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Vitiligo

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By Sertaç Sever None
https://www.readbyqxmd.com/read/27274556/management-of-vitiligo-patients-with-surgical-interventions
#1
Divya Shokeen
Vitiligo is an acquired depigmentation disorder of unknown etiology. Medical treatments are usually reasonably effective for nonstable vitiligo patches; however, for vitiligo patches that have been stable for a substantial period of time, surgical intervention should be considered. In this article, surgical interventions for vitiligo are reviewed, including split-thickness skin grafting, suction blister grafting, miniature punch grafting, and cultured melanocyte transplantation.
May 2016: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/27277530/hydroxychloroquine-protects-melanocytes-from-autoantibody-induced-injury-by-reducing-the-binding-of-antigen-antibody-complexes
#2
Dong-Guang Li, Wen-Zhi Hu, Hui-Jun Ma, Wen Liu, Qing-Qi Yang, Guang Zhao
Vitiligo is a polygenic autoimmune disorder characterized by loss of pigmentation due to melanocyte destruction. Hydroxychloroquine (HCQ) is an effective immunosuppressant widely used in the treatment of autoimmune disorders. As generalized vitiligo (GV) is commonly considered to be a T cell and autoantibody-induced immune disorder, the present study aimed to determine whether HCQ protects melanocytes from autoantibody‑induced disruption. Anti‑melanocyte antibodies were obtained from the serum of patients with progressive GV and the effects of HCQ on prevent the autoantibody‑induced disruption of melanocytes was observed...
August 2016: Molecular Medicine Reports
https://www.readbyqxmd.com/read/27329330/a-pilot-comparative-study-of-topical-latanoprost-and-tacrolimus-in-combination-with-narrow-band-ultraviolet-b-phototherapy-and-microneedling-for-the-treatment-of-nonsegmental-vitiligo
#3
Igor V Korobko, Konstantin M Lomonosov
Prostaglandins and their analogues are beneficial as topical agents in vitiligo treatment, yet neither of the previous study addressed their comparative efficiency with conventional topical agents used in vitiligo treatment. In this pilot (24 patients) left-right comparative study we addressed efficiency of prostaglandin F2α analogue latanoprost versus tacrolimus when combined with narrow-band ultraviolet B and microneedling in repigmentation of nonsegmental vitiligo lesions. Our results confirm potency of prostaglandins, in particular, that of latanoprost, in inducing repigmentation, with the efficiency being at least comparable to that of tacrolimus, while contribution of microneedling remains unclear...
June 21, 2016: Dermatologic Therapy
https://www.readbyqxmd.com/read/26662644/exploring-the-gaps-in-the-evidence-based-application-of-narrowband-uvb-for-the-treatment-of-vitiligo
#4
REVIEW
Lauren M Madigan, Mohammed Al-Jamal, Iltefat Hamzavi
While narrowband ultraviolet light B (NB-UVB) has become integral to the treatment of diffuse vitiligo, evidence-based guidelines have been lacking with regard to dosing and administration. This is largely the result of heterogeneous study designs, ambiguous methodologies, disparate dosing strategies, and the use of varied, and somewhat arbitrary, outcome measures. In the absence of prospective trials to address each of these concerns, the available literature regarding the application of NB-UVB for vitiligo was reviewed and the authors now pose a set of questions to the phototherapy community in an attempt to highlight gaps within our understanding...
March 2016: Photodermatology, Photoimmunology & Photomedicine
https://www.readbyqxmd.com/read/24926182/treatment-of-segmental-vitiligo-with-normal-hair-follicle-autograft
#5
MirHadi Aziz Jalali, Babak Jafari, Mansour Isfahani, Mohammad Ali Nilforoushzadeh
BACKGROUND: Segmental vitiligo is a small subset albeit persistent form of focal vitiligo with dermatomal distributionand resistant to medical therapy. In recent years, surgical therapy as hair follicle autograft transplantationhas been a hot topic in management of segmental vitiligo. In this study, we evaluated the efficacy of thismethod in segmental vitiligo lesions. METHODS: The study recruited 10 patients who suffered from resistant segmental vitiligo to evaluate the effectof transplantation of pigmented hair follicles on re-pigmentation of the affected area...
