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Goal. To study the effect of plasmatherapy on immune status indicators in patients with vitiligo.
Material and methods. A total of 115 patients aged 25 to 44 years with a diagnosis of vitiligo were examined, including 43 men and 72 women. Nonsegmental vitiligo (NSV) was observed in 50 patients (43.5%), while segmental vitiligo (SV) was present in 65 patients (56.5%). The study assessed CD3, CD4, CD8, CD95 markers, the immunoregulatory index (IRI), and interleukin6 (IL6) levels before and after plasmatherapy. A control group of 20 healthy individuals matched by sex and age was used for comparison
Results. Changes in immune status were detected in 98 patients (85.2%), including 50 with NSV (51.0%) and 48 with SV (49.0%). Positive dynamics after plasmatherapy were reflected in improvements of CD3, CD4, CD8, and IRI values. Normalization of CD20 and CD95 levels was observed, especially in SV patients, who also showed a marked decrease in immunoglobulin G levels. IL6 levels in SV patients decreased 1.3 times more than in NSV patients. Plasmatherapy led to restoration of immune parameters in 72 patients (73.5%). Improvement in immune indicators was 1.
Conclusion. Plasmatherapy can be recommended as an effective and safe adjunct to comprehensive vitiligo treatment for immune correction and slowing depigmentation progression, particularly in the segmental form.
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