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BMJ. 2007 May 19; 334(7602): 1064.
PMCID: PMC1871741

Minerva

Hiva Fassihi, specialist registrar and Robery Sarkany, consultant

A 35 year old man presented with a 10 year history of severe vitiligo, which caused widespread loss of skin pigment. Topical corticosteroids did not help, but excellent repigmentation was seen after four months of phototherapy with narrowband (TL-01) ultraviolet B, twice weekly. Vitiligo affects 1% of the population and can be psychologically and socially devastating. Many doctors think that it is untreatable. However, topical steroids sometimes help, and when they fail prolonged courses of phototherapy result in repigmentation in two thirds of patients, with the new pigment lasting long term in some patientspatients.

figure min1905.f1

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