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      Two Cases of Focal Scrotal Vitiligo Successfully Treated by Autologous Cultured Melanocyte Transplantation

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          Abstract

          Vitiligo is an acquired cutaneous depigmentation disorder which has a deleterious effect on the psychosexual function of many individuals; the genitalia are the common site for depigmentation. Here, the authors report two cases of focal vitiligo affecting the scrotum of the genital organs which were successfully treated by autologous cultured melanocyte transplantation. Autologous cultured melanocyte transplantation on the scrotum is shown to be a relative effective method of treatment for vitiligo.

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          The online version of this article (doi:10.1007/s13555-014-0050-5) contains supplementary material, which is available to authorized users.

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          Most cited references6

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          Two therapeutic challenges: periocular and genital vitiligo in children successfully treated with pimecrolimus cream.

          Vitiligo is characterized by the selective destruction of melanocytes resulting in patches of skin depigmentation. Vitiligo is a therapeutic challenge. Eyebrows, eyelids and genital vitiligo are a therapeutic dilemma, especially in children. The possible side effects of topical corticosteroids and the difficulties for choosing any other adequate treatment option are a major concern. We present two children, one with vitiligo of the eyelids and the other with genital vitiligo, both treated with pimecrolimus 1% cream with almost full repigmentation of the lesions, showing pimecrolimus could be an adequate option for the treatment of vitiligo for these special vitiligo areas in children.
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            Genital vitiligo treated by autologous, noncultured melanocyte-keratinocyte cell transplantation.

            Genital vitiligo is common and has a deleterious effect on the psychosexual function of patients. It is well known that glabrous skin (non-hair-bearing skin such as below the ankles, genitalia, lips, distal ends of fingers) rarely responds to the therapy unless it has some residual pigment. The objective was to report genital vitiligo treated successfully by autologous, noncultured, melanocyte-keratinocyte cell transplantation. Three cases of clinically stable genital vitiligo were treated by autologous, noncultured melanocyte-keratinocyte cell transplantation. All lesions treated repigmented almost completely. All patients were very satisfied with the excellent cosmetic results. Autologous, noncultured melanocyte-keratinocyte cell transplantation may be an effective surgical treatment for management of genital vitiligo.
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              Transplantation of melanocytes in vitiligo.

              We report the results of a study on 100 patients (aged 12-68) with vitiligo, who were treated by transplantation of cultured autologous melanocytes to the depigmented areas, after removal of the epidermis at the recipient site by dermabrasion. The melanocytes were cultured from a 2 x 3 cm2 superficial shave biopsy taken from pigmented buttock skin. After 2-3 weeks in culture, 700-1000 cells per mm2 were applied on 60-500 cm2 dermabraded areas, and occluded for 1 week. The repigmented portion of the total treated area amounted to 95-100% in 40 patients, 65-94% in 32, 20-64% in 22, and 0-19% in six. It was more difficult to achieve complete pigmentation on the fingers, elbows and knees. In the first few months following the procedure, the treated areas were often hypo- or hyperpigmented, but after 6-8 months they had acquired the same colour as the surrounding skin. No scarring or other side-effects occurred. The donor site had repigmented after 3-6 months in all but two patients, who also showed poor pigmentation in the transplanted areas. At follow-up after 1 and 2 years in 50 and 10 patients, respectively, the repigmented areas remained unchanged. The method is time-consuming, but the results obtained indicate that the procedure can be valuable in motivated patients, when the extent of vitiligo does not exceed 30% of the total body area, and when the areas to be treated are not actively extending.
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                Author and article information

                Contributors
                13293900584@163.com
                xuaiehz@msn.com
                Journal
                Dermatol Ther (Heidelb)
                Dermatol Ther (Heidelb)
                Dermatology and Therapy
                Springer Healthcare (Heidelberg )
                2193-8210
                2190-9172
                27 March 2014
                27 March 2014
                June 2014
                : 4
                : 1
                : 141-144
                Affiliations
                Department of Dermatology, Third People’s Hospital of Hangzhou, The 2nd Affiliated Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
                Article
                50
                10.1007/s13555-014-0050-5
                4065275
                24671856
                be4c8cf4-8a08-4b05-8f78-f568f510ef7a
                © The Author(s) 2014
                History
                : 10 February 2014
                Categories
                Case Report
                Custom metadata
                © Springer Healthcare 2014

                Dermatology
                autologous cultured melanocyte transplantation,dermatology,repigmentation,scrotal vitiligo

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