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target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6cbb\u7642\u30d7\u30ed\u30c8\u30b3\u30eb<\/h3>\n\n\n\n<p><strong>\u7167\u5c04\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb:<\/strong> NB-UVB\u5168\u8eab\u7167\u5c04\u306f\u901a\u5e38<strong>\u90312\uff5e3\u56de<\/strong>\u306e\u983b\u5ea6\u3067\u65bd\u884c\u3057\u307e\u3059\uff08\u90313\u56de\u304c\u6700\u3082\u52b9\u679c\u7684\u3067\u8272\u7d20\u51fa\u73fe\u304c\u65e9\u304f\u3001\u90312\u56de\u3067\u3082\u8a31\u5bb9\u3055\u308c\u308b\uff09<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=1,2\" target=\"_blank\" rel=\"noreferrer 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href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=Absence%20of%20perceptible%20erythema%3A%20increase,between%20treatments%3A%20maintain%20constant%20dose\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u76ee\u6a19\u3068\u3059\u308b\u53cd\u5fdc\u306f\u7121\u75c7\u5019\u6027\u306e\u3054\u304f\u8efd\u3044\u7d05\u6591\uff0824\u6642\u9593\u4ee5\u5185\u306b\u6d88\u9000\u3059\u308b\u300c\u30d4\u30f3\u30af\u8272\u300d\u306e\u7d05\u6591\uff09\u3067\u3042\u308a\u3001\u3053\u306e\u53cd\u5fdc\u304c\u51fa\u73fe\u3057\u305f\u5834\u5408\u306f<strong>\u5897\u91cf\u305b\u305a\u540c\u3058\u7dda\u91cf\u3092\u7dad\u6301<\/strong>\u3057\u3001\u7d05\u6591\u6d88\u9000\u5f8c\u306b\u518d\u5ea610\uff5e20%\u5897\u91cf\u3092\u518d\u958b\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=slow%20responders%206,resume%20at%20last%20tolerated%20dose\" target=\"_blank\" rel=\"noreferrer 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href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=2,Maximum%20number%20of%20exposures\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\uff08\u305d\u308c\u4ee5\u4e0a\u306e\u9ad8\u7dda\u91cf\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u4e0d\u8db3\u306e\u305f\u3081\u63a8\u5968\u3055\u308c\u307e\u305b\u3093\uff09\u3002\u306a\u304a\u7167\u5c04\u88c5\u7f6e\u306e\u30e9\u30f3\u30d7\u4ea4\u63db\u6642\u30841\u9031\u4ee5\u4e0a\u306e\u4e2d\u65ad\u5f8c\u306f\u6240\u5b9a\u306e\u6e1b\u91cf\u63aa\u7f6e\u3092\u3068\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=becomes%20healed%20and%20light%20pink,up\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u4f75\u7528\u7642\u6cd5:<\/strong> 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href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%E7%A4%BA%E3%81%99158%EF%BC%8C159%EF%BC%89%EF%BC%8E%E3%82%BF%E3%82%AF%E3%83%AD%E3%83%AA%E3%83%A0%E3%82%B9%E8%BB%9F%E8%86%8F%E3%81%A8%E7%B4%AB%E5%A4%96%E7%B7%9A%E3%81%AE%E4%BD%B5%E7%94%A8%E7%99%82%E6%B3%95%E3%81%AF%E3%82%A8%20%E3%83%93%E3%83%87%E3%83%B3%E3%82%B9%E3%83%AC%E3%83%99%E3%83%AB%E3%81%AE%E9%AB%98%E3%81%84%E6%9C%89%E5%8A%B9%E6%80%A7%E3%81%8C%E7%A4%BA%E3%81%95%E3%82%8C%E3%81%A6%E3%81%84%E3%82%8B160%EF%BC%8C161%EF%BC%89%EF%BC%8E%E8%BF%91\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002\u5b9f\u969b\u3001\u30bf\u30af\u30ed\u30ea\u30e0\u30b9\u8edf\u818f\u3068NB-UVB\u4f75\u7528\u306f\u5358\u72ec\u7167\u5c04\u306b\u6bd4\u3079\u512a\u308c\u305f\u518d\u8272\u7d20\u5316\u3092\u793a\u3059\u3068\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308a\u307e\u3059<a 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target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002\u6b27\u7c73\u306eVitiligo Working Group\u3084\u56fd\u969b\u767d\u6591\u30bf\u30b9\u30af\u30d5\u30a9\u30fc\u30b9\u3067\u3082\u3001NB-UVB\u306f\u767d\u6591\u6cbb\u7642\u306e\u4e3b\u8ef8\u3067\u3042\u308a\u3001\u53ef\u80fd\u306a\u9650\u308a\u90313\u56de\u306e\u983b\u56de\u7167\u5c04\u3067\u65e9\u671f\u304b\u3089\u6cbb\u7642\u3059\u308b\u6226\u7565\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=field%20of%20phototherapy%20for%20vitiligo,The%20group%20also\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=1,2\" target=\"_blank\" rel=\"noreferrer 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href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=14,Combination%20treatments\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u9854\u9762\u4ee5\u5916\u3078\u306e\u5168\u8eab\u7167\u5c04\u3067\u306f\u3001\u7537\u6027\u3067\u306f\u5916\u9670\u90e8\uff08\u9670\u830e\u30fb\u7cbe\u5de3\uff09\u3092\u906e\u853d\u3057\u3001\u5973\u6027\u3067\u306f\u4e73\u8f2a\u90e8\u306b\u65e5\u713c\u3051\u6b62\u3081\u3092\u5857\u5e03\u3059\u308b\u306a\u3069\u3001\u751f\u6b96\u5668\u3084\u8272\u7d20\u6c88\u7740\u306e\u6fc3\u3044\u90e8\u4f4d\u306e\u4fdd\u8b77\u304c\u63a8\u5968\u3055\u308c\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=to%20deactivation%20or%20interfere%20with,UVB%20after%20plateau%20in%20response\" target=\"_blank\" rel=\"noreferrer 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noopener\">dermatol.or.jp<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u9577\u671f\u7684\u30ea\u30b9\u30af:<\/strong> NB-UVB\u7642\u6cd5\u306fPUVA\u306b\u6bd4\u3079\u767a\u764c\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<strong>\u4e16\u754c\u7684\u306a\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9<\/strong>\u3068\u3057\u3066\u3001\u30ca\u30ed\u30fc\u30d0\u30f3\u30c9UVB\u3084\u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\/\u30e9\u30a4\u30c8\u306b\u3088\u308b\u767d\u6591\u6cbb\u7642\u3067<strong>\u76ae\u819a\u304c\u3093\u306e\u767a\u751f\u30ea\u30b9\u30af\u306f\u73fe\u6642\u70b9\u3067\u4f4e\u3044<\/strong>\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=1%EF%BC%8E%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E6%B2%BB%E7%99%82%E3%81%A7%EF%BC%8CNB,%E3%82%B9%E3%81%A7%E3%81%82%E3%82%8B78%EF%BC%89%EF%BC%8E\" target=\"_blank\" rel=\"noreferrer 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noopener\">dermatol.or.jp<\/a>\u3002\u3053\u306e\u305f\u3081\u3001\u6cbb\u7642\u7d42\u4e86\u5f8c\u306b\u306f\u65e5\u5e38\u306e\u7d2b\u5916\u7dda\u5bfe\u7b56\u3092\u60a3\u8005\u306b\u6307\u5c0e\u3057\u3001\u65b0\u305f\u306a\u767d\u6591\u51fa\u73fe\u3084\u65e2\u5b58\u767d\u6591\u306e\u62e1\u5927\u3092\u9632\u3050\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u3002\u306a\u304a\u773c\u3078\u306e\u5f71\u97ff\u306b\u3064\u3044\u3066\u306f\u3001NB-UVB\u306f\u773c\u77bc\u3092\u901a\u904e\u3057\u306b\u304f\u304f<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=NB\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3001\u60a3\u8005\u306f\u7167\u5c04\u4e2d\u305a\u3063\u3068\u76ee\u3092\u9589\u3058\u308b\u304b\u30b4\u30fc\u30b0\u30eb\u3092\u7740\u7528\u3059\u308c\u3070<strong>\u767d\u5185\u969c\u7b49\u306e\u30ea\u30b9\u30af\u306f\u6975\u3081\u3066\u4f4e\u3044<\/strong>\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=Phototherapy%20is%20an%20effective%20treatment,59\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u300213\u304b\u6708\u9593\u306eNB-UVB\u7642\u6cd5\u3067\u8996\u529b\u4f4e\u4e0b\u3084\u767d\u5185\u969c\u767a\u751f\u304c\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u3068\u306e\u30c7\u30fc\u30bf\u3082\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=Phototherapy%20is%20an%20effective%20treatment,59\" target=\"_blank\" rel=\"noreferrer 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rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\uff09\u3002\u4e00\u90e8\u306e\u5831\u544a\u3067\u306f\u90311\u56de\u3067\u3082\u52b9\u679c\u306f\u3042\u308b\u3068\u3055\u308c\u307e\u3059\u304c<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=To%20date%2C%20there%20are%20no,protocols%20for%20excimer%20light%20treatment\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3001\u4e00\u822c\u306b\u306f\u90312\uff5e3\u56de\u304c\u6a19\u6e96\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>\u7167\u5c04\u91cf\u8a2d\u5b9a:<\/strong> \u660e\u78ba\u306a\u56fd\u969b\u6a19\u6e96\u30d7\u30ed\u30c8\u30b3\u30eb\u306f\u78ba\u7acb\u3057\u3066\u3044\u307e\u305b\u3093<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=To%20date%2C%20there%20are%20no,protocols%20for%20excimer%20light%20treatment\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u304c\u3001\u591a\u304f\u306e\u6587\u732e\u3067\u521d\u56de<strong>100 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href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Methods%3A%20%20Twice,visual%20scale%20via%20serial%20photographs\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u5897\u91cf\u5e45\u306f\u60a3\u8005\u306e\u53cd\u5fdc\u3092\u898b\u3066\u8abf\u6574\u3057\u3001\u8efd\u5ea6\u7d05\u6591\u304c\u51fa\u305f\u3089\u524d\u56de\u3068\u540c\u3058\u7dda\u91cf\u304b\u5c11\u3057\u6e1b\u3089\u3057\u3001\u6d88\u9000\u5f8c\u306b\u518d\u958b\u3057\u307e\u3059\u3002\u30a8\u30ad\u30b7\u30de\u306f\u5c40\u6240\u9ad8\u7167\u5ea6\u306e\u305f\u3081\u3001<strong>\u4e00\u5ea6\u306b\u7167\u5c04\u3067\u304d\u308b\u6700\u5927\u7dda\u91cf<\/strong>\u3082\u4f8b\u3048\u3070500\uff5e1000 mJ\/cm\u00b2\u7a0b\u5ea6\u3068NB-UVB\u3088\u308a\u4f4e\u3081\u306b\u8a2d\u5b9a\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6700\u5927\u51fa\u529b\u306f\u6a5f\u7a2e\u306b\u3088\u308a\u7570\u306a\u308a\u307e\u3059\u304c\u3001\u6982\u306d1\u30b7\u30e7\u30c3\u30c8\u3042\u305f\u308a2000 