The RatokŪtherapy
is usually performed based on the following protocol, to be adjusted
according to individual response or special patient requirements (people
from foreign countries or locations far away from the Medical
Dermatologic Centre of Milan for the focused treatment of vitiligo
by means of an advanced technology).
First cycle:
includes 10 30-minute sessions, once or twice daily over 5 days.
Fewer sessions are provided for in this cycle if reaction is good
and the achromic surface is limited.
The first session
takes place after a dermatological examination; computer-based filling
of the medical report; RatokŪderm computer dermotopography by means
of a fluorescent-light scanning generator for patch identification
and percent calculation of the affected skin surface; computer recording
and filing of fluorescent-light images for comparison of the achieved
results; MED (Minimum Erythema Dose) test for determination of patient
reaction to microphotoirradiation. The tests result is checked
after 24 hours (Schemes A,
C, E).
Second cycle:
takes place 5 to 10 days after the first and usually includes, based
on follow-up checks, 2-3 30-minute applications, possibly during
the same session, and repeated 3-4 times at 1-2 week intervals.
Third cycle:
3 30-minute applications or more, possibly during the same session,
and repeated after 3-4 weeks; this cycle should be repeated until
completion of treatment, which may last as long as 24-36 months
in particularly persistent cases. In this respect it should be noted
that positive results are achieved more quickly with vitiligo patches
located on the face, compared to those located on the upper limbs.
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