November 2013: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/24889492/fractional-laser-for-vitiligo-treated-by-10-600%C3%A2-nm-ablative-fractional-carbon-dioxide-laser-followed-by-sun-exposure
#6
J Hélou, I Maatouk, G Obeid, R Moutran, F Stéphan, R Tomb
BACKGROUND: Vitiligo is an acquired disorder of the skin and mucous membranes. Many patients with vitiligo remain in the refractory state despite the availability of numerous potential treatments. To the best of our knowledge, only one trial considers ablative fractional CO2 laser in the treatment of vitiligo. OBJECTIVE: To investigate the effects of fractional CO2 laser followed by systemic sun exposure on non-segmental vitiligo (NSV). METHODS: Ten patients presenting refractory NSV were enrolled in this study...
August 2014: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/24840876/enhanced-bleaching-treatment-opportunities-for-immune-assisted-melanocyte-suicide-in-vitiligo
#7
Kirsten C Webb, Jonathan M Eby, Vidhya Hariharan, Claudia Hernandez, Rosalie M Luiten, I Caroline Le Poole
Depigmentation in vitiligo occurs by progressive loss of melanocytes from the basal layer of the skin, and can be psychologically devastating to patients. T cell-mediated autoimmunity explains the progressive nature of this disease. Rather than being confronted with periods of rapid depigmentation and bouts of repigmentation, patients with long-standing, treatment-resistant vitiligo can undergo depigmentation treatment. The objective is to remove residual pigmentation to achieve a cosmetically acceptable result--that of skin with a uniform appearance...
August 2014: Experimental Dermatology
https://www.readbyqxmd.com/read/24813836/a-retrospective-study-of-231-japanese-vitiligo-patients-with-special-reference-to-phototherapy
#8
Akiko Yoshida, Atsushi Takagi, Ayako Ikejima, Hiroshi Takenaka, Tatsuo Fukai, Shigaku Ikeda
Although the outcomes of various treatment modalities for vitiligo have been studied extensively, the influence of the participant's characteristics on treatment response has not been thoroughly investigated. Therefore, we retrospectively investigated treatment effects and their association with clinical characteristics in Japanese patients with vitiligo. The charts of patients with vitiligo treated in our institution were reviewed. Clinical response was evaluated as a marked response rate, defined as repigmentation in >75% of the initial lesional area...
2014: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/24806714/vitiligo-treatment-demystified-a-flowchart-for-stratified-treatment-approaches
#9
Rebecca Tung, I Caroline Le Poole
The recent publication by Anbar et al. in the April issue of this journal, delineating and prioritizing treatment options for vitiligo, is both timely and significant. First and foremost, this work brings to the forefront the important message that vitiligo truly is a treatable disease. All too often, patients refrain from seeking treatment as public opinion dictates that vitiligo is not an important disease, there are no effective treatments available, and insurance will not cover attempts to treat. By providing clear guidelines of treatments to be considered, practicing physicians seeing an occasional vitiligo patient will be more readily inclined to explore the possibilities currently available for enhancing the quality of life of this patient group...
July 2014: Experimental Dermatology
https://www.readbyqxmd.com/read/24688621/polypodium-leucotomos-as-an-adjunct-treatment-of-pigmentary-disorders
#10
REVIEW
Mark Nestor, Vivian Bucay, Valerie Callender, Joel L Cohen, Neil Sadick, Heidi Waldorf
INTRODUCTION: Extracts of the tropical fern Polypodium leucotomos appear to possess beneficial properties for the skin attributed to the presence of numerous compounds within the extract that have antioxidant and photoprotective properties. Orally administered Polypodium leucotomos may provide protection against the detrimental photoaging effects of sunlight and can also help reduce the frequency and severity of polymorphous light eruption. Polypodium leucotomos has also been shown to be beneficial for the prevention and potential treatment of several aesthetically relevant conditions...
