Fototerapia Vitiligo

As all patients were of skin type IV and V, the minimal erythema dose (MED) was not calculated and the initial dose of 150 mJ/cm ² was started and the treatment was administered 2 times/week on nonconsecutive days. The irradiation dose was increased by 20% for each subsequent visit till the optimal dose was achieved to obtain minimal erythema in the lesions. If symptomatic erythema, burning pain or blistering developed, the irradiation dose was decreased by 20%. During treatment, the affected parts were only exposed, and the genitalia and other uninvolved areas were protected. Similarly, the eyes were protected by UV-blocking goggles. If significant depigmentation was present on the eyelids and if patients or parents insisted on treating these areas, the patients were advised to keep their eyes closed during treatment. All the patients were asked to use sunscreens during daytime.

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Benjamin Hidalgo-Matlock

Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054

Momentum Escazu: 2101-9574

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