NB UVB and protopic on genital area

Dear all, 

I'm new on the forum. 34 year old with vitilgo since I was 10. After protopic during some years I only have vit on penis and perianal zone. 

I visit my derm and he recommended to me NB UVB + protopic on this area as a new treatment, but looking into google I found that UVB could be dangerous, specially on penis. 

Can anybody help me with this?

Thank!

Luis

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Replies

  • Hi,
    I am using UVB comb at home, my Derm told Me 2min, but it's turning red, should I reduce the time
    • Pink is good, red means you should reduce the time or dose. My doc just reduced the uv for my treatment due to redness
  • Hi friends again,  here my update after 3 months of UVB+protopic+Pseudocatalase PCKUS

    - Penis, 30 sec everyday after pseudocatalase in the evening + protopic after each session. I can see the progress from 10% to 15% aprox. Repigmentation areas are darkness than my normal colour but I hear that lather it become normal 

    - Perianal zone, some irritation on this area even with 30sec, but it is 50% repigmented or more, it is faster due to it is hairy area. Also very darkness!

    -Lips, without progress on this area

    @Flavio I also read a post from you:

    "4- If you have an UVB-NB equipment, find out (or ask me) the real UVB-NB irradiation power. Pass the cream 2x a day ( in the morning and before bed). Only before bed, expose each patch to 250 milijoules of UVB-NB (short time). For example, if you have a 9W Philips bulb, it irradiates 1,13mw. So, you have to expose the patches for 250 / 1,13 = 220 seconds (each). Don't forget to wait 20 minutes after passing pseudocatalase cream. The skin needs time to absorb it. "

    220 seconds everyday??? My derm recomended to me 30 sec and not go to pink color ... maybe it is less than needed? 

    Thanks in advance. 

    Luis 

    • Exposure time is always a problem.

      Start with 30s and increase 15s.  See what happens 12 hours later.

      Be in touch.

      • Hi Flavio, 

        Yes, always and I think a lot of dermatologist uses us as a "lab rabbits" LoL. I read there is 2 options:

        1. UVB 3 times a week - time until you get pink.

        2- UVB everyday - just 30 sec not to get pink.

        Isn't it? I try the 1st one but I get burns on genital area so my derm move me to 2nd but I read your post and I was wonder if maybe his advice is good or not. 

        • Yes.  You are right.

          But option 2 has to be done with a more powerful UVB-NB equipment.  Usually a standup machine and also with pseudocatalase.

          • Really? I'm on 2nd option but I have a Dermalight 80 with a 9W Philips bulb... do you think 30 sec is not enough?

            • In your case, option 1 is recommended. 3x a week.

              Remember that to achieve the pink color you will have to increase exposure time in steps.  10-15 seconds until it gets pinks.  You will have to wait 12 hours (day after) to see the effect.

              When you reach pink, keep the exposure time.

              Remember to use templates.

              • Thanks Flavio, I will try very carefully ... you know ... sensitive area ;-) 

  • Hello guys, here my update after 2 months of UVB+protopic and 1 month of UVB+Pseudocatalase PCKUS

    - Penis, after some burns I just adjust the dose to 30 sec everyday after pseudocatalase in the evening. I can see the progress and I can say it is repigmented 10% - brown spots but becoming lager each day. 

    - Perianal zone, some burns become in anal fissure after the first month. so I need to stop UVB for one month and repig progress had stopped immediately but I need to cure the fissures, this is the first time I have this problem in my life, so I suppose that it is related with UVB. Now it is healing and started again with just 30 sec every day. 
    Advice! BE VERY CAREFULL on genital area, 

    -Lips, they start to repigment also from the edge of the lips to inside, still just the border .. I didnt see progress last weeks. Now in Brasil I apply Pseudo in the morning and get some sun and pseudo + UVB when I going to sleep. 

    Note:I still cannot say that Pseudo speed up the process compared with UVB + protopic.

    I hope it helps! 

    Keep you updated 

    Feel free to ask me. 

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