Online ISSN: 2515-8260

Study of the Enhanced Role of Latanoprost Combined with Narrow Band Ultraviolet B Rays in Vitiligo Repigmentation

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Heba Gamal Elsheikh1 ,Al_Mokadem S2 , and Abdulla Esawy

Abstract

Background:Vitiligo is an acquired, autoimmune disease characterized by depigmented macules and patches on the skin, which occur secondary to melanocyte destruction. Focal and segmental vitiligo patterns involve ≤10% body surface area (BSA) and are considered stable patterns. Generalized vitiligo typically involves ≥10% BSA, appears bilaterally in a symmetric distribution, and generally follows a relapsing and remitting disease course. The pathogenesis is complex and involves the interplay of multiple factors; however, the exact pathogenesis is not well known. In particular, the autoimmune mechanism is clearly established. Vitiligo may appear at any age and affect both sexes.Treatment can be challenging, though available modalities of therapy include pharmacologic, surgical, and phototherapy. Appropriate characterization of vitiligo type, consideration of disease extent and duration, and efficacy of prior therapies can guide management and maximize treatment efficacy.Latanoprost was documented to stimulate prostaglandin E2(PGE2) formation, and repigmentation is likely to be induced in part by endogenous PGE2 which acts as a melanogenic stimulator.Narrow band UVB rays are one of the safest and most effective therapeutic modalities of vitiligo. It emits wavelengths between 310 and 315 nm. This specific wavelength is very effective in vitiligo because it can stimulate the dormant skin melanocytes and also modulate the cutaneous immune system.

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