Monthly Archives: April 2009

Vitiligo UVB NB Treatment – What areas should I treat?

I received an email last night which reminded me that I have not discussed treatment areas and response to treatment. I’ll begin by saying that the areas of our bodies with few hair follicles such as the hands, feet, knees … Continue reading

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Ask Your Doctor

Cover Photo from Amjo’s Ask Your Doctor Flyer As many of you know. I am a co-owner of Amjo Corp along with my wife Cheryl. We run a website dedicated to UV Phototherapy called www.HomePhotoTherapy.com. If you’d like a copy … Continue reading

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Just a smile

Sign outside Jimmy’s Shoe Repair: “I will heel you. I will save your sole. I will even dye for you” There’s a hair salon near here called “Curl Up and Dye”

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Repigmentation in Vitiligo: PUVA vs. Narrowband UVB

This study clearly demonstrates that for vitiligo repigmentation, NB-UVB is safer and more effective than PUVA. Other randomized, controlled trials have shown at least some efficacy with targeted phototherapy, topical and systemic steroids, topical calcineurin inhibitors, and calcipotriene combined with PUVA. A number of reports show success with surgical repigmentation procedures, as well. Although we are making progress in treating this vexing disease (especially with calcineurin inhibitors and phototherapy), we still have a long way to go. At best, 75% of patients respond, and in most instances, this response is only partial. A breakthrough in the management of this disease would be greatly welcomed by both patients and doctors. An accompanying editorial provides a nice evidence-based review of existing therapies for vitiligo.
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UVB311 Folic acid and Vitamin B12

Repigmentation was notable in lesions on the face, neck and throat, lower arm, chest, back and lower legs, whilst repigmentation on the hands, wrists, feet and ankles proved to be minimal. Maximum repigmentation rates did not differ significantly between the UVB group and the UVB+ group. Our study reconfirms that narrow band UVB phototherapy is an effective treatment for vitiligo and shows that co-treatment with vitamin B12 and folic acid does not improve the outcome of treatment of vitiligo with narrow band UVB phototherapy. Continue reading

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UVB NB useful, well-tolerated treatment for vitiligo.

Title: Narrow-band ultraviolet B is a useful and well-tolerated treatment for vitiligo. Author: Scherschun L; Kim JJ; Lim HW J Am Acad Dermatol 2001 Jun;44(6):999-1003. BACKGROUND: The treatment of vitiligo remains a challenge. OBJECTIVE: The purpose of this article is … Continue reading

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What’s treated with UVB Narrowband?

This is a tough question as UVB Narrowband in some ways has become a panacea for many skin challenges. Here’s a partial list of diseases that I’m aware of where UVB Narrowband is one of the treatment options. Alopecia Atopic … Continue reading

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Background: UVBNB phototherapy in Dermatology

Link to entire article << Click Here >> The first report of the use of ‘phototherapy’ in the treatment of skin disorders dates from 1400 BC from India when patients with vitiligo were given certain plant extracts (whose active ingredients … Continue reading

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Study: 150 Patients with Vitiligo

Evaluation of narrow-band UVB phototherapy in 150 patients with vitiligo Link to entire article << Click Here >> Y Hari Kishan Kumar, G Raghu Rama Rao, K.V.T Gopal, G Shanti, K Veerabhadra Rao Department of Dermatology, King George Hospital/Andhra Medical … Continue reading

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Narrowband UVB and Pityriasis Lichenoides

NB-UVB treatment led to a complete response (CR) in 15 out of 23 PLEVA patients (65.2%) with a mean cumulative dose of 23 J/cm2… Conclusion: NB-UVB therapy is an effective, safe and practical alternative treatment modality for the management of PLEVA and PLC. Continue reading

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