Short-term efficacy of high-intensity ultraviolet B versus 308-nm excimer laser for the treatment of vitiligo
10.3760/cma.j.issn.0412-4030.2014.01.019
- VernacularTitle:中波高能紫外线与308 nm准分子激光治疗白癜风的短期疗效比较
- Author:
Dake DONG
;
Lijia YANG
;
Shiqin TAO
;
Jiaqiang WU
;
Leihong XIANG
- Publication Type:Journal Article
- Keywords:
Vitiligo;
Excimer lasers;
Ultraviolet rays
- From:
Chinese Journal of Dermatology
2014;47(1):59-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short-term efficacy of high-intensity ultraviolet B (UVB) versus 308-nm excimer laser for the treatment of vitiligo.Methods Eighty patients with vitiligo were equally divided into two groups to be treated with high-intensity UVB twice a week or 308-nm excimer laser once a week for eight weeks.Repigmentation was evaluated at the end of the treatment.Results After eight weeks of treatment,repigmentation of different degrees was observed in 83.6% and 86.1%,and marked repigmentation in 42.1% and 50%,of the UVB-and excimer laser-treated lesions,respectively.The response rate was significantly lower in facial lesions receiving high-intensity UVB radiation than in those receiving excimer laser radiation (49.1% vs.68.4%,x2 =4.32,P < 0.05),but similar at the other body sites between the two treatment (all P > 0.05).The cumulative dosage required for initial repigmentation was similar between high-intensity UVB and 308-nm excimer laser (t =0.89,P > 0.05),while the treatment sessions and cumulative dosage required for marked or better repigmentation were significantly increased in UVB-compared with excimer laser-treated lesions (both P < 0.01).In addition,both high-intensity UVB and 308-nm excimer laser were suitable for childhood and active vitiligo.Conclusions Both high-intensity UVB and 308-nm excimer laser are safe and effective in the treatment of vitiligo with rapid onset of action,and the latter appears to be superior to the former in efficacy.