mJ\/cm\u00b2\u7a0b\u5ea6\u304c\u4e0a\u9650\u3067\u3059<a href=\"https:\/\/jkms.org\/pdf\/10.3346\/jkms.2005.20.2.273#:~:text=%5BPDF%5D%20Short,Additional%20fluences%20can%20be\" target=\"_blank\" rel=\"noreferrer noopener\">jkms.org<\/a>\u3002\u60a3\u90e8\u306e\u539a\u307f\uff08\u8098\u819d\u306a\u3069\u89d2\u5316\u90e8\u4f4d\uff09\u306b\u3088\u3063\u3066\u3082\u53cd\u5fdc\u304c\u9055\u3046\u305f\u3081\u3001\u4f8b\u3048\u3070\u8098\u819d\u3067\u306f\u4fdd\u6e7f\u5264\u3092\u5857\u3063\u3066\u89d2\u8cea\u3092\u67d4\u8edf\u5316\u3057\u3066\u304b\u3089\u7167\u5c04\u3059\u308b\u3068\u6d78\u900f\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002\u306a\u304a\u30a8\u30ad\u30b7\u30de\u7167\u5c04\u306f<strong>\u5c40\u6240\u7684\u306b\u5f37\u3044\u7d05\u6591<\/strong>\u3092\u8d77\u3053\u3057\u3084\u3059\u304f\u3001<strong>\u6c34\u75b1\u5316\uff5e\u3073\u3089\u3093<\/strong>\u3082\u8d77\u3053\u308a\u3048\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=Other%20side%20effects%20include%3A\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u8a31\u5bb9\u7bc4\u56f2\u3092\u8d85\u3048\u308b\u3068\u30b1\u30d6\u30ca\u30fc\u73fe\u8c61\u3067\u5468\u56f2\u306b\u65b0\u3057\u3044\u767d\u6591\u304c\u3067\u304d\u308b\u30ea\u30b9\u30af\u3082\u3042\u308b\u305f\u3081<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=,Reactivation%20of%20herpes%20virus%20infection\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3001\u521d\u671f\u306f\u614e\u91cd\u306b\u5c11\u91cf\u304b\u3089\u5165\u308a\u5b89\u5168\u57df\u3092\u898b\u6975\u3081\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u6cbb\u7642\u671f\u9593:<\/strong> \u5168\u8eab\u7642\u6cd5\u3088\u308a<strong>\u77ed\u671f\u9593\u3067\u52b9\u679c\u304c\u73fe\u308c\u3084\u3059\u3044<\/strong>\u3068\u3055\u308c\u3001<strong>6\uff5e8\u56de\u306e\u7167\u5c04\u3067\u521d\u671f\u53cd\u5fdc\u304c\u51fa\u73fe<\/strong>\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=The%20duration%20of%20treatment%20is,treatment%20is%20about%20seven%20weeks\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u5b8c\u5168\u306a\u8272\u7d20\u518d\u751f\u306b\u306f\u75c5\u5909\u306e\u5927\u304d\u3055\u306b\u3088\u308a\u307e\u3059\u304c<strong>20\uff5e30\u56de<\/strong>\u7a0b\u5ea6\u306e\u7167\u5c04\u3092\u8981\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=The%20duration%20of%20treatment%20is,treatment%20is%20about%20seven%20weeks\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u5e73\u5747\u3059\u308b\u3068<strong>7\uff5e8\u9031\u9593\u7a0b\u5ea6<\/strong>\u3067\u76ee\u6a19\u306e\u6539\u5584\u5ea6\u306b\u9054\u3059\u308b\u30b1\u30fc\u30b9\u304c\u591a\u3044\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=The%20duration%20of%20treatment%20is,treatment%20is%20about%20seven%20weeks\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u7279\u306b\u9854\u9762\u306e\u767d\u6591\u306f\u53cd\u5fdc\u826f\u304f\u3001\u3042\u308b\u8a66\u9a13\u3067\u306f\u9854\u9762\u75c5\u5909\u306e60%\u304c\u30a8\u30ad\u30b7\u30de\u5358\u72ec30\uff5e40\u56de\u306e\u7167\u5c04\u306775%\u4ee5\u4e0a\u306e\u8272\u7d20\u518d\u751f\uff08Grade3-4\uff09\u306b\u81f3\u308a\u307e\u3057\u305f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Results%3A%20%20Subjects%20tolerated%20the,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=improvement%20in%202%2F10%20subjects%20and,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u4e00\u65b9\u3001\u624b\u8db3\u306e\u75c5\u5909\u3067\u306f\u540c\u6761\u4ef6\u306725%\u672a\u6e80\u306e\u8efd\u5ea6\u6539\u5584\uff08Grade1-2\uff09\u306b\u7559\u307e\u3063\u305f\u4f8b\u304c\u591a\u304f\u3001\u90e8\u4f4d\u5dee\u304c\u9855\u8457\u3067\u3059<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Results%3A%20%20Subjects%20tolerated%20the,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u6cbb\u7642\u7d42\u4e86\u5f8c\u306e\u7d4c\u904e\u306f\u60a3\u8005\u306b\u3088\u308a\u3055\u307e\u3056\u307e\u3067\u3001\u9577\u671f\u9593\u518d\u767a\u306a\u304f\u8272\u7d20\u7dad\u6301\u3067\u304d\u308b\u4f8b\u3082\u3042\u308c\u3070\u3001<strong>\u6570\u30f6\u6708\u3067\u518d\u5ea6\u8131\u8272\u7d20\u304c\u9032\u884c\u3059\u308b\u4f8b<\/strong>\u3082\u3042\u308a\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=20%E2%80%9330%20sessions,treatment%20is%20about%20seven%20weeks\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u767d\u6591\u306e\u539f\u56e0\u75be\u60a3\u304c\u6301\u7d9a\u3059\u308b\u4ee5\u4e0a\u3001\u518d\u767a\u306e\u53ef\u80fd\u6027\u306f\u5e38\u306b\u3042\u308a\u3001\u7279\u306b\u6d3b\u52d5\u6027\u306e\u5f37\u3044\u30b1\u30fc\u30b9\u3067\u306f\u518d\u767a\u3057\u3084\u3059\u3044\u3067\u3059\u3002\u305d\u306e\u305f\u3081<strong>\u6cbb\u7642\u5f8c\u3082\u5b9a\u671f\u30d5\u30a9\u30ed\u30fc<\/strong>\u3057\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u8ffd\u52a0\u7167\u5c04\u3084\u4ed6\u306e\u7dad\u6301\u7642\u6cd5\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u4f75\u7528\u7642\u6cd5:<\/strong> \u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\u3082\u5358\u72ec\u3067\u3082\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u304c\u3001<strong>\u5c40\u6240\u30b9\u30c6\u30ed\u30a4\u30c9\u3084\u30bf\u30af\u30ed\u30ea\u30e0\u30b9\u8edf\u818f<\/strong>\u3068\u306e\u4f75\u7528\u304c\u4e00\u822c\u7684\u306b\u884c\u308f\u308c\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=Excimer%20laser%20therapy%20is%20an,inhibitors%20%20and%20%2037\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u7167\u5c04\u65e5\u306b\u5916\u7528\u3059\u308b\u3068\u5149\u7dda\u3092\u906e\u65ad\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u4f75\u7528\u5916\u7528\u306f<strong>\u975e\u7167\u5c04\u65e5\u306b1\uff5e2\u56de<\/strong>\u5857\u5e03\u3059\u308b\u304b\u3001\u307e\u305f\u306f\u7167\u5c04\u6570\u6642\u9593\u5f8c\u306b\u884c\u3044\u307e\u3059\u3002\u307e\u305f<strong>PRP\u7642\u6cd5\u3068\u306e\u4f75\u7528<\/strong>\u306b\u3064\u3044\u3066\u306f\u5f8c\u8ff0\u3057\u307e\u3059\u304c\u3001\u30a8\u30ad\u30b7\u30de\u5358\u72ec\u3088\u308a\u6709\u52b9\u3068\u306e\u5831\u544a\u304c\u8fd1\u5e74\u8907\u6570\u3042\u308a\u3001\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=Results%3A%20%20Six%20studies%20involving,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u3055\u3089\u306b<strong>\u30c8\u30e9\u30cd\u30ad\u30b5\u30e0\u9178<\/strong>\u306e\u5185\u670d\u3084<strong>\u30dd\u30ea\u30dd\u30c7\u30a3\u30a6\u30e0\uff08\u30b7\u30c0\u690d\u7269\uff09\u62bd\u51fa\u7269<\/strong>\u306a\u3069\u306e\u6297\u9178\u5316\u88dc\u52a9\u7642\u6cd5\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u660e\u78ba\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u9650\u5b9a\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6709\u52b9\u6027\u3068\u6700\u65b0\u30a8\u30d3\u30c7\u30f3\u30b9<\/h3>\n\n\n\n<p><strong>\u6709\u52b9\u6027:<\/strong> 308nm\u30a8\u30ad\u30b7\u30de\u5149\u7dda\u7642\u6cd5\u306e\u6709\u52b9\u7387\u306f\u3001\u90e8\u4f4d\u4f9d\u5b58\u6027\u304c\u5927\u304d\u3044\u3082\u306e\u306e\u6982\u306d<strong>\u534a\u6570\u4ee5\u4e0a\u306e\u60a3\u8005\u306750%\u4ee5\u4e0a\u306e\u6539\u5584<\/strong>\u304c\u5f97\u3089\u308c\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.mdpi.com\/2673-6179\/5\/3\/12#:~:text=to%20the%20308%20\" target=\"_blank\" rel=\"noreferrer noopener\">mdpi.com<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Results%3A%20%20Subjects%20tolerated%20the,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u7279\u306b<strong>\u9854\u9762\u306e\u9650\u5c40\u767d\u6591<\/strong>\u3067\u306f\u975e\u5e38\u306b\u9ad8\u3044\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u300110\u56de\u672a\u6e80\u3067\u8089\u773c\u7684\u306b\u8272\u7d20\u30b9\u30dd\u30c3\u30c8\u304c\u51fa\u73fe\u3057\u59cb\u3081\u308b\u4f8b\u3082\u591a\u3044\u3067\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=The%20duration%20of%20treatment%20is,treatment%20is%20about%20seven%20weeks\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u4e00\u65b9\u3001<strong>\u672b\u7aef\u306e\u6162\u6027\u75c5\u5909<\/strong>\u3067\u306f\u9577\u671f\u7167\u5c04\u304c\u5fc5\u8981\u3067\u3001\u4f8b\u3048\u3070\u624b\u8db3\u3067\u306f60\u56de\u7167\u5c04\u3057\u3066\u3082\u534a\u6570\u4ee5\u4e0a\u6539\u5584\u3057\u305f\u75c7\u4f8b\u304c\u5c11\u306a\u304b\u3063\u305f\u3068\u306e\u5831\u544a\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Results%3A%20%20Subjects%20tolerated%20the,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u3057\u305f\u304c\u3063\u3066\u300c\u9854\u306f3\u30f6\u6708\uff0820\uff5e30\u56de\uff09\u3067\u8457\u52b9\u3001\u624b\u8db3\u306f6\u30f6\u6708\u4ee5\u4e0a\uff08&gt;50\u56de\uff09\u304b\u3051\u3066\u3082\u90e8\u5206\u6539\u5584\u306b\u7559\u307e\u308a\u3084\u3059\u3044\u300d\u3068\u3044\u3063\u305f\u50be\u5411\u3068\u3044\u3048\u307e\u3059\u3002\u30a8\u30ad\u30b7\u30de\u7167\u5c04\u3068NB-UVB\u5168\u8eab\u7167\u5c04\u306e<strong>\u6cbb\u7642\u52b9\u679c\u306e\u6bd4\u8f03<\/strong>\u306b\u3064\u3044\u3066\u306f\u3001\u591a\u65bd\u8a2d\u7814\u7a76\u3084\u30e1\u30bf\u89e3\u6790\u3067<strong>\u6700\u7d42\u7684\u306a\u6709\u52b9\u7387\u306b\u5927\u5dee\u306f\u306a\u3044<\/strong>\u3068\u3059\u308b\u7d50\u679c\u304c\u5f97\u3089\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=measures%2C%20limiting%20the%20ability%20to,Sun%2C%202015\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a><a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=documented%20no%20significant%20differences%20in,Sun%2C%202015\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u5b9f\u969b\u3001308nm\u30a8\u30ad\u30b7\u30de\u30e9\u30f3\u30d7 