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Hydrogen peroxide–mediated lipid peroxidation may damage epidermal cells, causing vitiligo. In cultured melanocytes and keratinocytes, vacuolization caused by peroxidation can be prevented by catalase, which breaks down peroxides, and by “pseudocatalase” (PC-KUS), a complex of bis-MnIII [EDTA]2 [HCO3-]2, which can be applied to skin and activated by narrow-band ultraviolet-B (NB-UVB) radiation.
In this study, 71 children with vitiligo were treated with PC-KUS that was activated by UVB daily. The PC-KUS topical preparation was applied twice daily to the entire body. NB-UVB was administered once daily for 14 days and then twice weekly for 4 weeks. Thereafter, PC-KUS was applied once daily, and up to 1 hour of sun exposure daily was allowed. Te…