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The purpose of this clinical trial is to study the effect of Narrow Band UVB on E-cadherin and integrin alpha v beta 1 as representatives of adhesion molecules in non-segmental vitiligo in a trial to verify a novel proposed mechanism of Narrow Band UVB. Additionally, specific melanocyte marker (Melan A) will be done to settle the localization of adhesion molecules in relation to melanocytes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 15 patients with vitiligo subjected to NB-UVB | Experimental | Patients will be subjected to NB-UVB sessions 3 times weekly. The UVB dosing scheme in the patients receiving only NB-UVB treatment entailed initial dosing at 0.5 J/cm2 with increasing increments by 0.3 J/cm 2 every other session until faint erythema occurs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Narrow band UVB | Device | Narrow band UVB emitting UVB at wavelength 311nm |
|
| Measure | Description | Time Frame |
|---|---|---|
| Melanocyte marker (Melan A) for staining of melanocytes | Immunohistochemistry and image analysis Data were obtained using Leica Quinn software with Olympus BX40 microscope and Panasonic camera Measurements were taken in 5 non-overlapping high power fields. | 4 months |
| E-cadherin expression as a cell adhesion molecule between melanocytes and keratinocytes | Immunohistochemistry and image analysis Data were obtained using Leica Quinn software with Olympus BX40 microscope and Panasonic camera Measurements were taken in 5 non-overlapping high power fields. | 4 months |
| Integrin alpha v beta 1 expression as a cell adhesion molecule between melanocytes and keratinocytes | Immunohistochemistry and image analysis Data were obtained using Leica Quinn software with Olympus BX40 microscope and Panasonic camera Measurements were taken in 5 non-overlapping high power fields. | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Vitiligo Area and severity index (VASI) | Minimum value is 0, maximum value is 100 Higher scores mean worse outcome | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Vitiligo Disease Activity score (VIDA) | Minimum value -1, maximum value 4 Higher scores mean worse outcome | 4 months |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kasr El Ainy university hospital, Faulty of medicine,Cairo university | Cairo | El Manial | 11956 | Egypt |
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| ID | Term |
|---|---|
| D014820 | Vitiligo |
| ID | Term |
|---|---|
| D017496 | Hypopigmentation |
| D010859 | Pigmentation Disorders |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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