vs \u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc vs NB-UVB\u306e6\u7814\u7a76\u30e1\u30bf\u89e3\u6790\u3067\u306f\u3001<strong>3\u8005\u306b\u6709\u610f\u5dee\u306a\u304f\u3044\u305a\u308c\u3082\u6709\u52b9<\/strong>\u3067\u3042\u308a\u3001\u526f\u4f5c\u7528\u3082\u8efd\u5fae\u3067\u540c\u7a0b\u5ea6\u3060\u3063\u305f\u3068\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=two%20years%E2%80%99%20follow%20up%29,comparing%20excimer\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u305f\u3060\u3057\u7167\u5c04\u521d\u671f\u306e<strong>\u53cd\u5fdc\u51fa\u73fe\u306f\u30a8\u30ad\u30b7\u30de\u306e\u65b9\u304c\u901f\u3044<\/strong>\u50be\u5411\u304c\u3042\u308a\u3001\u5c40\u6240\u7684\u306b\u5f37\u529b\u306a\u305f\u3081<strong>\u6cbb\u7642\u30bb\u30c3\u30b7\u30e7\u30f3\u7dcf\u6570\u306fNB-UVB\u3088\u308a\u5c11\u306a\u304f\u6e08\u3080<\/strong>\u5834\u5408\u3082\u3042\u308a\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=40%20sessions%29\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a><a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=,relatively%20friendly%E2%80%93looking%20piece%20of%20equipment\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u4e00\u65b9\u3067\u7167\u5c04\u30b9\u30dd\u30c3\u30c8\u306e\u95a2\u4fc2\u4e0a\u3001\u4f53\u8868\u9762\u7a4d\u304c\u5e83\u3044\u5834\u5408\u306f\u30a8\u30ad\u30b7\u30de\u3067\u306f\u975e\u73fe\u5b9f\u7684\u3068\u306a\u308b\u305f\u3081\u3001\u75c5\u5909\u7bc4\u56f2\u306b\u3088\u3063\u3066\u4e21\u8005\u306f\u4f7f\u3044\u5206\u3051\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u4f75\u7528\u7642\u6cd5\u306e\u30a8\u30d3\u30c7\u30f3\u30b9:<\/strong> \u30a8\u30ad\u30b7\u30de\u5149\u7dda\u7642\u6cd5\u306f<strong>\u5c40\u6240\u514d\u75ab\u6291\u5236\u5264\u3068\u306e\u4f75\u7528<\/strong>\u3067\u6210\u7e3e\u5411\u4e0a\u3057\u307e\u3059\u3002\u4f8b\u3048\u3070<strong>\u30bf\u30af\u30ed\u30ea\u30e0\u30b9\u8edf\u818f\uff0b308nm\u30a8\u30ad\u30b7\u30de<\/strong>\u306eRCT\u3067\u306f\u3001\u30a8\u30ad\u30b7\u30de\u5358\u72ec\u3088\u308a\u512a\u308c\u305f\u8272\u7d20\u518d\u751f\u7387\u3092\u793a\u3057\u307e\u3057\u305f<a href=\"https:\/\/www.xtracclear.com\/why-xtrac\/#:~:text=Why%20XTRAC%20XTRAC%20is%20a,psoriasis%2C%20vitiligo%2C%20and%20atopic%20dermatitis\" target=\"_blank\" rel=\"noreferrer noopener\">xtracclear.com<\/a>\u3002\u307e\u305f<strong>\u30a8\u30ad\u30b7\u30de\uff0bPRP\u7642\u6cd5<\/strong>\u306e\u6709\u52b9\u6027\u304c\u8fd1\u5e74\u6ce8\u76ee\u3055\u308c\u3066\u304a\u308a\u3001\u30e1\u30bf\u5206\u6790\u3067\u306f<strong>PRP\u4f75\u7528\u7fa4\u3067\u226775%\u306e\u518d\u8272\u7d20\u5316\u9054\u6210\u4f8b\u304c\u6709\u610f\u306b\u5897\u52a0<\/strong>\u3057\u305f\u3068\u306e\u7d50\u679c\u304c\u51fa\u3066\u3044\u307e\u3059<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=Results%3A%20%20Six%20studies%20involving,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=therapy%20significantly%20improved%20the%20total,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\uff08\u8a73\u3057\u304f\u306fPRP\u7642\u6cd5\u306e\u7bc0\u3067\u5f8c\u8ff0\uff09\u3002\u3055\u3089\u306b<strong>NB-UVB\u5168\u8eab\u7167\u5c04\u3068\u306e\u7d44\u5408\u305b<\/strong>\u3082\u7814\u7a76\u3055\u308c\u3066\u304a\u308a\u3001\u7279\u306bNB-UVB\u3067\u52b9\u679c\u304c\u982d\u6253\u3061\u306b\u306a\u3063\u305f\u90e8\u4f4d\u306b\u30a8\u30ad\u30b7\u30de\u3092\u8ffd\u52a0\u7167\u5c04\u3059\u308b\u3053\u3068\u3067\u7d0467%\u306e\u60a3\u8005\u3067\u518d\u53cd\u5fdc\u304c\u5f97\u3089\u308c\u305f\u5831\u544a\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=Combination%20Treatments%20%E2%80%93%20What%20Is,New\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u306e\u3088\u3046\u306b\u30a8\u30ad\u30b7\u30de\u7642\u6cd5\u306f<strong>\u4ed6\u6cbb\u7642\u3068\u306e\u76f8\u4e57\u52b9\u679c<\/strong>\u3092\u767a\u63ee\u3057\u3046\u308b\u30c4\u30fc\u30eb\u3067\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u63a8\u5968:<\/strong> \u65e5\u672c\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32025\u3067\u306f<strong>CQ6<\/strong>\u3067\u300c\u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\/\u30e9\u30a4\u30c8\u7642\u6cd5\u306f\u6709\u52b9\u304b\uff1f\u300d\u306b\u5bfe\u3057<strong>\u63a8\u5968\u5ea61A<\/strong>\u3067\u300c\u5c40\u6240\u5916\u7528\u7642\u6cd5\uff08\u30b9\u30c6\u30ed\u30a4\u30c9\u30fb\u30bf\u30af\u30ed\u30ea\u30e0\u30b9\uff09\u306b\u53cd\u5fdc\u3057\u306a\u3044\u9650\u5c40\u767d\u6591\uff08\u7bc4\u56f25%\u4ee5\u4e0b\uff09\u306b\u30bf\u30fc\u30b2\u30c3\u30c8\u578b\u5149\u7dda\u7642\u6cd5\u3092\u63a8\u5968\u3059\u308b\u300d\u3068\u660e\u8a18\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%E6%8E%A8%E5%A5%A8%E5%BA%A6%20%E6%8E%A8%E5%A5%A8%E6%96%87%201A%20%E3%82%B9%E3%83%86%E3%83%AD%E3%82%A4%E3%83%89%E5%A4%96%E7%94%A8%E8%96%AC%E3%82%84%E3%82%AB%E3%83%AB%E3%82%B7%E3%83%8B%E3%83%A5%E3%83%BC%E3%83%AA%E3%83%B3%E9%98%BB%E5%AE%B3%E8%96%AC%E5%A4%96%E7%94%A8%E8%96%AC%E3%81%AB%E5%8F%8D%E5%BF%9C%E3%81%97%E3%81%AA%E3%81%84%EF%BC%8C%E9%99%90%E5%B1%80%E3%81%97%E3%81%9F%E7%97%85%E5%A4%89%EF%BC%88%E7%97%85%E5%A4%89%E7%AF%84%E5%9B%B2%205%EF%BC%85%E4%BB%A5%E4%B8%8B%EF%BC%89%E3%81%AE\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002\u89e3\u8aac\u3067\u3082308nm\u30a8\u30ad\u30b7\u30de\u5149\u7dda\u7642\u6cd5\u304c\u9650\u5c40\u4f8b\u306b\u6709\u7528\u3067\u3042\u308b\u3053\u3068\u3001\u6d77\u5916\u3067\u3082\u5e83\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u56fd\u969b\u7684\u306b\u3082\u3001\u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\u306f**\u300c\u9650\u5c40\u3057\u305f\u767d\u6591\u306b\u306f\u307e\u305a\u8a66\u307f\u308b\u4fa1\u5024\u306e\u3042\u308b\u6cbb\u7642\u300d**\u3068\u4f4d\u7f6e\u4ed8\u3051\u3089\u308c\u3001\u7c73\u56fd\u76ae\u819a\u79d1\u5b66\u4f1aAAD\u3082\u6cbb\u7642\u9078\u629e\u80a2\u306b\u6319\u3052\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=%28Seneschal%2C%202023%29,disease%20with%20a%20silent%20inflammatory\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u305f\u3060\u3057\u5168\u8eabNB-UVB\u3068\u306e\u6bd4\u8f03\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u4e0d\u8db3\u3057\u3066\u3044\u308b\u70b9\u3084\u3001\u8cbb\u7528\u5bfe\u52b9\u679c\u306e\u554f\u984c\u3082\u6307\u6458\u3055\u308c\u3001\u60a3\u8005\u3054\u3068\u306e\u8a71\u3057\u5408\u3044\uff08shared decision-making\uff09\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=The%20international%20Vitiligo%20Task%20Force,Seneschal%2C%202023\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5b89\u5168\u6027\u30fb\u526f\u4f5c\u7528\u30fb\u7559\u610f\u70b9<\/h3>\n\n\n\n<p><strong>\u5c40\u6240\u53cd\u5fdc:<\/strong> \u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\u7167\u5c04\u90e8\u4f4d\u306b\u306f<strong>\u7d05\u6591<\/strong>\u304c\u751f\u3058\u307e\u3059\u3002\u6cbb\u7642\u306e\u76ee\u6a19\u306f<strong>\u8089\u773c\u7684\u306b\u8d64\u307f\u304c\u51fa\u308b\u7a0b\u5ea6\uff08\u8efd\u5ea6\u306e\u7d05\u6591\uff09\u306e\u7dda\u91cf\u3067\u3042\u308a\u3001\u3053\u308c\u3092\u8d85\u3048\u308b\u3068\u6c34\u75b1\u3084\u3073\u3089\u3093<\/strong>\u304c\u8d77\u3053\u308a\u3048\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=deliver%20a%20dose%20that%20induces,the%20dose%20is%20too%20high\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u9069\u5207\u306b\u7dda\u91cf\u8abf\u6574\u3059\u308c\u3070\u591a\u304f\u306e\u5834\u5408\u826f\u597d\u306b\u8010\u5bb9\u3055\u308c\u307e\u3059\u304c\u3001\u75bc\u75db\u3092\u4f34\u3046\u5f37\u7d05\u6591\u3084\u6c34\u75b1\u5f62\u6210\u306f\u904e\u91cf\u306e\u30b5\u30a4\u30f3\u3067\u3042\u308a\u3001\u4ee5\u964d\u306e\u7dda\u91cf\u3092\u6e1b\u3058\u308b\u304b\u4f11\u85ac\u671f\u9593\u3092\u8a2d\u3051\u307e\u3059\u3002\u30a8\u30ad\u30b7\u30de\u7279\u6709\u306e\u526f\u4f5c\u7528\u306b<strong>\u6cbb\u7642\u90e8\u4f4d\u306e\u75bc\u75db<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002\u7167\u5c04\u4e2d\u306f\u308f\u305a\u304b\u306a\u6e29\u71b1\u611f\u7a0b\u5ea6\u3067\u3059\u304c\u3001\u51e6\u7f6e\u5f8c\u6570\u6642\u9593\u3057\u3066\u65e5\u713c\u3051\u306e\u3088\u3046\u306a\u75db\u307f\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f<strong>\u4e00\u904e\u6027\u306e\u8272\u7d20\u6c88\u7740\u904e\u5270<\/strong>\uff08\u6cbb\u7642\u90e8\u4f4d\u304c\u4e00\u6642\u7684\u306b\u5468\u56f2\u3088\u308a\u6fc3\u304f\u8272\u3065\u304f\uff09\u3082\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/dermnetnz.org\/topics\/excimer-308-nm-light-treatment#:~:text=Other%20side%20effects%20include%3A\" target=\"_blank\" rel=\"noreferrer