Document Detail


The minigrafting test for vitiligo: detection of stable lesions for melanocyte transplantation.
MedLine Citation:
PMID:  7829707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Selected patients with stable and refractory vitiligo may consider melanocyte transplantation as a therapeutic alternative. A method to anticipate the response to surgical repair is not available. OBJECTIVE: We evaluated the pigment spread of minigrafts when implanted within achromic lesions of stable vitiligo as a test to identify good candidates for surgical repigmentation. METHODS: Four to six minigrafts of 1.0 to 1.2 mm were implanted within lesions of patients with unilateral (localized) and bilateral (generalized) vitiligo. Pigment spread was assessed 3 months later. RESULTS: Forty-seven subjects were examined. In unilateral vitiligo 19 of 20 patients (95%) had a positive test result in comparison with only 13 of 27 patients (48%) with bilateral vitiligo (p = 0.002). CONCLUSION: The minigrafting test is a reliable tool to identify patients with stable vitiligo who may respond to melanocyte transplantation. Unilateral (localized) vitiligo is the best indication for surgical repigmentation.
Authors:
R Falabella; A Arrunategui; M I Barona; A Alzate
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  32     ISSN:  0190-9622     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-02-23     Completed Date:  1995-02-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  228-32     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Fundacion Valle del Lili, Cali, Columbia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Age of Onset
Female
Follow-Up Studies
Humans
Male
Melanins / metabolism
Melanocytes / metabolism,  transplantation*
Recurrence
Skin / metabolism,  pathology
Skin Pigmentation
Skin Transplantation / methods
Vitiligo / metabolism,  pathology*,  surgery*
Chemical
Reg. No./Substance:
0/Melanins
Comments/Corrections
Comment In:
J Am Acad Dermatol. 1995 Dec;33(6):1061-2   [PMID:  7490361 ]

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


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