Ann Dermatol.  2002 Dec;14(4):200-203. 10.5021/ad.2002.14.4.200.

The Comparison of Therapeutic Effectiveness Between Lesional and Whole Body Exposure on Oral PUVA for Generalized Vitiligo

• Ko GB
• Mun JH
• Kim HY

• KMID: 2158750
• DOI: http://doi.org/10.5021/ad.2002.14.4.200

Abstract

BACKGROUND
For the treatment of generalized vitiligo patients with oral PUVA, we can use two different methods; one is to treat the lesions while the whole body is exposed. Another one is to treat the lesions while only the lesions are exposed. PURPOSE: This study was performed to determine whether lesional and whole body exposure in oral PUVA for generalized vitiligo show any therapeutic differences in effectiveness. METHODS: The vitiligo lesions were distributed over the whole body skin of the subjects and the lesion area was less than 6% of the whole skin area. PUVA was done to the subjects more than 20 times after oral administration of psoralen. The patients were classified into two different groups. One is the lesional exposure group in which the patient exposed only the vitiligo lesion. The other is the whole body exposure group in which the patient exposed almost their whole body.
RESULTS
Our results show that there is no statistical difference of the therapeutic effectiveness between the two methods.
CONCLUSIONS
We recommend lesional treatment rather than whole body treatment to prevent the oral PUVA side effects.

Keyword

Lesional exposure; Oral PUVA; Vitiligo; Whole body exposure

MeSH Terms

Administration, Oral
Ficusin
Humans
Skin
Vitiligo*
Ficusin