The excimer laser is superior in inducing t cell apoptosis in vitro compared with narrowband uvb with paralleled improved clinical efficacy.
Excimer laser vitiligo protocol.
This wavelength is 308nm within the nbuvb spectrum and this seems to be the right wavelength to treat vitiligo.
Effective for many patients.
Excimer laser vitiligo is a painless treatment procedure that has a great effect in reducing the symptoms of vitiligo with minimal side effects.
Light boxes are used to treat widespread vitiligo.
Least effective on hands and feet.
Lasers are used to treat a small area.
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The excimer laser system is light years ahead of other vitiligo treatments.
However as it is an advanced treatment procedure which involves the use of advanced laser equipment.
About 70 see results with an excimer laser.
Vitiligo excimer laser 3 and psoriasis nbuvb 4 3x weekly produced faster results than 2x weekly however eventually the two schedules resulted in equivalent efficacy.
Excimer laser treatment is highly effective in psoriasis another t cell mediated disorder that shares many immunologic features with aa.
Excimer laser therapy is an option for the treatment of localised vitiligo and moderately severe localised psoriasis and unresponsive to topical treatments.
At first we used a fraxel herbium laser valseriana herbium laser with a wavelength of 1540 nm and high energy level of 1800 mj p.
Xtrac is also endorsed by the national psoriasis foundation and the technology is part of the approved clinical protocols recommended by the american academy of dermatology.
Vitiligo nbuvb treatment protocol excimer laser.
In this study we evaluated the treatment of 30 patient affected by a stable or active form of localised vitiligo with a new therapeutic protocol consisting of a 3 phases sequential treatment of skin lesions.
The medical personnel performing the treatment have to be trained and experienced.
The excimer laser has been used successfully in patients with aa.
Therefore if the patient s schedule allows i recommend starting at 3x weekly for the first 3 months and then decreasing to 2x weekly thereafter.
It is often combined with topical therapies to enhance response for instance topical calcineurin inhibitors and topical steroids.
Patient may sit in a light box or receive excimer laser treatments.
The excimer laser is effective in adults and children with vitiligo in all skin types as monotherapy or in combination with other established vitiligo therapeutics.