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An effective shield to prevent unwanted adverse effects of the face after phototherapy for lip vitiligo

 Department of Dermatology, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India

Date of Submission20-Feb-2020
Date of Decision08-Apr-2020
Date of Acceptance01-Jun-2020
Date of Web Publication19-Sep-2020

Correspondence Address:
Sanober B Daruwalla,
LTMMC and GH, Mumbai - 400 022, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/idoj.IDOJ_92_20

How to cite this URL:
Daruwalla SB, Dhurat RS, Sharma A. An effective shield to prevent unwanted adverse effects of the face after phototherapy for lip vitiligo. Indian Dermatol Online J [Epub ahead of print] [cited 2020 Oct 20]. Available from: https://www.idoj.in/preprintarticle.asp?id=295485

   Problem Faced Top

PUVA/PUVASOL and narrow band-ultraviolet B (NB-UVB) are considered as effective therapeutic options for re-pigmentation of lip vitiligo as monotherapy or following surgical procedures and is commonly employed in routine practice.[1] However, adverse effects of phototherapy include hyperplasia, tanning, edema, sunburn cell induction, itching, photoaging, and in some cases carcinogenesis.[2] Moreover, the face, considered of great importance for the perception of beauty, is at risk to the said adverse events during phototherapy especially when pure mucosal vitiligo exists.

   Solution Proposed Top

We suggest the use of standard cardboard paper of size enough to cover the face and neck as a placard. A small area with the average size of an adult lip is cut to create a window through which the vitiliginous area of the lip requiring phototherapy is exposed [Figure 1]a and [Figure 1]b. An alternative suggestion is the use of a party face mask with the creation of a similar lip window [Figure 2]. The latter is especially suitable for children, since the mask covers the entire face and amuses the child thereby increasing compliance to therapy. An additional advantage noticed during use of this shield is exposure of the vitiliginous area of the hands as well while holding the placard. Cardboard is known to be an effective way to block any form of ultraviolet light. Additionally for further protection, a black paper can be applied over the shield as well. Hence, this convenient to use, simple face shield can be kept at the clinic and used for each treatment session by the patient especially in resource poor settings where the availability of localized or home-based phototherapy units are not available.
Figure 1: (a) Demonstration of use of the face shield during NB-UVB therapy for lip vitiligo. (b) Cardboard face shield covering the face and neck with exposure of lips through the created window in a case of lip-tip vitiligo

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Figure 2: Demonstration of use of a face mask during NB-UVB therapy in a child. Exposure of the lips through the created window (inset)

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Conflicts of interest

There are no conflicts of interest.

   References Top

Lahiri K, Malakar S, Sarma N, Banerjee U. Repigmentation of vitiligo with punch grafting and narrow-band UV-B (311 nm): A prospective study. Int J Dermatol 2006;45:649-55.  Back to cited text no. 1
El-Ghorr A, Norval M. Biological effects of narrow-band (311 nm TL01) UVB irradiation: A review. J Photochem Photobiol B 1997;38:99-106.  Back to cited text no. 2


  [Figure 1], [Figure 2]


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