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논문 기본 정보

자료유형
학술저널
저자정보
Huma Khurrum (King Saud University) Khalid M. AlGhamdi (King Saud University) Khalid M. Bedaiwi (King Saud University) Naif Meshael AlBalahi (King Saud University)
저널정보
대한피부과학회 Annals of Dermatology Annals of Dermatology 제29권 제3호
발행연도
2017.6
수록면
302 - 306 (5page)

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Background: The Koebner phenomenon (KP) is a common entity observed in dermatological disorders. The reported incidence of KP in vitiligo varies widely. Although the KP is frequently observed in patients with viltiligo, the associated factors with KP has not been established yet. Objective: The aim is to estimate the prevalence of KP in vitiligo patients and to investigate the associated factors with KP among vitiligo characteristics. Methods: A cross-sectional observational study was conducted using 381 vitiligo patients. Demographic and clinical information was obtained via the completion of Vitiligo European Task Force (VETF) questionnaires. Patients with positive history of KP were extracted from this vitiligo database. Multivariate analysis was performed to assess associations with KP. Results: The median age of cases was 24 years (range, 0.6∼76). In total, 237 of the patients were male (62.2%). Vitiligo vulgaris was the most common type observed (152/381, 39.9%). Seventy-two percent (274/381) patients did not exhibit KP, whereas 28.1% (107/381) of patients exhibited this condition. Multivariable analysis showed the following to be independent factors with KP in patients with vitiligo: the progressive disease (odds ratio [OR], 1.82; 95% confidence interval [95% CI], 1.17∼2.92; p=0.041), disease duration longer than 5 years (OR, 1.92; 95% CI, 1.22∼2.11; p=0.003), and body surface area more than 2% (OR, 2.20; 95% CI, 1.26∼3.24; p<0.001). Conclusion: Our results suggest that KP may be used to evaluate disease activity and investigate different associations between the clinical profile and course of vitiligo. Further studies are needed to predict the relationship between KP and responsiveness to therapy.

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