Treatment of localized vitiligo with targeted broadband UVB phototherapy: a pilot study.

Type:Uv phototherapy   Time:2015-01-08 23:09:19
Treatment of localized vitiligo with targeted broadband UVB phototherapy: a pilot study.
BACKGROUND:
Narrowband ultraviolet B (UVB) phototherapy and 308 nm excimer laser have produced encouraging therapeutic results for vitiligo. Repigmentation of various degrees was obtained in different studies.
MATERIALS AND METHODS:
Twenty-nine vitiliginous lesions from six patients were treated with targeted, broadband UV-B phototherapy. UV fluences were started at 50% of the minimal erythema dose, then increased gradually. Treatments were carried out twice weekly for 12 weeks.
RESULTS:
Some degree of repigmentation occurred in all subjects. Responses varied among the different anatomic locations, with acral lesions achieving the least improvement. Onset of repigmentation was as early as 3 weeks of treatment in some subjects. Treatments were well tolerated, with only minimal erythema and hyperpigmentation.
LIMITATIONS:
This study was carried out in a smaller number of patients with skin types III and IV. The irradiation device was a broadband UVB device, and thus the results may not be similar to those obtained from a more monochromatic system such as an excimer laser.
CONCLUSIONS:
Targeted broadband UVB is an efficacious and safe modality for the treatment of localized vitiligo.
Asawanonda P1, Charoenlap M, Korkij W

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