“If you’re under age 12, we don’t have any drug that is specifically indicated,” Dr. Lawrence F. Eichenfield said.
“There is a tremendous variation in how patients deal with their vitiligo, depending upon the extent and makeup of the pre-teen or teen,”, chief of pediatric and adolescent dermatology at Rady Children ’s Hospital, San Diego, said at the annual Maui Derm Hawaii conference. “ If you’re under age 12, we don’t have any drug that is specifically indicated.” for patients with nonsegmental vitiligo aged 12 years and older.
Hand-held 311 nm UVB light therapy devices can also be helpful, he noted, especially when the vitiligo affects more than 10% of BSA. “These devices can be purchased online, typically ranging from $120 to $180,” he said. “I have used them successfully. However, caution is required, as burns can occur easily. There are ways to gradually increase the duration of light exposure. These therapies can be an important adjunct in helping to restore pigmentation.
For patients younger than 12 years of age, Eichenfield uses either topical calcineurin inhibitors and/or topical corticosteroids, with TCIs being preferred for delicate areas such as facial skin.
Currently, Eichenfield, who is also professor of dermatology and pediatrics at the University of California, San Diego, said that several oral JAK inhibitors are being developed for vitiligo and/or translated for use for patients with vitiligo, including oralof 12 patients with vitiligo ages 3-16 year of age that sought to characterize the efficacy of 1.5% ruxolitinib cream for vitiligo found that repigmentation occurred in an average of 6.
Eichenfield disclosed being a speaker, consultant, and/or an investigator for Abbvie, Amgen, Bristol Myers Squibb, Incyte, and other pharmaceutical companies. All material on this website is protected by copyright, Copyright © 1994-2025 by WebMD LLC. This website also contains material copyrighted by 3rd parties.
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