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Assessment of changes in color and size of vitiligo lesions during treatment with narrow band ultraviolet B

Journal of Cosmetic Dermatology Nov 26, 2021

Tawfik NZ, et al. - Colorimeter can be employed as a prognostic tool for vitiligo patients because it allowed detection of change in color of vitiligo lesions after only one month of Nb-UVB treatment before it was clinically apparent.

  • This interventional study included 20 patients with non-segmental vitiligo treated with Nb-UVB three times per week for 6 months.

  • Post-6 months of treatment, concerning the lesion size, 90% of lesions demonstrated variable degrees of repigmentation, and increase in size was evident in 10%, suggesting elevated disease activity, and regarding color changes.

  • Marked increase in MI measurements in many lesions prior to the appearance of any clinical improvement was observed after one month of Nb-UVB treatment.

  • At the end of treatment, inside the lesion; 95% exhibited an elevation in melanin index and 5% demonstrated no increase.

  • Outside the lesion; 75% of lesions increased in melanin index, 15% were unaltered and 10% of the lesions exhibited reduction in melanin index.

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