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अगर मेरे बच्चे को विटिलिगो है और डॉक्टर ने रुक्सोलिटिनिब लिखी है लेकिन बाल रोग विशेषज्ञ सहमत नहीं हैं, तो मुझे क्या करना चाहिए?
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Pediatric Medicine
Question #30316
23 days ago
68

अगर मेरे बच्चे को विटिलिगो है और डॉक्टर ने रुक्सोलिटिनिब लिखी है लेकिन बाल रोग विशेषज्ञ सहमत नहीं हैं, तो मुझे क्या करना चाहिए?

Client_7d3cb0

डॉक्टर ने कहा कि मेरे बच्चे को विटिलिगो है। उन्होंने रुक्सोलिटिनिब दिया लेकिन बाल रोग विशेषज्ञ ने इसे न देने को कहा। मैं बहुत उलझन में हूँ कि अब क्या करूँ।

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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
21 days ago
5

Hello dear See the concerned medication is known to cause repigmentation Hence it is a concern for pediatrician I suggest you to please get in person consultation with pediatrician for better clarity It is incontext to Child age Skin type Amount of vitiligo Immunity Body reaction Hopefully you recover soon Regards

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In cases where there’s a disagreement between healthcare providers about a treatment, especially when it involves a relatively new medication like ruxolitinib, it’s best to gather more information and seek another opinion. Ruxolitinib, a Janus kinase inhibitor, has shown promise in treating vitiligo, but it’s important to note that it’s primarily approved for other conditions like myelofibrosis and polycythemia vera, which means its use in vitiligo could be considered off-label. Pediatricians might have concerns about using such drugs in children due to potential side effects or lack of large-scale studies specifically in pediatric populations.

Here’s what you can do: First, schedule a follow-up appointment with either the dermatologist who prescribed the medication or another dermatologist who has experience with vitiligo treatment in children. Bring up the concerns raised by the pediatrician and ask the dermatologist to explain the rationale for choosing ruxolitinib, including any benefits and risks, especially in the context of your child’s age and health status. Second, discuss with the pediatrician their specific concerns with ruxolitinib. This might include the lack of long-term safety data in kids or potential adverse effects. Understanding both sides can help you weigh the risks and benefits more accurately for your child. Third, consider asking for a referral to a pediatric dermatologist or an expert in pediatric dermatological treatments for a third opinion. Such specialists will be more accustomed to the intricacies of treating skin conditions in children and can provide you with a clearer picture.

Remember, while it’s natural to feel confused and uncertain, gathering more informed opinions is the most practical step forward. Don’t hesitate to ask questions and express your worries to healthcare providers. They should be able to provide recommendations that take into account your child’s specific situation and overall health. It’s crucial to ensure that the path chosen is safe, effective, and considerate of your child’s wellbeing in both the short and long term.

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