Melanocyte transplantation to skin prepared by controlled PUVA-induced sunburn-like blistering for vitiligo treatment – A pilot clinical trial

Bibliographic Details
Title: Melanocyte transplantation to skin prepared by controlled PUVA-induced sunburn-like blistering for vitiligo treatment – A pilot clinical trial
Authors: Po-Hua Chen, Sabrina Mai-Yi Fan, Bin-Ru She, Yi-Ping Wu, Hsiang-Chun Hsu, Ying-Jung Yang, Jun-Jae Huang, Shu-Fen Yeh, Yi-Chen Chen, Pei-Ju Lin, Wann-Hsin Chen, Hsien-Ching Chiu, Hsin-Su Yu, Chih-Ching Liao, Sung-Jan Lin
Source: Journal of the Formosan Medical Association, Vol 123, Iss 8, Pp 837-842 (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Medicine (General)
Subject Terms: Vitiligo, Melanocyte transplantation, Methoxsalen, Ultraviolet A, Medicine (General), R5-920
More Details: Vitiligo is a common acquired disease of pigment loss. In lesions recalcitrant to non-invasive treatment, transplantation of cultured autologous melanocytes is an emerging choice. Conventionally, the recipient site is often prepared by laser-mediated or mechanical dermabrasion. Such preparation procedures have disadvantages including prolonged transplantation duration, long period for reepithelialization and potential scarring. We propose a method of preparing recipient sites by psoralen and controlled ultraviolet A (PUVA)-induced blistering followed by transplanting suspended melanocytes. We introduced this method in 10 patients with segmental vitiligo on their recipient site 3 to 5 days before transplantation and blistering developed in 2 to 3 days afterwards. On the day of transplantation, the blister roof could be peeled off easily without bleeding and the recipient site preparation could be completed in 20 min. The recipient site became reepithelialized within 1 week. Progressive repigmentation was observed for up to 6 months, with an average of 65.06% repigmentation in the recipient site without scarring at the end of follow-up. Hence, preparation of the recipient site by controlled PUVA-induced sunburn-like blistering can potentially facilitate melanocyte transplantation and prevent scarring.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0929-6646
Relation: http://www.sciencedirect.com/science/article/pii/S0929664623004850; https://doaj.org/toc/0929-6646
DOI: 10.1016/j.jfma.2023.12.005
Access URL: https://doaj.org/article/ea75da4b864e4bcc9b2e36f5fafeedf2
Accession Number: edsdoj.75da4b864e4bcc9b2e36f5fafeedf2
Database: Directory of Open Access Journals
More Details
ISSN:09296646
DOI:10.1016/j.jfma.2023.12.005
Published in:Journal of the Formosan Medical Association
Language:English