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Dermatology · Pigmentary disorders: targeted excimer phototherapy
Sample itemWhich phototherapy modality delivers 308 nm light selectively to small localised vitiligo patches?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Excimer laser or lamp
The 308 nm excimer laser or lamp delivers targeted narrowband UVB to localised vitiligo patches, sparing uninvolved skin, and it can work faster than whole-body narrowband UVB. It suits limited disease and facial lesions. Generalised disease is treated with whole-body NB-UVB.
Option by option
A. Infrared lamp
Infrared lamps provide heat only.
B. Visible blue light
Blue light is used in acne.
C. Excimer laser or lamp (correct)
Correct. Excimer sources emit 308 nm light for targeted therapy.
D. Broadband UVA
Broadband UVA is used with psoralens in PUVA.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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