March 2014: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/24671856/two-cases-of-focal-scrotal-vitiligo-successfully-treated-by-autologous-cultured-melanocyte-transplantation
#11
Xiaowen Li, Weisong Hong, Ai-E Xu
Vitiligo is an acquired cutaneous depigmentation disorder which has a deleterious effect on the psychosexual function of many individuals; the genitalia are the common site for depigmentation. Here, the authors report two cases of focal vitiligo affecting the scrotum of the genital organs which were successfully treated by autologous cultured melanocyte transplantation. Autologous cultured melanocyte transplantation on the scrotum is shown to be a relative effective method of treatment for vitiligo.
June 2014: Dermatology and Therapy
https://www.readbyqxmd.com/read/24494526/frequency-of-autoimmune-diseases-in-those-suffering-from-vitiligo-in-comparison-with-normal-population
#12
Shahla Babaee Nejad, Hamideh Herizchi Qadim, Leila Nazeman, Roohollah Fadaii, Mohamad Goldust
Vitiligo is more common in people with certain autoimmune diseases. Here we studied the association between vitiligo and autoimmune diseases. In this case control study, 86 patients with vitiligo were questioned about the location of vitiligo, family history, treatment and therapeutic response. All patients were examined both clinically and with laboratory tests to detect the presence of autoimmune disorders including autoimmune thyroid disease, pernicious anemia, insulin dependent diabetes, and Systemic Lupus Erythematic (SLE) and Addison disease...
June 15, 2013: Pakistan Journal of Biological Sciences: PJBS
https://www.readbyqxmd.com/read/24494059/a-pilot-study-assessing-the-effect-of-prolonged-administration-of-high-daily-doses-of-vitamin-d-on-the-clinical-course-of-vitiligo-and-psoriasis
#13
Danilo C Finamor, Rita Sinigaglia-Coimbra, Luiz C M Neves, Marcia Gutierrez, Jeferson J Silva, Lucas D Torres, Fernanda Surano, Domingos J Neto, Neil F Novo, Yara Juliano, Antonio C Lopes, Cicero Galli Coimbra
Autoimmunity has been associated with vitamin D deficiency and resistance, with gene polymorphisms related to vitamin D metabolism frequently described in affected patients. High doses of vitamin D3 may conceivably compensate for inherited resistance to its biological effects. This study aimed to assess the efficacy and safety of prolonged high-dose vitamin D3 treatment of patients with psoriasis and vitiligo. Nine patients with psoriasis and 16 patients with vitiligo received vitamin D3 35,000 IU once daily for six months in association with a low-calcium diet (avoiding dairy products and calcium-enriched foods like oat, rice or soya "milk") and hydration (minimum 2...
January 1, 2013: Dermato-endocrinology
https://www.readbyqxmd.com/read/24461995/a-comparative-study-of-the-mini-punch-grafting-and-hair-follicle-transplantation-in-the-treatment-of-refractory-and-stable-vitiligo
#14
COMPARATIVE STUDY
Mohammad Ali Mapar, Moslem Safarpour, Mokhtar Mapar, Mohammad Hosein Haghighizadeh
BACKGROUND: Some vitiligo lesions are resistant to all medical treatments. OBJECTIVE: We sought to compare the efficacy of hair follicle transplantation and mini-punch grafting for the treatment of refractory vitiligo lesions. METHODS: A total of 25 patients with stable and resistant vitiligo participated in the study. In each patient, a resistant vitiligo patch was divided into 2 equal parts. One part was treated with hair follicle transplantation and the other part with mini-punch grafting...