noopener\">dermnetnz.org<\/a>\u3002\u3053\u308c\u306f\u708e\u75c7\u5f8c\u8272\u7d20\u6c88\u7740\u306e\u4e00\u7a2e\u3067\u3001\u6642\u9593\u7d4c\u904e\u3067\u8584\u308c\u3066\u3044\u304d\u307e\u3059\u3002\u9006\u306b\u6cbb\u7642\u53cd\u5fdc\u3068\u3057\u3066<strong>\u307e\u3060\u3089\u306a\u904e\u8272\u7d20\u6591<\/strong>\uff08\u8272\u8abf\u4e0d\u5747\u4e00\u306a\u9ed2\u305a\u307f\uff09\u304c\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u3082\u5f90\u3005\u306b\u6b63\u5e38\u5316\u3059\u308b\u304b\u3001\u6b8b\u3063\u305f\u5834\u5408\u306f\u5316\u7ca7\u54c1\u7684\u30b1\u30a2\u3067\u5bfe\u51e6\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u9577\u671f\u30ea\u30b9\u30af:<\/strong> 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noopener\">dermnetnz.org<\/a>\u3002\u5b9f\u969b\u3001308nm\u30a8\u30ad\u30b7\u30de\u5149\u7dda\u3092\u5c40\u6240\u306b\u7167\u5c04\u3057\u305f\u5834\u5408\u306e\u9577\u671f\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u3067\u306f\u3001\u76ae\u819a\u764c\u3084\u5149\u8001\u5316\u306e\u9855\u8457\u306a\u5897\u52a0\u306f\u4eca\u306e\u3068\u3053\u308d\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u305f\u3060\u3057\u3001\u5168\u8eab\u3078\u306e\u7d2b\u5916\u7dda\u66dd\u9732\u306f\u306a\u3044\u3082\u306e\u306e<strong>\u5c40\u6240\u3067\u306f\u9ad8\u7dda\u91cf\u3092\u7d2f\u7a4d<\/strong>\u3059\u308b\u305f\u3081\u3001\u6cbb\u7642\u56de\u6570\u304c\u5897\u3048\u308b\u306b\u3064\u308c\u7167\u5c04\u90e8\u4f4d\u306e\u76ae\u819a\u8001\u5316\uff08\u30b7\u30ef\u30fb\u8272\u7d20\u6591\u306a\u3069\uff09\u306f\u8d77\u3053\u308a\u3048\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066<strong>\u7d2f\u7a4d\u7dda\u91cf\u7ba1\u7406<\/strong>\u306e\u6982\u5ff5\u306fNB-UVB\u540c\u69d8\u306b\u91cd\u8981\u3067\u3001\u4f8b\u3048\u3070<strong>\u540c\u4e00\u90e8\u4f4d\u3078\u306e\u30a8\u30ad\u30b7\u30de\u7167\u5c04\u306f100\u56de\u7a0b\u5ea6\u307e\u3067<\/strong>\u3092\u76ee\u5b89\u306b\u3057\u3001\u305d\u308c\u4ee5\u4e0a\u5fc5\u8981\u306a\u5834\u5408\u306f\u4e00\u65e6\u4f11\u6b62\u3057\u3066\u76ae\u819a\u72b6\u614b\u3092\u8a55\u4fa1\u3059\u308b\u306a\u3069\u306e\u5de5\u592b\u304c\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u305d\u306e\u4ed6\u306e\u6ce8\u610f:<\/strong> 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noopener\">dermnetnz.org<\/a>\u3002\u307e\u305f\u524d\u8ff0\u306e\u3088\u3046\u306b<strong>\u773c\u306e\u4fdd\u8b77<\/strong>\u306f\u53b3\u91cd\u306b\u884c\u3044\u3001\u8853\u8005\u30fb\u60a3\u8005\u3068\u3082UV\u30b4\u30fc\u30b0\u30eb\u3092\u88c5\u7740\u3057\u307e\u3059\u3002\u30a8\u30ad\u30b7\u30de\u7167\u5c04\u9762\u304b\u3089\u306e\u6563\u4e71\u5149\u306fNB-UVB\u5168\u8eab\u6a5f\u3088\u308a\u5c11\u306a\u3044\u3067\u3059\u304c\u3001\u81f3\u8fd1\u8ddd\u96e2\u3067\u898b\u308b\u3068\u7729\u3057\u3055\u3084\u7d50\u819c\u3078\u306e\u523a\u6fc0\u304c\u3042\u308a\u3046\u308b\u305f\u3081\u3001\u76ee\u3092\u9589\u3058\u3066\u3082\u3089\u3046\u914d\u616e\u3082\u3057\u307e\u3059\u3002\u6a5f\u5668\u306e\u30e1\u30f3\u30c6\u30ca\u30f3\u30b9\u4e0a\u306f\u3001\u7167\u5c04\u51fa\u529b\u304c\u5b89\u5b9a\u3057\u306a\u3044\u53e4\u3044\u30e9\u30f3\u30d7\u3067\u306f\u904e\u7167\u5c04\u306e\u5371\u967a\u304c\u3042\u308b\u305f\u3081\u5b9a\u671f\u6821\u6b63\u304c\u5fc5\u8981\u3067\u3059\u3002\u307e\u305f\u30c6\u30f3\u30d7\u30ec\u30fc\u30c8\u3067\u8986\u3044\u304d\u308c\u306a\u3044\u6b63\u5e38\u76ae\u819a\u306b\u7167\u5c04\u304c\u5f53\u305f\u308b\u3068\u305d\u3053\u3060\u3051\u65e5\u713c\u3051\u3057\u3066\u3057\u307e\u3046\u305f\u3081\u3001\u8853\u5f8c\u306f\u5468\u56f2\u6b63\u5e38\u76ae\u819a\u306b\u7f8e\u767d\u5264\u3084\u30b5\u30f3\u30b9\u30af\u30ea\u30fc\u30f3\u3092\u5857\u5e03\u3057\u3066\u304a\u304f\u306a\u3069\u3001<strong>\u8853\u5f8c\u30b1\u30a2<\/strong>\u3082\u75c7\u4f8b\u306b\u5fdc\u3058\u884c\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u591a\u8840\u5c0f\u677f\u8840\u6f3f\uff08PRP\uff09\u7642\u6cd5<\/h2>\n\n\n\n<p><strong>\u591a\u8840\u5c0f\u677f\u8840\u6f3f\uff08platelet-rich plasma; PRP\uff09\u7642\u6cd5<\/strong>\u306f\u3001\u81ea\u8eab\u306e\u8840\u6db2\u304b\u3089\u6fc3\u7e2e\u3057\u305f\u8840\u5c0f\u677f\u8840\u6f3f\u3092\u62bd\u51fa\u3057\u3001\u767d\u6591\u75c5\u5909\u90e8\u306b\u6ce8\u5c04\u3057\u3066\u8272\u7d20\u518d\u751f\u3092\u4fc3\u3059\u6cbb\u7642\u6cd5\u3067\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%EF%BC%883%EF%BC%89%E2%80%8CPlatelet,%E3%81%84%E3%81%9F%E7%99%82%E6%B3%95%E3%81%8C%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%97%E3%81%A6%E6%A4%9C%E8%A8%8E%E3%81%95%E3%82%8C%E3%81%A6%E3%81%84%E3%82%8B262%EF%BC%89%EF%BC%8E\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a><a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=PRP%20%E3%82%92%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E7%97%85%E5%A4%89%E9%83%A8%E3%81%AB%E5%AE%9A%E6%9C%9F%E7%9A%84%E3%81%AB%E5%B1%80%E6%89%80%E6%B3%A8%E5%B0%84%E3%81%99%E3%82%8B%EF%BC%8E%20PRP%20%E3%81%AF%E6%82%A3%E8%80%85%E3%81%AE%E8%A1%80%E6%B6%B2%E7%94%B1%E6%9D%A5%E3%81%A7%EF%BC%8C%E9%80%9A%E5%B8%B8%E3%82%88%E3%82%8A%E3%82%82%203%EF%BD%9E7,%CE%B1%20%E9%A1%86%E7%B2%92%E3%81%AB%E5%90%AB%E3%81%BE%E3%82%8C%E3%82%8B%E6%88%90%E9%95%B7%E5%9B%A0%20%E5%AD%90%E3%82%92%E8%B1%8A%E5%AF%8C%E3%81%AB%E5%90%AB%E6%9C%89%E3%81%99%E3%82%8B262%EF%BC%89%EF%BC%8E%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%97%20PRP%20%E3%81%AE%E5%B1%80%E6%89%80\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002\u8840\u5c0f\u677f\u304b\u3089\u653e\u51fa\u3055\u308c\u308b<strong>\u6210\u9577\u56e0\u5b50<\/strong>\u3084<strong>\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3<\/strong>\u306e\u4f5c\u7528\u306b\u3088\u308a\u3001\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u306e\u5897\u6b96\u5206\u5316\u3084\u5c40\u6240\u306e\u708e\u75c7\u5236\u5fa1\u3092\u671f\u5f85\u3059\u308b\u518d\u751f\u533b\u7642\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3059\u3002\u8fd1\u5e74\u3001\u5c0b\u5e38\u6027\u767d\u6591\u306b\u5bfe\u3059\u308b\u65b0\u898f\u6cbb\u7642\u3068\u3057\u3066\u7814\u7a76\u304c\u5897\u3048\u3066\u304a\u308a\u3001\u5916\u79d1\u7684\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u79fb\u690d\u3084\u5f93\u6765\u7642\u6cd5\u3067\u52b9\u679c\u4e0d\u5341\u5206\u306a\u75c7\u4f8b\u3078\u306e<strong>\u88dc\u52a9\u7642\u6cd5<\/strong>\u3068\u3057\u3066\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=We%20identified%206%20clinical%20studies,and%20without%20important%20side%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u4ee5\u4e0b\u3001PRP\u7642\u6cd5\u306e\u539f\u7406\u3001\u624b\u6280\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3001\u6709\u52b9\u6027\u3001\u5b89\u5168\u6027\u306b\u3064\u3044\u3066\u8a73\u8ff0\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u539f\u7406\u30fb\u4f5c\u7528<\/h3>\n\n\n\n<p>PRP\u306f<strong>\u60a3\u8005\u81ea\u8eab\u306e\u8840\u6db2<\/strong>\u3092\u51e6\u7406\u3057\u3066\u5f97\u3089\u308c\u308b<strong>\u9ad8\u6fc3\u5ea6\u8840\u5c0f\u677f\u8840\u6f3f<\/strong>\u3067\u3059\u3002\u901a\u5e38\u306e\u8840\u6f3f\u306b\u6bd4\u3079<strong>3\uff5e7\u500d\u4ee5\u4e0a<\/strong>\u306e\u8840\u5c0f\u677f\u304c\u542b\u307e\u308c\u3001\u8840\u5c0f\u677f\u5185\u306e\u03b1\u9846\u7c92\u304b\u3089\u653e\u51fa\u3055\u308c\u308b<strong>\u5404\u7a2e\u6210\u9577\u56e0\u5b50<\/strong>\uff08PDGF, TGF-\u03b2, VEGF, EGF, FGF, IGF-1 \u306a\u3069\uff09\u3092\u9ad8\u8c4a\u5ea6\u306b\u542b\u307f\u307e\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=PRP%20%E3%82%92%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E7%97%85%E5%A4%89%E9%83%A8%E3%81%AB%E5%AE%9A%E6%9C%9F%E7%9A%84%E3%81%AB%E5%B1%80%E6%89%80%E6%B3%A8%E5%B0%84%E3%81%99%E3%82%8B%EF%BC%8E%20PRP%20%E3%81%AF%E6%82%A3%E8%80%85%E3%81%AE%E8%A1%80%E6%B6%B2%E7%94%B1%E6%9D%A5%E3%81%A7%EF%BC%8C%E9%80%9A%E5%B8%B8%E3%82%88%E3%82%8A%E3%82%82%203%EF%BD%9E7,%CE%B1%20%E9%A1%86%E7%B2%92%E3%81%AB%E5%90%AB%E3%81%BE%E3%82%8C%E3%82%8B%E6%88%90%E9%95%B7%E5%9B%A0%20%E5%AD%90%E3%82%92%E8%B1%8A%E5%AF%8C%E3%81%AB%E5%90%AB%E6%9C%89%E3%81%99%E3%82%8B262%EF%BC%89%EF%BC%8E%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%97%20PRP%20%E3%81%AE%E5%B1%80%E6%89%80\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=growth%20factors%2C%20adhesion%20molecules%20and,8%20%2C%2031\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u3055\u3089\u306b\u8840\u5c0f\u677f\u306f<strong>\u6297\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3<\/strong>\uff08IL-1\u53d7\u5bb9\u4f53\u62ee\u6297, \u53ef\u6eb6\u6027TNF\u53d7\u5bb9\u4f53, IL-10 \u306a\u3069\uff09\u3082\u653e\u51fa\u3057\u3001\u708e\u75c7\u74b0\u5883\u3092\u8abf\u6574\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Moreover%2C%20PRP%20promotes%20the%20release,13%20and%20interferon%20%CE%B3.11\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Moreover%2C%20PRP%20promotes%20the%20release,13%20and%20interferon%20%CE%B3.11\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u767d\u6591\u75c5\u5909\u90e8\u306b\u3053\u308c\u3089PRP\u3092\u6ce8\u5165\u3059\u308b\u3068\u3001\u5c40\u6240\u3067<strong>\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u306e\u751f\u5b58\u30fb\u5897\u6b96\u3092\u4fc3\u9032<\/strong>\u3057\u3064\u3064<strong>\u81ea\u5df1\u514d\u75ab\u6027\u708e\u75c7\u3092\u6291\u3048\u308b<\/strong>\u3053\u3068\u3067\u3001\u8272\u7d20\u518d\u751f\u306b\u3064\u306a\u304c\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=growth%20factors%2C%20adhesion%20molecules%20and,8%20%2C%2031\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Moreover%2C%20PRP%20promotes%20the%20release,13%20and%20interferon%20%CE%B3.11\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u6210\u9577\u56e0\u5b50\u7fa4\u304c\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u524d\u99c6\u7d30\u80de\u306e\u904a\u8d70\u3068\u5206\u5316\u3092\u523a\u6fc0\u3057\u3001\u307e\u305f\u6297\u708e\u75c7\u56e0\u5b50\u304cT\u7d30\u80de\u306a\u3069\u306e\u653b\u6483\u304b\u3089\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u3092\u4fdd\u8b77\u3059\u308b\u52b9\u679c\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u52a0\u3048\u3066\u3001\u6ce8\u5c04\u91dd\u306b\u3088\u308b<strong>\u5fae\u5c0f\u306a\u771f\u76ae\u640d\u50b7<\/strong>\u81ea\u4f53\u304c\u5275\u50b7\u6cbb\u7652\u904e\u7a0b\u3092\u8a98\u5c0e\u3057\u3001\u5468\u56f2\u304b\u3089\u306e\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u79fb\u52d5\u30fb\u30e1\u30e9\u30cb\u30f3\u7523\u751f\u3092\u4fc3\u3059\u52b9\u679c\u3082\u3042\u308a\u307e\u3059\u3002\u8981\u3059\u308b\u306bPRP\u7642\u6cd5\u306f**\u300c\u6210\u9577\u56e0\u5b50\u30ea\u30c3\u30c1\u306a\u81ea\u5df1\u8840\u6e05\u300d\u3092\u60a3\u90e8\u306b\u9001\u308a\u8fbc\u307f\u3001\u4f11\u7720\u4e2d\u306e\u8272\u7d20\u7d30\u80de\u3092\u547c\u3073\u899a\u307e\u3057\u3064\u3064\u514d\u75ab\u3092\u7a4f\u548c\u306b\u3059\u308b**\u6cbb\u7642\u6226\u7565\u3068\u4f4d\u7f6e\u4ed8\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u624b\u6280\u30fb\u30d7\u30ed\u30c8\u30b3\u30eb<\/h3>\n\n\n\n<p><strong>PRP\u8abf\u88fd:<\/strong> \u60a3\u8005\u304b\u3089<strong>\u7d0410\uff5e50 mL<\/strong>\u7a0b\u5ea6\u306e\u9759\u8108\u8840\u3092\u63a1\u53d6\u3057\u3001\u6297\u51dd\u56fa\u5264\uff08\u30af\u30a8\u30f3\u9178Na\u306a\u3069\uff09\u3092\u52a0\u3048\u305f\u8a66\u9a13\u7ba1\u306b\u53ce\u96c6\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=PRP%20is%20an%20increased%20concentration,Rich\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u308c\u3092\u5c02\u7528\u306e\u9060\u5fc3\u5206\u96e2\u6a5f\u3067<strong>\u4e8c\u6bb5\u968e\u306e\u9060\u5fc3\u51e6\u7406<\/strong>\uff08\u30c0\u30d6\u30eb\u30b9\u30d4\u30f3\u6cd5\uff09\u306b\u304b\u3051\u3001\u8840\u6f3f\u4e2d\u306e\u8840\u5c0f\u677f\u3092\u6fc3\u7e2e\u3057\u307e\u3059\u3002\u5177\u4f53\u4f8b\u3068\u3057\u3066\u3001\u307e\u305a<strong>\u4f4e\u901f\u9060\u5fc3<\/strong>\uff08\u4f8b: 1500rpm\u30675\u201310\u5206\uff09\u3067\u8d64\u8840\u7403\u3068\u4e0a\u6f84\u307f\u8840\u6f3f\u306b\u5206\u96e2\u3057\u3001\u6b21\u306b\u4e0a\u6f84\u307f\u306e\u8840\u6f3f\u90e8\u5206\u3092\u56de\u53ce\u3057\u3066\u5225\u30c1\u30e5\u30fc\u30d6\u306b\u79fb\u3057<strong>\u9ad8\u901f\u9060\u5fc3<\/strong>\uff08\u4f8b: 3000\u20134000rpm\u30675\u201310\u5206\uff09\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Symmetrical%20stable%20vitiligo%20Twice%20a,prospective%2C%20randomized%2C%20comparative%2080\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Abdelghani%20et%20al13%20,Fr%3ACO2\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u308c\u306b\u3088\u308a\u8840\u5c0f\u677f\u304c\u6c88\u6bbf\u3057\u307e\u3059\u306e\u3067\u4e0a\u6f84\u307fPPP\uff08platelet-poor plasma\uff09\u3092\u6368\u3066\u3001\u5e95\u90e8\u306e\u6fc3\u7e2e\u8840\u5c0f\u677f\u90e8\u5206\u3092\u518d\u61f8\u6fc1\u3057\u3066PRP\u3068\u3057\u307e\u3059\u3002\u5fc5\u8981\u306b\u5fdc\u3058\u3066<strong>CaCl\u2082\u7b49\u306e\u51dd\u56fa\u4fc3\u9032\u5264<\/strong>\u3092\u52a0\u3048\u3066\u8840\u5c0f\u677f\u3092\u6d3b\u6027\u5316\u3055\u305b\u3001\u5373\u5ea7\u306b\u4f7f\u7528\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Symmetrical%20stable%20vitiligo%20Twice%20a,prospective%2C%20randomized%2C%20comparative%2080\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u8fd1\u5e74\u306f\u30ad\u30c3\u30c8\u5316\u3055\u308c\u305f\u7c21\u4fbf\u306aPRP\u8abf\u88fd\u30bb\u30c3\u30c8\u3082\u5e02\u8ca9\u3055\u308c\u3066\u304a\u308a\u3001\u4e00\u56de\u306e\u30b7\u30f3\u30b0\u30eb\u30b9\u30d4\u30f3\u3067\u6240\u5b9a\u6fc3\u5ea6\u306ePRP\u304c\u5f97\u3089\u308c\u308b\u30b7\u30b9\u30c6\u30e0\u3082\u3042\u308a\u307e\u3059\u3002\u305f\u3060\u3057\u6587\u732e\u9593\u3067PRP\u306e\u5b9a\u7fa9\u3084\u4f5c\u6210\u624b\u9806\u304c\u7570\u306a\u308b\u305f\u3081\uff08\u767d\u8840\u7403\u542b\u6709\u306e\u6709\u7121\u3084\u30d5\u30a3\u30d6\u30ea\u30f3\u542b\u91cf\u306a\u3069\u306e\u9055\u3044\uff09\u3001\u624b\u6280\u306f\u65bd\u8a2d\u3054\u3068\u306b\u7d71\u4e00\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=To%20date%2C%20no%20standard%20protocols,this%20regard%2C%20randomized%2C%20comparative%20clinical\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u6ce8\u5165\u6cd5:<\/strong> \u8abf\u88fd\u76f4\u5f8c\u306ePRP\u3092<strong>\u7d30\u5f84\u6ce8\u5c04\u91dd\uff0830G\u524d\u5f8c\uff09\u4ed8\u304d\u30b7\u30ea\u30f3\u30b8\u306b\u5438\u5f15\u3057\u3001\u767d\u6591\u75c5\u5909\u306e\u76ae\u4e0b\/\u771f\u76ae\u6d45\u5c64\u306b\u591a\u70b9\u306b\u308f\u305f\u308a\u5c11\u91cf\u305a\u3064<\/strong>\u6ce8\u5c04\u3057\u307e\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=PRP%20%E3%82%92%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E7%97%85%E5%A4%89%E9%83%A8%E3%81%AB%E5%AE%9A%E6%9C%9F%E7%9A%84%E3%81%AB%E5%B1%80%E6%89%80%E6%B3%A8%E5%B0%84%E3%81%99%E3%82%8B%EF%BC%8E%20PRP%20%E3%81%AF%E6%82%A3%E8%80%85%E3%81%AE%E8%A1%80%E6%B6%B2%E7%94%B1%E6%9D%A5%E3%81%A7%EF%BC%8C%E9%80%9A%E5%B8%B8%E3%82%88%E3%82%8A%E3%82%82%203%EF%BD%9E7,%CE%B1%20%E9%A1%86%E7%B2%92%E3%81%AB%E5%90%AB%E3%81%BE%E3%82%8C%E3%82%8B%E6%88%90%E9%95%B7%E5%9B%A0%20%E5%AD%90%E3%82%92%E8%B1%8A%E5%AF%8C%E3%81%AB%E5%90%AB%E6%9C%89%E3%81%99%E3%82%8B262%EF%BC%89%EF%BC%8E%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%97%20PRP%20%E3%81%AE%E5%B1%80%E6%89%80\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002\u901a\u5e38\u306f\u75c5\u5909\u3054\u3068\u306b1\uff5e\u6570mL\u306ePRP\u3092\u7528\u3044\u3001\u75c5\u5909\u5168\u4f53\u306b\u884c\u304d\u6e21\u308b\u3088\u3046\u9593\u9694\u3092\u3042\u3051\u3066\u6d45\u304f\u771f\u76ae\u5185\u306b\u6ce8\u5165\u3057\u307e\u3059\u3002\u75bc\u75db\u8efd\u6e1b\u306e\u305f\u3081\u4e8b\u524d\u306b\u5c40\u6240\u9ebb\u9154\u30af\u30ea\u30fc\u30e0\u3092\u5857\u5e03\u3057\u305f\u308a\u3001\u51b7\u5374\u3057\u306a\u304c\u3089\u6253\u91dd\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u6ce8\u5c04\u90e8\u4f4d\u306f\u8efd\u5ea6\u306e\u81a8\u75b9\u72b6\u81a8\u3089\u307f\u304c\u3067\u304d\u308b\u7a0b\u5ea6\u3067\u3001\u6cbb\u7642\u76f4\u5f8c\u304b\u3089\u8efd\u3044\u767a\u8d64\u3084\u70b9\u72b6\u306e\u51fa\u8840\u6591\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u51fa\u8840\u306f\u6570\u5206\u3067\u6b62\u307e\u308a\u307e\u3059\u304c\u3001**\u5185\u51fa\u8840\uff08\u9752\u3042\u3056\uff09**\u304c\u7fcc\u65e5\u4ee5\u964d\u51fa\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Percentage%20of%20repigmentation%20%28excellent%3A%20,252%20g%20for%2010%20min\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u6ce8\u5165\u5f8c\u306f\u8efd\u304f\u5727\u8feb\u6b62\u8840\u3057\u3001\u7d46\u5275\u818f\u306a\u3069\u306f\u4e0d\u8981\u3067\u3059\u3002\u306a\u304a\u6ce8\u5c04\u76f4\u5f8c\u304b\u3089\u6570\u65e5\u306f\u82e5\u5e72\u306e\u816b\u308c\u30fb\u767a\u8d64\u304c\u3042\u308a\u307e\u3059\u304c\u81ea\u7136\u8efd\u5feb\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u65bd\u884c\u983b\u5ea6:<\/strong> PRP\u6ce8\u5c04\u306f\u5358\u56de\u3067\u3082\u52b9\u679c\u304c\u51fa\u308b\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u591a\u304f\u306e\u5834\u5408<strong>2\uff5e4\u9031\u3054\u3068\u306b\u8907\u6570\u56de<\/strong>\u7e70\u308a\u8fd4\u3057\u65bd\u884c\u3057\u307e\u3059\u3002\u4f8b\u3048\u3070\u4ee3\u8868\u7684\u306a\u30d7\u30ed\u30c8\u30b3\u30eb\u3068\u3057\u3066\u3001<strong>2\u9031\u304a\u304d\u306b\u8a088\u56de\uff084\u304b\u6708\u9593\uff09\u306ePRP\u5c40\u6240\u6ce8\u5c04\u3092\u884c\u3063\u305f\u5831\u544a\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Symmetrical%20stable%20vitiligo%20Twice%20a,prospective%2C%20randomized%2C%20comparative%2080\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u5225\u306eRCT\u3067\u306f3\u9031\u304a\u304d\u306b4\u56de<\/strong>\u6ce8\u5c04\u3059\u308b\u65b9\u6cd5\u304c\u63a1\u7528\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Khattab%20et%20al16%20,in%20the%20laser%20only\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u6982\u306d<strong>3\uff5e6\u304b\u6708<\/strong>\u306e\u9593\u306b\u8907\u6570\u56de\u6ce8\u5c04\u3057\u3066\u3001\u305d\u306e\u5f8c\u7d4c\u904e\u89b3\u5bdf\u3057\u52b9\u679c\u5224\u5b9a\u3059\u308b\u6d41\u308c\u3067\u3059\u3002PRP\u5358\u72ec\u7642\u6cd5\u306e\u5834\u5408\u3001\u305d\u306e\u671f\u9593\u4e2d\u306b\u4ed6\u306e\u6cbb\u7642\uff08NB-UVB\u7b49\uff09\u3092\u907f\u3051\u3066PRP\u52b9\u679c\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u5b9f\u81e8\u5e8a\u3067\u306f<strong>NB-UVB\u3084\u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\u3068\u4e26\u884c<\/strong>\u3057\u3066PRP\u6ce8\u5c04\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u5834\u5408\u3001\u7167\u5c04\u306e\u76f4\u5f8c\u306bPRP\u3092\u6ce8\u5c04\u3059\u308b\u3068\u5149\u7dda\u7642\u6cd5\u3068\u306e\u76f8\u4e57\u52b9\u679c\u304c\u3042\u308b\u53ef\u80fd\u6027\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\uff08\u7167\u5c04\u306b\u3088\u308b\u708e\u75c7\u74b0\u5883\u306b\u6210\u9577\u56e0\u5b50\u3092\u52a0\u3048\u308b\u3053\u3068\u3067\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u904a\u8d70\u304c\u76db\u3093\u306b\u306a\u308b\u3068\u306e\u8003\u3048\uff09\u3002\u6a19\u6e96\u5316\u3055\u308c\u305f\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306f\u78ba\u7acb\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u304c\u3001\u4f75\u7528\u306e\u5834\u5408\u306f<strong>\u7167\u5c04\u65e5\u3068\u540c\u65e5\u306bPRP\u6ce8\u5c04<\/strong>\u3059\u308b\u3001\u3082\u3057\u304f\u306f<strong>\u7167\u5c04\u7fcc\u65e5\u306bPRP<\/strong>\u306a\u3069\u306e\u30d7\u30ed\u30c8\u30b3\u30eb\u304c\u8a66\u307f\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6709\u52b9\u6027\u3068\u30a8\u30d3\u30c7\u30f3\u30b9<\/h3>\n\n\n\n<p><strong>\u5358\u72ec\u7642\u6cd5\u306e\u52b9\u679c:<\/strong> PRP\u5358\u72ec\u306e\u52b9\u679c\u306b\u95a2\u3059\u308b\u5831\u544a\u306f\u9650\u3089\u308c\u307e\u3059\u304c\u3001<strong>\u5b89\u5b9a\u671f\u306e\u5c40\u6240\u767d\u6591\u3067\u6709\u52b9\u4f8b\u304c\u3042\u308b<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=We%20identified%206%20clinical%20studies,and%20without%20important%20side%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u75c7\u4f8b\u5831\u544a\u30ec\u30d9\u30eb\u3067\u306f\u3001PRP\u76ae\u5185\u6ce8\u5c04\u5f8c\u306b\u6570\u9031\u9593\u3067\u8272\u7d20\u6591\u304c\u51fa\u73fe\u3057\u59cb\u3081\u305f\u4f8b\u3084\u3001\u5c0f\u898f\u6a21\u8a66\u9a13\u3067\u60a3\u8005\u81ea\u8eab\u306e\u6e80\u8db3\u5ea6\u30b9\u30b3\u30a2\u304c\u6539\u5584\u3057\u305f\u4f8b\u306a\u3069\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u5bfe\u7167\u7fa4\u3092\u8a2d\u3051\u305f\u6bd4\u8f03\u8a66\u9a13\u306f\u5c11\u306a\u304f\u3001PRP\u5358\u72ec\u7642\u6cd5\u306e\u78ba\u7acb\u3057\u305f\u6709\u52b9\u7387\u3092\u8ff0\u3079\u308b\u306b\u306f\u30c7\u30fc\u30bf\u4e0d\u8db3\u3067\u3059\u3002\u5b9f\u65bd\u3055\u308c\u305f\u5831\u544a\u3067\u306f\u5168\u4f8b<strong>\u5b89\u5b9a\u3057\u305f\u767d\u6591<\/strong>\u304c\u5bfe\u8c61\u3067\u3042\u308a\u3001\u9032\u884c\u671f\u767d\u6591\u306bPRP\u5358\u72ec\u3067\u52b9\u679c\u304c\u3042\u308b\u304b\u306f\u672a\u691c\u8a3c\u3067\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=We%20identified%206%20clinical%20studies,and%20without%20important%20side%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u73fe\u5728\u307e\u3067\u306b\u767a\u8868\u3055\u308c\u305f<strong>6\u4ef6\u306e\u81e8\u5e8a\u7814\u7a76\uff08\u75c7\u4f8b\u7dcf\u6570253\u4f8b\uff09\u3092\u30ec\u30d3\u30e5\u30fc\u3057\u305f\u8ad6\u6587\u306b\u3088\u308c\u3070\u3001\u3044\u305a\u308c\u306e\u8a66\u9a13\u3067\u3082PRP\u65bd\u884c\u7fa4\u304c\u5bfe\u7167\u7fa4\u3088\u308a\u6709\u610f\u306b\u9ad8\u3044\u6539\u5584\u7387<\/strong>\u3092\u793a\u3057\u305f\u3068\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=We%20identified%206%20clinical%20studies,and%20without%20important%20side%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u526f\u4f5c\u7528\u3082\u8efd\u5ea6\u3067\u6df1\u523b\u306a\u6709\u5bb3\u4e8b\u8c61\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u305b\u3093<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=We%20identified%206%20clinical%20studies,and%20without%20important%20side%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u4ee5\u4e0a\u3088\u308a\u3001\u9650\u5b9a\u7684\u306a\u304c\u3089\u300cPRP\u306f<strong>\u5b89\u5b9a\u671f\u767d\u6591\u306b\u6709\u671b\u306a\u65b0\u898f\u6cbb\u7642<\/strong>\u3067\u3042\u308b\u300d\u3068\u306e\u7d50\u8ad6\u304c\u63d0\u793a\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Conclusion\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u305f\u3060\u3057\u75c7\u4f8b\u6570\u30fb\u89b3\u5bdf\u671f\u9593\u3068\u3082\u5341\u5206\u3067\u306f\u306a\u304f\u3001\u78ba\u7acb\u6cbb\u7642\u3068\u3059\u308b\u306b\u306f\u4eca\u5f8c\u306e\u5927\u898f\u6a21\u8a66\u9a13\u306e\u7d50\u679c\u3092\u8981\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u5149\u7dda\u7642\u6cd5\u3068\u306e\u4f75\u7528\u52b9\u679c:<\/strong> PRP\u306f\u5358\u72ec\u3088\u308a<strong>\u4ed6\u6cbb\u7642\u3068\u306e\u4f75\u7528\u3067\u52b9\u679c\u304c\u9855\u8457<\/strong>\u306b\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002\u7279\u306b<strong>308nm\u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\u3068\u306e\u4f75\u7528<\/strong>\u306b\u3064\u3044\u3066\u306f\u3001\u8fd1\u5e74RCT\u3084\u30e1\u30bf\u89e3\u6790\u306e\u5831\u544a\u304c\u76f8\u6b21\u3044\u3067\u3044\u307e\u3059\u3002<strong>2022\u5e74\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\uff086\u7814\u7a76\u30fb\u8a08302\u4f8b\uff09\u3067\u306f\u3001\u30a8\u30ad\u30b7\u30de\u30ec\u30fc\u30b6\u30fc\u306bPRP\u3092\u8ffd\u52a0\u3057\u305f\u7fa4\u306f\u30ec\u30fc\u30b6\u30fc\u5358\u72ec\u7fa4\u306b\u6bd4\u3079\u3001\u6cbb\u7642\u52b9\u679c\u7dcf\u5408\u6210\u529f\u7387\u304c\u6709\u610f\u306b\u5411\u4e0a\u3057\u3001\u7121\u52b9\u4f8b\u306e\u5272\u5408\u304c\u6e1b\u5c11\u3057\u307e\u3057\u305f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=Results%3A%20%20Six%20studies%20involving,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u226775%\u518d\u8272\u7d20\u5316\u3092\u9054\u6210\u3057\u305f\u60a3\u8005\u5272\u5408\u304c\u4f75\u7528\u7fa4\u3067\u6709\u610f\u306b\u9ad8\u304f\u3001\u226750%\u3001\u226725%\u9054\u6210\u4f8b\u3082\u540c\u69d8\u306e\u50be\u5411\u3067\u3057\u305f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=Results%3A%20%20Six%20studies%20involving,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=therapy%20significantly%20improved%20the%20total,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u4e00\u65b9\u3001\u526f\u4f5c\u7528\u767a\u751f\u7387\u306f\u5358\u72ec\u7fa4\u3068\u5dee\u304c\u306a\u304f\u3001\u518d\u767a\u7387\u3082\u4f4e\u304b\u3063\u305f\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=therapy%20significantly%20improved%20the%20total,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=rates%20of%20%E2%89%A575,the%20recurrence%20rates%20were%20low\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u306e\u3088\u3046\u306b\u300cPRP\uff0b\u30a8\u30ad\u30b7\u30de\u306f\u30a8\u30ad\u30b7\u30de\u5358\u72ec\u306b\u52dd\u308b\u300d\u3068\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u84c4\u7a4d\u3057\u3064\u3064\u3042\u308a\u307e\u3059<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36062405\/#:~:text=Conclusions%3A%20%20This%20meta,on%20its%20superiority%20to%20monotherapy\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u5b9f\u969b\u306e\u81e8\u5e8a\u8a66\u9a13\u3067\u3082\u3001PRP\u4f75\u7528\u7fa4\u3067\u8272\u7d20\u6c88\u7740\u30b0\u30ec\u30fc\u30c9\u304c\u5e73\u5747\u3067\u512a\u308c\u3001\u60a3\u8005\u6e80\u8db3\u5ea6\u3082\u9ad8\u304b\u3063\u305f\u3068\u306e\u7d50\u679c\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12086957\/#:~:text=Seven%20studies%20involving%20366%20patients,CI%20%3D%200.69%E2%80%931.07\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12086957\/#:~:text=fractional%20laser%20therapy%20significantly%20improved,17\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u4f8b\u3048\u3070\u3042\u308bRCT\u3067\u306f\u3001\u624b\u8db3\u306e\u5b89\u5b9a\u671f\u767d\u6591\u306b\u5bfe\u3057\u30a8\u30ad\u30b7\u30de32\u56de\uff0bPRP4\u56de\u4f75\u7528<\/strong>\u7fa4\u304c<strong>\u30a8\u30ad\u30b7\u30de\u5358\u72ec<\/strong>\u7fa4\u3088\u308a\u6709\u610f\u306b\u9ad8\u3044\u512a\u826f\u518d\u8272\u7d20\u5316\u7387\u3092\u793a\u3057\u307e\u3057\u305f<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Khattab%20et%20al16%20,in%20the%20laser%20only\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u307e\u305f<strong>NB-UVB\u3068\u306e\u4f75\u7528<\/strong>\u3067\u3082\u3001\u7247\u5074\u6bd4\u8f03\u8a66\u9a13\u3067<strong>NB-UVB\uff0bPRP\u7fa4\u306fNB-UVB\u5358\u72ec\u7fa4\u3088\u308a\u660e\u3089\u304b\u306b\u518d\u8272\u7d20\u5316\u304c\u826f\u597d<\/strong>\u3068\u306e\u7d50\u679c\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Histopathological%20Evaluation%20Side%20Effects%20Ibrahim,50\