title: Treatment of refractory and stable vitiligo by transplantation of in vitro cultured epidermal autografts bearing melanocytes.
abstract: BACKGROUND
  Previous reports demonstrated the usefulness of in vitro cultured epidermis for repigmenting vitiligo.
  
  
  OBJECTIVE
  Our purpose was to determine the potential of in vitro cultured epidermal sheets to treat extensive areas of intractable vitiligo.
  
  
  METHODS
  In nine patients with long-standing, stable, and refractory vitiligo, autologous epidermis was cultured in vitro in H-MEM but without growth enhancers or hormones and transplanted onto previously denuded achromic lesions.
  
  
  RESULTS
  Repigmentation was achieved to almost 100% in three subjects, 60% improvement was seen in two patients, and 30% to 40% in three additional cases. Only one patient had almost no response. Long-term observations in these patients indicate that repigmentation obtained by this method is permanent.
  
  
  CONCLUSIONS
  Transplantation of in vitro cultured epidermis bearing melanocytes is potentially effective to treat extensive areas of vitiligo, but this method is presently at an experimental stage.
authors.affiliation: Department of Internal Medicine, Universidad del Valle, Cali, Colombia, South America.
authors.forename: R
authors.initials: R
authors.lastname: Falabella
authors.forename: C
authors.initials: C
authors.lastname: Escobar
authors.forename: I
authors.initials: I
authors.lastname: Borrero
mesh_terms: D000328:Adult; D002908:Chronic Disease; D046508:Culture Techniques; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008544:Melanocytes / Q000637:transplantation*; D008875:Middle Aged; D016038:Skin Transplantation / Q000379:methods*; D013997:Time Factors; D014820:Vitiligo / Q000601:surgery*