Algorithm

2
Diagnosis of NSV (see text) Diagnosis of NSV (see text) Avoidance of triggering factors NB‐UVB (3 months)± systemic/topical therapies (Topical corticosteroids/Topical Calcineurin inhibitors) Camouflage Avoidance of triggering factors NB‐UVB (3 months)± systemic/topical therapies (Topical corticosteroids/Topical Calcineurin inhibitors) Camouflage progression stabilization repigmentation NB‐UVB (9 months) NB‐UVB (9 months) CS minipulse (3‐4 months) Other immunosuppressants ? CS minipulse (3‐4 months) Other immunosuppressants ? stabilization repigmentation stabilization w/o repigmentation KP - Consider Surgery (see text) Consider Surgery (see text) No repigmentation KP + Consider depigmenting agents (see text) Consider depigmenting agents (see text) Simplified algorithm for NSV KP: Koebner’s phenomenon Consider Surgery (see text) Consider Surgery (see text) Stabilization but Repigmentation cessation

description

alogaritm

Transcript of Algorithm

  • DiagnosisofNSV(seetext)

    DiagnosisofNSV(seetext)

    AvoidanceoftriggeringfactorsNBUVB(3months) systemic/topicaltherapies(Topicalcorticosteroids/TopicalCalcineurininhibitors)Camouflage

    AvoidanceoftriggeringfactorsNBUVB(3months) systemic/topicaltherapies(Topicalcorticosteroids/TopicalCalcineurininhibitors)Camouflage progressionstabilization

    repigmentation

    NBUVB(9months)NBUVB(9months)CSminipulse(34months)

    Otherimmunosuppressants?CSminipulse(34months)

    Otherimmunosuppressants?

    stabilizationrepigmentation

    stabilization w/o repigmentationKP -

    ConsiderSurgery(seetext)

    ConsiderSurgery(seetext)

    No repigmentationKP +

    Considerdepigmentingagents(see

    text)

    Considerdepigmentingagents(see

    text)

    Simplified algorithm for NSV KP: Koebners phenomenon

    ConsiderSurgery(seetext)

    ConsiderSurgery(seetext)

    Stabilization butRepigmentation cessation

  • diagnosisdiagnosis SVSV

    AvoidancetriggeringfactorsLocalCS,TIMAvoidancetriggeringfactorsLocalCS,TIM

    progressionstabilizationrepigmentation

    NotherapyNotherapy NBUVB,MELNBUVB,MELstabilizationrepigmentation

    stabilization w/o reigmentazionKP -

    SurgerySurgery

    No repigmentationKP +

    camouflagecamouflage

    Algorithm for SV

    SurgerySurgery

    Stabilization w/orepigmentation


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