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=with%20sodium%20citrate%20,weeks\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u4ee5\u4e0a\u3088\u308a\u3001<strong>PRP\u306f\u5149\u7dda\u7642\u6cd5\u3092\u5897\u5f37\u3059\u308b\u88dc\u52a9\u7642\u6cd5<\/strong>\u3068\u3057\u3066\u6709\u671b\u8996\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u5916\u79d1\u6cbb\u7642\u3068\u306e\u4f75\u7528:<\/strong> PRP\u306f\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u79fb\u690d\u8853\u306a\u3069\u5916\u79d1\u7684\u6cbb\u7642\u306b\u3082\u5fdc\u7528\u304c\u6a21\u7d22\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u305f\u3068\u3048\u3070<strong>\u5438\u5f15\u6c34\u75b1\u6cd5\u306b\u3088\u308b\u8868\u76ae\u79fb\u690d\u5f8c\u306bPRP\u3092\u60a3\u90e8\u306b\u6dfb\u52a0<\/strong>\u3059\u308b\u3068\u3001\u5f93\u6765\u6cd5\u3088\u308a\u8272\u7d20\u5b9a\u7740\u304c\u826f\u3044\u3068\u306e\u5831\u544a\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=citrate%20dextrose%20formula%20A%3B%201st,assessment%20by%20serial%20photographs%2C%20patient%E2%80%99s\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u4e00\u65b9\u3067<strong>\u57f9\u990a\u8868\u76ae\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u79fb\u690d\u306bPRP\u3092\u52a0\u3048\u3066\u3082\u52b9\u679c\u4e0d\u5909<\/strong>\u3060\u3063\u305f\u3068\u3059\u308b\u5831\u544a\u3082\u3042\u308a<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E5%A4%96%E7%A7%91%E7%99%82%E6%B3%95%E3%81%AB%20PRP%20%E3%82%92%E4%BD%B5%E7%94%A8%E3%81%97%E3%81%A6%E3%82%82%E6%9C%89%20%E5%8A%B9%E6%80%A7%E3%81%AB%E5%A4%89%E5%8C%96%E3%81%8C%E3%81%AA%E3%81%8B%E3%81%A3%E3%81%9F%E3%81%A8%E3%81%99%E3%82%8B%E5%A0%B1%E5%91%8A%E3%82%82%E3%81%82%E3%82%8B265%EF%BC%89%EF%BC%8E%E4%BB%8A%E5%BE%8C%E3%81%AE%E3%81%95%20%E3%82%89%E3%81%AA%E3%82%8B%E8%A7%A3%E6%9E%90%E7%B5%90%E6%9E%9C%E3%81%8C%E5%BE%85%E3%81%9F%E3%82%8C%E3%82%8B%EF%BC%8E,525%EF%BC%8C2025%EF%BC%88%E4%BB%A4%E5%92%8C%207%EF%BC%89%E2%80%82%E2%97%8F%E2%80%82515\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3001\u5916\u79d1\u6cbb\u7642\uff0bPRP\u306e\u6709\u7528\u6027\u306f\u73fe\u6642\u70b9\u3067\u7d50\u8ad6\u304c\u51fa\u3066\u3044\u307e\u305b\u3093\u3002\u65e5\u672c\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32025\u3067\u3082\u3001\u300c\u5916\u79d1\u7642\u6cd5\u3078\u306ePRP\u4f75\u7528\u306f\u6709\u52b9\u6027\u306b\u5909\u5316\u304c\u306a\u304b\u3063\u305f\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u3001\u3055\u3089\u306a\u308b\u691c\u8a3c\u304c\u5fc5\u8981\u300d\u3068\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=match%20at%20L2116%20%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E5%A4%96%E7%A7%91%E7%99%82%E6%B3%95%E3%81%AB%20PRP,525%EF%BC%8C2025%EF%BC%88%E4%BB%A4%E5%92%8C%207%EF%BC%89%E2%80%82%E2%97%8F%E2%80%82515\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306e\u4f4d\u7f6e\u3065\u3051:<\/strong> \u5148\u9032\u7684\u6cbb\u7642\u3067\u3042\u308bPRP\u7642\u6cd5\u306f\u3001\u56fd\u5185\u5916\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u307e\u3060\u6a19\u6e96\u6cbb\u7642\u3068\u3057\u3066\u7d44\u307f\u8fbc\u307e\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u65e5\u672c\u30ac\u30a4\u30c9\u30e9\u30a4\u30f32025\u3067\u306f\u3001\u30b3\u30e9\u30e0\u7684\u306b\u300c\u591a\u8840\u5c0f\u677f\u8840\u6f3f\u3092\u7528\u3044\u305f\u6cbb\u7642\u304c\u5c0b\u5e38\u6027\u767d\u6591\u306b\u5bfe\u3057\u691c\u8a0e\u3055\u308c\u3066\u3044\u308b\u300d\u3068\u7d39\u4ecb\u3055\u308c\u308b\u306b\u7559\u307e\u308a<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%EF%BC%883%EF%BC%89%E2%80%8CPlatelet,%E3%81%84%E3%81%9F%E7%99%82%E6%B3%95%E3%81%8C%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AB%E5%AF%BE%E3%81%97%E3%81%A6%E6%A4%9C%E8%A8%8E%E3%81%95%E3%82%8C%E3%81%A6%E3%81%84%E3%82%8B262%EF%BC%89%EF%BC%8E\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3001\u63a8\u5968\u5ea6\u306e\u8a00\u53ca\u306f\u3042\u308a\u307e\u305b\u3093\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u4e0d\u5341\u5206\u306e\u305f\u3081\u63a8\u5968\u306b\u81f3\u3063\u3066\u3044\u306a\u3044\u72b6\u6cc1\u3067\u3059\uff09\u3002\u4e00\u65b9\u3001\u6d77\u5916\u3067\u306f\u767d\u6591\u7814\u7a76\u306e\u30ec\u30d3\u30e5\u30fc\u8ad6\u6587\u7b49\u3067PRP\u306e\u4e88\u5099\u7684\u306a\u6709\u52b9\u6027\u304c\u8a00\u53ca\u3055\u308c\u3001\u300c\u4eca\u5f8c\u306e\u6cbb\u7642\u4f53\u7cfb\u306b\u7d44\u307f\u8fbc\u307e\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u300d\u3068\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Conclusion\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u73fe\u6642\u70b9\u3067\u306f<strong>\u8a66\u9a13\u7684\u6cbb\u7642<\/strong>\u306e\u57df\u3092\u51fa\u307e\u305b\u3093\u304c\u3001\u4eca\u5f8c\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u6574\u3048\u3070\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3082\u7d44\u307f\u8fbc\u307e\u308c\u3066\u3044\u304f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5b89\u5168\u6027\u30fb\u526f\u4f5c\u7528<\/h3>\n\n\n\n<p><strong>\u5c40\u6240\u53cd\u5fdc:<\/strong> PRP\u6ce8\u5c04\u306e\u4e3b\u306a\u526f\u4f5c\u7528\u306f<strong>\u6ce8\u5c04\u90e8\u4f4d\u306e\u75bc\u75db<\/strong>\u3068<strong>\u5c0f\u51fa\u8840<\/strong>\u3067\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Percentage%20of%20repigmentation%20%28excellent%3A%20,252%20g%20for%2010%20min\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u6ce8\u5c04\u6642\u306b\u7d30\u3044\u91dd\u3067\u3042\u3063\u3066\u3082\u523a\u5165\u75db\u304c\u3042\u308a\u3001\u7814\u7a76\u3067\u306f\u7d04\u534a\u6570\u306e\u60a3\u8005\u304c\u300c\u6ce8\u5c04\u6642\u306e\u75db\u307f\u300d\u3092\u5831\u544a\u3057\u3066\u3044\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Percentage%20of%20repigmentation%20%28excellent%3A%20,252%20g%20for%2010%20min\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u305f\u3060\u3057\u8010\u3048\u3089\u308c\u306a\u3044\u6fc0\u75db\u3067\u306f\u306a\u304f\u3001\u8868\u9762\u9ebb\u9154\u3084\u30af\u30fc\u30ea\u30f3\u30b0\u3067\u5341\u5206\u7de9\u548c\u53ef\u80fd\u3067\u3059\u3002\u307e\u305f\u91dd\u523a\u306b\u4f34\u3046**\u76ae\u4e0b\u51fa\u8840\uff08\u3042\u3056\uff09**\u304c15%\u7a0b\u5ea6\u306e\u60a3\u8005\u306b\u751f\u3058\u305f\u3068\u306e\u5831\u544a\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Percentage%20of%20repigmentation%20%28excellent%3A%20,252%20g%20for%2010%20min\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u308c\u3082\u6570\u65e5\uff5e1\u9031\u9593\u3067\u81ea\u7136\u6d88\u9000\u3057\u307e\u3059\u3002\u6ce8\u5c04\u5f8c\u306f\u4e00\u6642\u7684\u306b\u81a8\u75b9\u69d8\u306e\u816b\u308c\u3084\u767a\u8d64\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u6570\u6642\u9593\uff5e1\u65e5\u3067\u843d\u3061\u7740\u304d\u3001\u65e5\u5e38\u751f\u6d3b\u306b\u5927\u304d\u306a\u652f\u969c\u306f\u3042\u308a\u307e\u305b\u3093<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Percentage%20of%20repigmentation%20%28excellent%3A%20,252%20g%20for%2010%20min\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u611f\u67d3\u75c7\u306e\u30ea\u30b9\u30af\u306f\u3001\u81ea\u5bb6\u8840\u6db2\u3092\u7528\u3044\u308b\u305f\u3081\u7406\u8ad6\u4e0a\u6975\u3081\u3066\u4f4e\u304f\u3001\u7121\u83cc\u64cd\u4f5c\u3092\u5fb9\u5e95\u3059\u308c\u3070\u554f\u984c\u306b\u306a\u308b\u3053\u3068\u306f\u307e\u305a\u3042\u308a\u307e\u305b\u3093\u3002\u5b9f\u969b\u3001\u5831\u544a\u3055\u308c\u305f\u30b1\u30fc\u30b9\u3067\u6ce8\u5c04\u90e8\u4f4d\u306e\u611f\u67d3\u3084\u81bf\u760d\u5f62\u6210\u3068\u3044\u3063\u305f\u6709\u5bb3\u4e8b\u8c61\u306f\u8d77\u304d\u3066\u3044\u307e\u305b\u3093<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=We%20identified%206%20clinical%20studies,and%20without%20important%20side%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u5168\u8eab\u7684\u5f71\u97ff:<\/strong> \u81ea\u5bb6\u8840\u4f7f\u7528\u306e\u305f\u3081\u30a2\u30ec\u30eb\u30ae\u30fc\u53cd\u5fdc\u306f\u306a\u304f\u3001\u307e\u305f\u5168\u8eab\u306b\u6709\u610f\u306a\u6210\u5206\u304c\u56de\u308b\u3053\u3068\u3082\u306a\u3044\u305f\u3081\u7406\u8ad6\u4e0a\u306e\u5168\u8eab\u526f\u4f5c\u7528\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u63a1\u8840\u91cf\u3082\u6570\u5341mL\u7a0b\u5ea6\u3067\u3042\u308a\u8ca7\u8840\u7b49\u306e\u5fc3\u914d\u306f\u4e0d\u8981\u3067\u3059\u3002\u305f\u3060\u3057<strong>\u8840\u6db2\u75be\u60a3\uff08\u8840\u5c0f\u677f\u6e1b\u5c11\u75c7\u306a\u3069\uff09\u3084\u6297\u51dd\u56fa\u7642\u6cd5\u4e2d\u306e\u60a3\u8005<\/strong>\u3067\u306fPRP\u8abf\u88fd\u304c\u56f0\u96e3\u307e\u305f\u306f\u30ea\u30b9\u30af\u3092\u4f34\u3046\u305f\u3081\u907f\u3051\u307e\u3059\u3002\u307e\u305f\u598a\u5a20\u4e2d\u306e\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u306f\u4e4f\u3057\u3044\u3082\u306e\u306e\u3001\u81ea\u5bb6\u6210\u5206\u3067\u3042\u308b\u3053\u3068\u304b\u3089\u5927\u304d\u306a\u554f\u984c\u306f\u306a\u3044\u3068\u8003\u3048\u3089\u308c\u307e\u3059\uff08\u5b9f\u969b\u3001\u4ed6\u5206\u91ce\u3067\u598a\u5a20\u4e2d\u306bPRP\u3092\u884c\u3