April 2014: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/24039346/treatment-of-vitiligo-with-autologous-cultured-keratinocytes-in-27-cases
#15
Kyoichi Matsuzaki, Norio Kumagai
BACKGROUND: Vitiligo is an acquired depigmentation of the skin characterized by white spots with well-defined margins, causing psychological stress in patients due to cosmetic concerns. We examined 27 patients who underwent vitiligo treatment using autologous cultured keratinocytes. METHODS: The study comprised 20 patients with segmental vitiligo and seven patients with generalized vitiligo, and they were followed up for at least 1 year postoperatively. In all 27 cases, topical steroid or ultraviolet therapy had been previously performed by dermatologists, but this treatment had been ineffective...
2013: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/24023428/stability-in-vitiligo-is-there-a-perfect-way-to-predict-it
#16
REVIEW
Kanika Sahni, Davinder Parsad
Stability is a hard-to-define concept in the setting of vitiligo, but is nonetheless extremely crucial to the planning of treatment regimens and also in prognosticating for the patient. There are several ways to judge stability in vitiligo, which include clinical features and, recently, many biochemical, cytological and ultrastructural correlates of the same. These recent advances help in not only in prognosticating individual patients but also in elucidating some of the mechanisms for the pathogenesis of vitiligo, including melanocytorrhagy and oxidative damage to melanocytes...
April 2013: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/23947669/targeting-ihsp-70-in-vitiligo-a-critical-step-for-cure
#17
COMMENT
Alain Taïeb, Julien Seneschal
The group of Caroline Le Poole has produced a series of elegant papers suggesting an innovative rationale for the treatment of vitiligo by limiting native iHSP70 expression, with subsequent blockade of DC activation and melanocyte loss via T-cell-specific autoimmune responses. The proof of concept was made in a mouse model of the use of a mutant iHSP70 blunting this response. The comment emphasizes that in vitiligo, a skin and possibly epidermal defect underlies the initial steps leading to inflammation and subsequent melanocyte demise and discusses the relevance of targeting iHSP in this context...
September 2013: Experimental Dermatology
https://www.readbyqxmd.com/read/23909405/q-switched-laser-depigmentation-in-vitiligo-most-effective-in-active-disease
#18
L Komen, L Zwertbroek, S J Burger, J P W van der Veen, M A de Rie, A Wolkerstorfer
BACKGROUND: In widespread vitiligo, when repigmentation therapies are no longer feasible, Q-switched lasers can be used to remove the remaining disfiguring pigmentation. However, little literature is available on the long-term effects of Q-switched laser treatment in patients with vitiligo, and the variables influencing the effect of treatment are unknown. OBJECTIVE: To evaluate retrospectively the effectiveness, safety and patient satisfaction of Q-switched ruby (QSR) laser-induced depigmentation in widespread vitiligo...
December 2013: British Journal of Dermatology
https://www.readbyqxmd.com/read/23815959/low-dose-oral-mini-pulse-dexamethasone-therapy-in-progressive-unstable-vitiligo
#19
Amrinder J Kanwar, Rahul Mahajan, Davinder Parsad
BACKGROUND: The course of vitiligo is unpredictable. If the disease is spreading rapidly, the progression can be controlled with the use of systemic steroids daily or in pulsed form. The present study was planned to assess the efficacy of low-dose dexamethasone oral mini-pulse therapy in progressive unstable vitiligo. MATERIALS AND METHODS: In this retrospective study, the case records of patients with vitiligo during the period from January 2006 to December 2010 were studied...
July 2013: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/23716799/relapse-after-methylprednisolone-oral-minipulse-therapy-in-childhood-vitiligo-a-12-month-follow-up-study
#20
Imran Majid, Saher Imran
BACKGROUND: Oral minipulse (OMP) therapy with methylprednisolone is presently one of the most common oral treatments used for progressive vitiligo in children. The treatment is usually given for a period of 6 months during which majority of patients are reported to go into remission. However, there are no follow-up studies to comment upon what happens to the disease after OMP therapy is withdrawn. AIM OF THE STUDY: To document the incidence of relapse over a period of 1 year after OMP therapy is stopped in children with vitiligo...
March 2013: Indian Journal of Dermatology
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