Decades of experience treating vitiligo with UVB therapy
- Authors: Olisova O.Y.1, Krotkova E.A.1, Smirnov K.V.1, Al Momani M.1, Lomonosov K.M.1
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Affiliations:
- Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 27, No 3 (2024)
- Pages: 283-289
- Section: DERMATOLOGY
- URL: https://journals.rcsi.science/1560-9588/article/view/262716
- DOI: https://doi.org/10.17816/dv625814
- ID: 262716
Cite item
Abstract
BACKGROUND: From the advent of modern phototherapy to the present day, this technique has been an important tool for the treatment of various skin diseases such as psoriasis, parapsoriasis, red lichen planus, scleroderma, atopic dermatitis, lymphomas, etc. One of the common dermatologic diseases where this technique is used as a gold standard is vitiligo. Despite the existence of a wide range of therapies for this disease, phototherapy remains the standard of care because of its proven efficacy and favorable side effect profile.
AIM: Is to study the efficacy of UVB-311 nm in the treatment of vitiligo, to assess adherence to therapy, as well as to analyze the reasons for discontinuation of phototherapy in order to optimize the future results of treatment.
MATERIALS AND METHODS: The study included 570 vitiligo sufferers who underwent UVB-311 nm phototherapy from 2013–2023. Evaluation of the therapy efficacy, its impact on the patients' quality of life, as well as analysis of the reasons for discontinuation of the UVB-311 nm course were carried out using questionnaires, visual repigmentation scale G0–G4, and comparative assessment using photofixation
RESULTS: An excellent (repigmentation >75%) response was observed in 30% of patients. In 32% of patients repigmentation was between 51% and 75%; 23% of patients responded to treatment with repigmentation between 25–50% of foci; 15% of patients completed the course of treatment due to lack of response and repigmentation less than 25% after the first 30 treatments. Only 68% of patients completed the full course of narrow-band UVB-311 nm therapy, the average number of treatments was 49.
CONCLUSION: The study demonstrated good clinical efficacy of UVB-311 nm phototherapy. However, a number of interventions are needed to optimize treatment results and improve treatment adherence.
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##article.viewOnOriginalSite##About the authors
Olga Yu. Olisova
Sechenov First Moscow State Medical University (Sechenov University)
Email: olisovaolga@mail.ru
ORCID iD: 0000-0003-2482-1754
SPIN-code: 2500-7989
MD, Dr. Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences
Russian Federation, MoscowElizaveta A. Krotkova
Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: elise1197@mail.ru
ORCID iD: 0000-0001-7343-7252
SPIN-code: 6091-6469
Russian Federation, Moscow
Konstantin V. Smirnov
Sechenov First Moscow State Medical University (Sechenov University)
Email: puva3@mail.ru
ORCID iD: 0000-0001-7660-7958
SPIN-code: 2054-1086
MD, Cand. Sci. (Med.)
Russian Federation, MoscowMohammed Al Momani
Sechenov First Moscow State Medical University (Sechenov University)
Email: Almomanimohamd65@gmail.com
ORCID iD: 0009-0009-9009-2239
MD
Russian Federation, MoscowKonstantin M. Lomonosov
Sechenov First Moscow State Medical University (Sechenov University)
Email: lamclinic@yandex.ru
ORCID iD: 0000-0002-4580-6193
SPIN-code: 4784-9730
MD, Dr. Sci. (Med.), Professor
Russian Federation, MoscowReferences
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