Department of Dermatology, Henry Ford Hospital, Detroit, Michigan.
Department of Dermatology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
J Am Acad Dermatol. 2017 May;76(5):879-888. doi: 10.1016/j.jaad.2016.12.041. Epub 2017 Feb 16.
Treatment of vitiligo with narrowband ultraviolet B light (NBUVB) is an important component of the current standard of care. However, there are no consistent guidelines regarding the dosing and administration of NBUVB in vitiligo, reflected by varied treatment practices around the world.
To create phototherapy recommendations to facilitate clinical management and identify areas requiring future research.
The Vitiligo Working Group (VWG) Phototherapy Committee addressed 19 questions regarding the administration of phototherapy over 3 conference calls. Members of the Photomedicine Society and a group of phototherapy experts were surveyed regarding their phototherapy practices.
Based on comparison and analysis of survey results, expert opinion, and discussion held during conference calls, expert recommendations for the administration of NBUVB phototherapy in vitiligo were created.
There were several areas that required further research before final recommendations could be made. In addition, no standardized methodology was used during literature review and to assess the strength of evidence during the development of these recommendations.
This set of expert recommendations by the VWG is based on the prescribing practices of phototherapy experts from around the world to create a unified, broadly applicable set of recommendations on the use of NBUVB in vitiligo.
窄谱中波紫外线(NBUVB)治疗白癜风是当前标准治疗的重要组成部分。然而,在白癜风的 NBUVB 剂量和管理方面,目前尚无一致的指南,这反映出世界各地的治疗实践存在差异。
制定光疗建议,以促进临床管理并确定需要进一步研究的领域。
白癜风工作组(VWG)光疗委员会在 3 次电话会议上讨论了 19 个关于光疗管理的问题。对光医学学会的成员和一组光疗专家进行了有关其光疗实践的调查。
根据调查结果、专家意见的比较和分析,以及电话会议上的讨论,制定了 NBUVB 光疗治疗白癜风的专家建议。
在提出最终建议之前,有几个领域需要进一步研究。此外,在制定这些建议的过程中,文献综述和评估证据强度时没有使用标准化的方法。
VWG 的这组专家建议是基于世界各地光疗专家的处方实践制定的,旨在制定一套统一的、广泛适用的 NBUVB 在白癜风中的使用建议。