| Treatment of vitiligo with narrow-band ultraviolet B: advantages and disadvantages. | |
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MedLine Citation:
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PMID: 18627697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Narrow-band ultraviolet B (NB-UVB) therapy for vitiligo is increasingly used in patients who are unresponsive to other forms of therapy. OBJECTIVE: This study measures levels of patient and physician satisfaction and the associated advantages and disadvantages of NB-UVB. METHODS: A retrospective chart review was conducted of the first 50 patients with vitiligo treated at the Photoderm Clinic in Ottawa, Ontario. Data were obtained from digital photographs and patient charts (n = 50). RESULTS: Percent repigmentation of the face and body was very good compared with the hands and feet (poor = 0-or< 33%; good = 33-or< 66%; very good = >or= 66%). The physician and patients were satisfied with results achieved with NB-UVB therapy (very good [VG]: medical doctor [MD] 49% [95% CI 35-63], patient [Pt] 51% [95% CI 37-65]; good [G]: MD 24% [95% CI 12-36], Pt 22% [95% CI 10-34]). CONCLUSION: NB-UVB therapy is an effective treatment for vitiligo (ie, VG, repigmentation >or= 66%) that leads to high levels of patient and physician treatment-related satisfaction. Although there are disadvantages to NB-UVB therapy, the advantages outweigh the drawbacks. An objective evaluation such as the Vitiligo Area Scoring Index (VASI) is necessary to validate these findings. Additional limitations include those inherent in retrospective study design. |
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Authors:
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Sonya J Abdulla; J P Desgroseilliers |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of cutaneous medicine and surgery Volume: 12 ISSN: 1203-4754 ISO Abbreviation: J Cutan Med Surg Publication Date: 2008 Jul-Aug |
Date Detail:
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Created Date: 2008-07-16 Completed Date: 2008-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9614685 Medline TA: J Cutan Med Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 174-9 Citation Subset: IM |
Affiliation:
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Undergraduates Studies, Faculty of Medicine, Division of Dermatology, University of Ottawa, Ottawa, ON. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Logistic Models Male Retrospective Studies Treatment Outcome Ultraviolet Therapy / methods* Vitiligo / radiotherapy* |
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