Estimation of melanocytic count in different donor areas in non-segmental vitiligo before and after narrow band ultraviolet B phototherapy
Background
The gluteal region and thigh are common donor sites used during surgical treatment of stable nonsegmental vitiligo (NSV). The outcome of transplantation could be improved if the donor site has higher melanocyte density.
Aim
To compare the count of melanocytes in the gluteal region and thigh, and evaluate the impact of narrow band ultraviolet B (NB-UVB) phototherapy on the quantity of melanocytes in both areas.
Methods
In this study, 20 stable NSV patients and five controls were included. Before and after 18 sessions of NB-UVB, two 3 mm punch biopsies were obtained from the normal skin of the thigh and gluteal region. Melan A was used for immunohistochemically labeling, and a count of melanocytes was performed on each sample.
Results
Before NB-UVB therapy, there was no significant difference in the number of melanocytic cells in the gluteal region and thigh in NSV patients (
Conclusion
In NSV patients, the melanocytic count in the normal skin of the thigh and gluteal region is similar. Following NB-UVB, this count significantly increased in both sites similarly. Both sites are equally appopriate for harvesting donor tissue for surgery in NSV cases preferably after NB-UVB phototherapy.