Treatment of post-burn leucoderma with non-cultured melanocyte-keratinocyte transplantation (MKTP)
Sanjeev V Mulekar1, Ahmed Al Issa, Abdullah Al Eisa
1National Center for Vitiligo & Psoriasis, Riyadh, Saudi Arabia. mulekar@gmail.com
Introduction:
Deep burns often result in hypo-pigmentation, referred to as leucoderma which has a similar psychosocial impact on the patients as that of vitiligo. Several tissue grafting methods have been reported to treat post-burn leucoderma.
Methods:
A simple method consisting of harvesting a donor skin sample, preparation of an epidermal cell suspension and the transplantation of the cell suspension on to a dermabraded recipient area, was performed in a clean procedure room. No special laboratory set-up was used for the cell separation procedure. Patients were treated with 18 sessions of excimer laser starting 1 month post-operatively, to hasten the repigmentation.
Observation:
Of the 10 patients treated with MKTP, 3 were lost to follow-up. The remaining 7 patients showed repigmentation ranging from 90% to 100% with good color matching.
Conclusion:
MKTP is an effective method to treat post-burn leucoderma. No special precautions are required to treat any anatomical site or uneven scarred surface.
