Document Detail


Treatment of vitiligo with narrow-band ultraviolet B: advantages and disadvantages.
MedLine Citation:
PMID:  18627697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sonya J Abdulla; J P Desgroseilliers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2008-07-16     Completed Date:  2008-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9614685     Medline TA:  J Cutan Med Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  174-9     Citation Subset:  IM    
Affiliation:
Undergraduates Studies, Faculty of Medicine, Division of Dermatology, University of Ottawa, Ottawa, ON.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Logistic Models
Male
Retrospective Studies
Treatment Outcome
Ultraviolet Therapy / methods*
Vitiligo / radiotherapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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