<s>[INST] Im Gina a mother of a six yo boy...having a vitiligo...he has been advised by a doctor to used psoralen for a year now... but pacthes has been appearing everywhere in his face....I nid to know if there is much better treatment than psoralen?Pls reply me at...  YYYY@YYYY [/INST] Hi thanks for contacting Chat Doctor... Do you have tried topical steroid ???? Usually topical steroid application done for 1.5 to 2 months. If no response then other modality tried.... How many searing you have taken of morale? With oral morale it might take 12 to 15 seating for initial response ... One another modality is min skin grafting spot technique. In which skin from healthy area grafted in resistant male. According to few studies yes if resistant males then oral Morales plus UVA irritation is another treatment modality.... Use sunscreen lotion with SPF more than 30... It will prevent further tanning. Take care..... </s>