a spot she couldn't see very well and there was a mole there already. It had just really grown over a 2 week period and looking 'scary'. I am glad I told her.

Sharon.
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Old 08-26-2008, 03:14 PM   #10 (permalink)
 
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Re: Vitiligo denial or....?

Esthetician here, we are taught to NEVER diagnose, only RECOMMEND--im assuming all of you should do the same especially not being licensed in this department.
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