Three myths about the treatment of vitiligo prevail in the
medical profession.
The first myth is that treatment of vitiligo is "impossible."
This is clearly not true and the majority of patients can achieve
good results.
The second myth is that oral psoralens, which form the basis for
some vitiligo treatments are "toxic to the liver." Oral psoralens
are not toxic to the liver.
The third myth is that psoralen + UVA (PUVA) treatments for
vitiligo "cause cancer of the skin." When used to treat vitiligo,
PUVA therapy requires only a limited number of
treatments-approximately 150 in number that has not been shown to
cause skin cancer. By comparison, PUVA treatments for psoriasis can
be as many as double the number for vitiligo. It has been shown
that a small percentage of patients who receive more than 250 PUVA
treatments can develop treatable squamous cell cancers of the
skin.