Conflict of interest: none declared.
Clinical Dermatology ● Original Article
Acral vitiligo and lesions over joints treated with non-cultured epidermal cell suspension transplantation
Article first published online: 27 MAR 2013
© The Author(s) CED © 2013 British Association of Dermatologists
Clinical and Experimental Dermatology
Volume 38, Issue 4, pages 332–337, June 2013
How to Cite
Holla, A. P., Sahni, K., Kumar, R., Parsad, D., Kanwar, A. and Mehta, S. D. (2013), Acral vitiligo and lesions over joints treated with non-cultured epidermal cell suspension transplantation. Clinical and Experimental Dermatology, 38: 332–337. doi: 10.1111/ced.12040
- Issue published online: 23 APR 2013
- Article first published online: 27 MAR 2013
- Manuscript Accepted: 6 AUG 2012
Vitiligo is a disfiguring condition that can cause considerable psychological distress to patients. Vitiligo lesions on acral areas and joints are considered difficult to treat, and they are unsuitable for surgical treatment because of their poor response. There are few studies on the management of those lesions with noncultured epidermal cell suspension transplantation.
To evaluate the efficacy of a modified procedure using noncultured epidermal cell suspension transplantation in the management of vitiligo lesions over acral areas and joints.
We retrospectively analysed data for patients who had undergone non-cultured epidermal cell suspension transplantation for treatment of vitiligo. In total, 36 patients with 80 lesions over acral areas and joints were reviewed: 33 patients had generalized vitiligo, while the remaining three patients had focal vitiligo, and they had been followed up for 6–18 months.
Of the 80 treated lesions, 51 had regained > 75% repigmentation and 23 had regained 50–75% repigmentation. The remaining six lesions, which were all no the distal fingers or toes and the ankle joint, had a poor response.
Non-cultured epidermal cell suspension transplantation was successful in producing some degree of repigmentation in our patients, and could be a useful therapy for vitiligo lesions.