Objective:Combination therapy of a 308-nm monochromatic excimer lamp and topical tacrolimus is widely used in the treatment of localized vitiligo;however,there are no published studies investigating this combination t...Objective:Combination therapy of a 308-nm monochromatic excimer lamp and topical tacrolimus is widely used in the treatment of localized vitiligo;however,there are no published studies investigating this combination therapy in Vietnamese patients with vitiligo.This study was performed to evaluate the efficacy of combined excimer lamp and topical tacrolimus therapy for patients with localized vitiligo in Vietnam.Methods:We performed a pre-post clinical trial of 30 patients diagnosed with localized vitiligo in Vietnam.The patients were treated with an excimer lamp twice weekly and with topical tacrolimus twice daily.Effectiveness was evaluated based on the reduction rate of the vitiligo area scoring index (VASI).Data were analyzed using descriptive statistics,Fisher’s exact test,Kruskal-WallisH test,and Spearman correlation coefficient test.Results:After 12 weeks of treatment,response was excellent or good in 16 patients (53.3%),moderate in 8 patients (26.7%),and poor in 6 patients (20.0%).The excellent or good responses increased over time from 3 patients (10.0%) at 6 weeks to 16 patients (53.3%) at 12 weeks (P = 0.001).Earlier initiation of repigmentation was associated with a better response to treatment (r = -0.71;P = 0.020).Patients with a perifollicular repigmentation pattern responded better to treatment than those with combined or marginal repigmentation patterns (P = 0.003).Side effects occurred in 13 patients (43.3%),including burning (43.3%),pruritus (10.0%),and mild blistering (6.7%),and none of these interrupted the treatment.Conclusion:Combination therapy with excimer lamp and topical tacrolimus appears to be effective and safe in treating patients with localized vitiligo in Vietnam.展开更多
Objective To assess which of topical tacrolimus and topical highly potent steroids,is more effective and safer in the treatment of pediatric vitiligo.Methods The PubMed,Cochrane library,Scopus and CINAHL plus database...Objective To assess which of topical tacrolimus and topical highly potent steroids,is more effective and safer in the treatment of pediatric vitiligo.Methods The PubMed,Cochrane library,Scopus and CINAHL plus databases were retrieved.The search was confined to English language articles.The randomized controlled trial(RCT)articles were included in our study.The quality of the identified articles was examined by using the CASP Randomised Controlled Trials Checklist.Results As a result,there were only a few studies related to the comparison.However,there were only two RCTs regarding a comparison of topical tacrolimus 0.1%and clobetasol propionate 0.05%in childhood vitiligo.Conclusion When the body surface area(BSA)involved in the child is<20%,and the disease is not rapidly spreading,topical therapy is the first choice.Topical tacrolimus may be considered as an alternative therapy for childhood vitiligo,especially for acrofacial and segmental types,before considering other modalities,but still need to observe long-term side effects.展开更多
文摘Objective:Combination therapy of a 308-nm monochromatic excimer lamp and topical tacrolimus is widely used in the treatment of localized vitiligo;however,there are no published studies investigating this combination therapy in Vietnamese patients with vitiligo.This study was performed to evaluate the efficacy of combined excimer lamp and topical tacrolimus therapy for patients with localized vitiligo in Vietnam.Methods:We performed a pre-post clinical trial of 30 patients diagnosed with localized vitiligo in Vietnam.The patients were treated with an excimer lamp twice weekly and with topical tacrolimus twice daily.Effectiveness was evaluated based on the reduction rate of the vitiligo area scoring index (VASI).Data were analyzed using descriptive statistics,Fisher’s exact test,Kruskal-WallisH test,and Spearman correlation coefficient test.Results:After 12 weeks of treatment,response was excellent or good in 16 patients (53.3%),moderate in 8 patients (26.7%),and poor in 6 patients (20.0%).The excellent or good responses increased over time from 3 patients (10.0%) at 6 weeks to 16 patients (53.3%) at 12 weeks (P = 0.001).Earlier initiation of repigmentation was associated with a better response to treatment (r = -0.71;P = 0.020).Patients with a perifollicular repigmentation pattern responded better to treatment than those with combined or marginal repigmentation patterns (P = 0.003).Side effects occurred in 13 patients (43.3%),including burning (43.3%),pruritus (10.0%),and mild blistering (6.7%),and none of these interrupted the treatment.Conclusion:Combination therapy with excimer lamp and topical tacrolimus appears to be effective and safe in treating patients with localized vitiligo in Vietnam.
文摘Objective To assess which of topical tacrolimus and topical highly potent steroids,is more effective and safer in the treatment of pediatric vitiligo.Methods The PubMed,Cochrane library,Scopus and CINAHL plus databases were retrieved.The search was confined to English language articles.The randomized controlled trial(RCT)articles were included in our study.The quality of the identified articles was examined by using the CASP Randomised Controlled Trials Checklist.Results As a result,there were only a few studies related to the comparison.However,there were only two RCTs regarding a comparison of topical tacrolimus 0.1%and clobetasol propionate 0.05%in childhood vitiligo.Conclusion When the body surface area(BSA)involved in the child is<20%,and the disease is not rapidly spreading,topical therapy is the first choice.Topical tacrolimus may be considered as an alternative therapy for childhood vitiligo,especially for acrofacial and segmental types,before considering other modalities,but still need to observe long-term side effects.