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VITILIGO TREATMENT BY NARROW BAND UVB THERAPY BY WALDMANN (GERMANY) MACHINE


The treatment of Vitiligo /Leucoderma still remains a challenge for the dermatologist .Narrow Band Ultraviolet B is actually a very useful and well tolerated treatment modality for the patient who is having Vitiligo/Leucoderma. Narrow Band Ultraviolet B Radiation Therapy shows very promising results in the treatment and stability of the Vitiligo / Leucoderma in the Asian / Indian patients.Its also well tolerated and recommended for children / Adults and Non Pregnant Females as well.


The protocol that we follow in our Center for patients of vitiligo is that normally they are given mono therapy 3 times a week . The starting dose is decided by the dermatologist Dr.Suruchi Puri , M.D., followed by 10-15% dose increments at each subsequent treatments.According to the studies . Narrow Band UVB is a useful and well tolerated therapy for Vitiligo.


We in our clinic follow the international protocol for the treatment where our aim is to stabilise the disease first and later on we work on pigment production in the area affected by Vitiligo/Leucoderma .We use the world class narrow UVB WALDMANN from Germany which has proved its efficiency world over and is regarded as the best UVB VITILIGO TREATMENT modality.The dosages are clearly monitored by the renowned Vitiligo Treatment Specialist/ Vitiligo Surgeon DR.SURUCHI PURI herself who has been treating vitiligo since 2001.


Narrow Band UVB is also useful and effective in preventative treatment of photodermatoses,and also for plaque parapsoriasis, Lichen Planus and Psoriasis, Atopic Dermatoses. More than 75% patients have stable repigmentation 2 years after cessation of treatment programme of upto 1 year of narrow band UVB therapy. This therapy can also be used with oral drug therapy or also with UVA therapy and along with Lasers . Targeted UVB therapy can also be used if small area involvement is there like lip or forehead. As such the treatment can be started from the first day itself without much bothering about precautions .The patient just needs to stand at a designated distance from the UVB LAMPS with eyes covered .


Vitiligo / Leucoderma can also be made stabilised and the effect of repigmentation can be seen after 4-8 weeks. Narrow Band UVB can also be used in pre operative and post operative surgical protocol as suggested by the operating surgeon as the colour diffusion is better after surgery when the area is exposed to narrow band UVB Narrow Band UVB is also a good treatment option for patients who are having vitiligo spreading at a very fast rate and even oral steroids are not able to control the spread. The intake of oral steroid and its side effects are minimised by the use of this mode of therapy for vitiligo. The vitiligo machine has a particular wavelength of light normally in the range of 310 Nm which stimulates the melanin pigmentation formation and this results in repigmentation . Various Indian UVB machines are also availiable and used by many Centers as a cost cutting application but WALDMANN UVB is regarded as one of the best UVB machine for vitiligo treatment and to prevent spread and relapse of vitiligo. Patients may experience repigmentation in the hair bearing area like face or neck within 2-3 weeks. Soles, palms or area near the nails may take longer time to respond as compared to the facial region . Vitiligo can be treated well if the patient reports to the dermatologist as soon as eruption of first white or vitiligo patch. These patches may be single or multiple and may show some pre vitiligo signs and symptoms before they turn into a complete white patch or they may start de novo as a white patch . Vitiligo treatment can also be done through UVA therapy machine which is also availiable in our Center. IPL laser for vitiligo with a handpiece of wavelength 310 Nm can also be used in resistant cases which are not responding to treatment . Intralesional injections along with UVB therapy also shows promising results for patients with vitiligo . Vitiligo patients who are on this therapy need not take any major precautions as such and come and take the therapy as its a 2-3 minute procedure. No need to take any photo active oral drug before the UVB THERAPY as it doesn't need any systemic drug for activation . The colour or pigmentation is usually derived by activation of melanocytes in the surrounding skin or from the melanin if hair follicles .


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