063\u305f\u5831\u544a\u3082\u3042\u308a\u307e\u3059\uff09\u3002\u3082\u3063\u3068\u3082<strong>\u598a\u5a66\u306b\u306f\u4fb5\u8972\u7684\u51e6\u7f6e\u3092\u63a7\u3048\u308b<\/strong>\u306e\u304c\u57fa\u672c\u539f\u5247\u306e\u305f\u3081\u3001\u9078\u629e\u80a2\u3068\u306f\u306a\u308a\u306b\u304f\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p><strong>\u9577\u671f\u4e88\u5f8c:<\/strong> PRP\u6ce8\u5c04\u306b\u3088\u308a\u7570\u5e38\u306a\u7d44\u7e54\u5897\u6b96\uff08\u7622\u75d5\u3084\u816b\u760d\u5316\uff09\u304c\u8d77\u304d\u308b\u61f8\u5ff5\u306f\u73fe\u5728\u306e\u3068\u3053\u308d\u3042\u308a\u307e\u305b\u3093\u3002\u3080\u3057\u308d\u5275\u50b7\u6cbb\u7652\u3092\u4fc3\u9032\u3059\u308b\u5074\u9762\u304c\u3042\u308b\u305f\u3081\u3001\u6ce8\u5c04\u75d5\u3082\u901f\u3084\u304b\u306b\u6cbb\u7652\u3057\u307e\u3059\u3002\u307e\u308c\u306b\u6307\u6458\u3055\u308c\u308b\u306e\u306f\u3001<strong>\u6d3b\u52d5\u6027\u767d\u6591\u60a3\u8005\u306b\u6ce8\u5c04\u3059\u308b\u3068\u91dd\u523a\u6fc0\u3067\u30b1\u30d6\u30ca\u30fc\u73fe\u8c61\u3092\u8a98\u767a\u3057\u65b0\u305f\u306a\u767d\u6591\u304c\u3067\u304d\u308b\u53ef\u80fd\u6027<\/strong>\u3067\u3059\u3002\u3057\u304b\u3057\u5b9f\u65bd\u5831\u544a\u3067\u306f\u305d\u3046\u3057\u305f\u526f\u4f5c\u7528\u306f\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u5b89\u5b9a\u671f\u75c5\u5909\u306b\u9650\u5b9a\u3057\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308b\u3067\u3057\u3087\u3046\u304c\u3001\u6d3b\u52d5\u671f\u306b\u5b9f\u65bd\u3059\u308b\u5834\u5408\u306f\u30b9\u30c6\u30ed\u30a4\u30c9\u4f75\u7528\u306a\u3069\u3067\u9032\u884c\u6291\u5236\u3057\u3064\u3064\u884c\u3046\u3053\u3068\u304c\u671b\u307e\u3057\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u6cbb\u7642\u52b9\u679c\u306e\u8a55\u4fa1\u3068\u4e88\u5f8c\u7ba1\u7406<\/h2>\n\n\n\n<p><strong>\u52b9\u679c\u8a55\u4fa1\u6cd5:<\/strong> \u5c0b\u5e38\u6027\u767d\u6591\u306e\u6cbb\u7642\u52b9\u679c\u5224\u5b9a\u306b\u306f<strong>\u5ba2\u89b3\u7684\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0<\/strong>\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002\u4ee3\u8868\u7684\u306a\u6307\u6a19\u304c<strong>VASI\uff08Vitiligo Area Scoring Index\uff09\u3067\u3001\u4f53\u8868\u3092\u5404\u90e8\u4f4d\u306b\u5206\u3051\u3001\u305d\u308c\u305e\u308c\u306e\u767d\u6591\u9762\u7a4d\u7387\u3068\u8272\u7d20\u518d\u751f\u5ea6\u3092\u639b\u3051\u5408\u308f\u305b\u3066\u30b9\u30b3\u30a2\u5316\u3059\u308b\u65b9\u6cd5\u3067\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%EF%BC%88broad,14%E3%80%80%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AE%E8%A9%95%E4%BE%A1%E6%B3%95%EF%BC%9AVASI%20VASI%EF%BC%8Cvitiligo%20area%20scoring%20index\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002\u307e\u305fVAS\uff08\u8996\u899a\u7684\u30a2\u30ca\u30ed\u30b0\u5c3a\u5ea6\uff09\u306b\u3088\u308b\u60a3\u8005\u6e80\u8db3\u5ea6\u8a55\u4fa1\u3084\u3001\u533b\u5e2b\u5224\u5b9a\u306b\u3088\u308bRepigmentation Rate<\/strong>\uff08\u8272\u7d20\u518d\u751f\u7387\uff05\uff09\u306e\u63a8\u5b9a\u3082\u5e83\u304f\u7528\u3044\u3089\u308c\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=with%20sodium%20citrate%20,weeks\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=sessions,Six%20treatment%20sessions\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u6b27\u5dde\u3067\u306f<strong>VETF\u30b9\u30b3\u30a2<\/strong>\uff08Vitiligo European Task Force assessment\uff09\u3082\u6a19\u6e96\u7684\u3067\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=9,Vitiligo%20European%20Task%20Force%20Assessment\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u7814\u7a76\u5831\u544a\u3067\u306f\u300c\u226775%\u306e\u518d\u8272\u7d20\u6c88\u7740\u300d\u3092\u6cbb\u7642\u6210\u529f\uff08excellent\uff09\u3068\u3057\u3001\u300c50-75%\uff08good\uff09\u300125-50%\uff08moderate\uff09\u3001&lt;25%\uff08mild\uff09\u300d\u306e\u3088\u3046\u306b4\u6bb5\u968e\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=with%20sodium%20citrate%20,weeks\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7213865\/#:~:text=Percentage%20of%20repigmentation%20%28excellent%3A%20,252%20g%20for%2010%20min\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u81e8\u5e8a\u3067\u306f<strong>\u6cbb\u7642\u524d\u5f8c\u306e\u6bd4\u8f03\u5199\u771f<\/strong>\u3092\u5b9a\u671f\u7684\u306b\u64ae\u5f71\u3057\u3001\u5c02\u9580\u533b\u304c\u7dcf\u5408\u7684\u306b\u5224\u65ad\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=9,Topical%20products%20before%20phototherapy\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u767d\u6591\u9762\u7a4d\u304c\u5e83\u3044\u5834\u5408\u3001\u4e00\u90e8\u306b\u826f\u3044\u53cd\u5fdc\u304c\u51fa\u3066\u3082\u5168\u4f53\u30b9\u30b3\u30a2\u3067\u306f\u57cb\u3082\u308c\u308b\u305f\u3081\u3001\u90e8\u4f4d\u3054\u3068\u306e\u5909\u5316\u3082\u8003\u616e\u3057\u307e\u3059\u3002\u52a0\u3048\u3066<strong>\u60a3\u8005\u5831\u544a\u30a2\u30a6\u30c8\u30ab\u30e0<\/strong>\uff08QoL\u306e\u6539\u5584\u306a\u3069\uff09\u3082\u91cd\u8981\u3067\u3001\u6cbb\u7642\u306b\u3088\u308b\u5fc3\u7406\u9762\u30fb\u751f\u6d3b\u9762\u306e\u5411\u4e0a\u3082\u52b9\u679c\u306e\u4e00\u90e8\u3068\u6349\u3048\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=seen%20on%20face%20and%20neck%2C,with%20head%20and%20neck%20vitiligo\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=quality%20of%20life%20in%20patients,constant%20for%20six%20sessions%20before\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u4e88\u5f8c\u56e0\u5b50:<\/strong> \u767d\u6591\u6cbb\u7642\u306e\u53cd\u5fdc\u6027\u306b\u306f\u69d8\u3005\u306a\u4e88\u5f8c\u56e0\u5b50\u304c\u5f71\u97ff\u3057\u307e\u3059\u3002\u6700\u3082\u9855\u8457\u306a\u306e\u306f<strong>\u90e8\u4f4d\u5dee<\/strong>\u3067\u3001\u7e70\u308a\u8fd4\u3057\u8ff0\u3079\u305f\u901a\u308a<strong>\u9854\u9762\u30fb\u9838\u90e8\u306f\u53cd\u5fdc\u826f\u597d<\/strong>\u3001<strong>\u56db\u80a2\u672b\u7aef\uff08\u6307\u5148\u30fb\u722a\u5468\u56f2\u30fb\u8db3\u5148\uff09\u306f\u96e3\u6cbb<\/strong>\u3067\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=should%20be%20encouraged%20to%20enhance,improved%20significantly%2C%20especially%20in\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Results%3A%20%20Subjects%20tolerated%20the,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u306e\u5dee\u306f\u6bdb\u5305\u306e\u5bc6\u5ea6\u3084\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u6b8b\u5b58\u306e\u6709\u7121\u306b\u3088\u308a\u307e\u3059\u3002\u7279\u306b<strong>\u767d\u6bdb\uff08\u60a3\u90e8\u306e\u7121\u8272\u6bdb\uff09\u304c\u3042\u308b\u3068\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u304c\u6b20\u5982\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3001\u9854\u3067\u3082\u7709\u6bdb\u304c\u767d\u304f\u306a\u3063\u305f\u90e8\u4f4d\u306a\u3069\u306f\u53cd\u5fdc\u304c\u60aa\u304f\u306a\u308a\u307e\u3059\u3002\u4e00\u65b9\u9ed2\u3044\u6bdb\u304c\u6b8b\u5b58<\/strong>\u3059\u308b\u75c5\u5909\u306f\u6bdb\u5305\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u306e\u5b58\u5728\u3092\u610f\u5473\u3057\u3001\u826f\u597d\u306a\u8272\u7d20\u518d\u751f\u304c\u671f\u5f85\u3067\u304d\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=disease%20along%20with%20a%20shared,and%20lamps%20are%20recommended%20for\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a><a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=narrowband%20ultraviolet%20B,Patients%20typically\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u6b21\u306b<strong>\u75c5\u5909\u306e\u9673\u65e7\u6027<\/strong>\uff08\u7f79\u60a3\u671f\u9593\uff09\u304c\u5f71\u97ff\u3057\u3001<strong>\u65b0\u3057\u3044\u767d\u6591\u307b\u3069\u6cbb\u7642\u306b\u53cd\u5fdc\u3057\u3084\u3059\u3044<\/strong>\u3067\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=et%20al,in%20the%20oral%20PUVA%20group\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u9577\u5e74\u8131\u8272\u7d20\u306e\u307e\u307e\u306e\u76ae\u75b9\u306f\u5468\u56f2\u304b\u3089\u306e\u30e1\u30e9\u30ce\u30b5\u30a4\u30c8\u4f9b\u7d66\u6e90\u304c\u67af\u6e07\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f<strong>\u5e74\u9f62<\/strong>\u3082\u8981\u56e0\u3068\u306a\u308a\u3001\u4e00\u822c\u306b<strong>\u82e5\u5e74\u8005\u306e\u65b9\u304c\u6cbb\u7642\u53cd\u5fdc\u304c\u826f\u3044<\/strong>\u50be\u5411\u304c\u3042\u308a\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=quality%20of%20life%20in%20patients,with%20head%20and%20neck%20vitiligo\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u3053\u308c\u306f\u65b0\u9673\u4ee3\u8b1d\u3084\u6bdb\u5305\u5e79\u7d30\u80de\u306e\u6d3b\u6027\u304c\u9ad8\u3044\u3053\u3068\u306b\u3088\u308a\u307e\u3059\u3002\u3055\u3089\u306b<strong>\u6d3b\u52d5\u6027\u304b\u5b89\u5b9a\u6027\u304b<\/strong>\u3082\u91cd\u8981\u3067\u3059\u3002\u6d3b\u52d5\u6027\u306e\u5834\u5408\u307e\u305a\u9032\u884c\u505c\u6b62\u3055\u305b\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u5b89\u5b9a\u5316\u3067\u304d\u308c\u3070\u6cbb\u7642\u53cd\u5fdc\u3082\u4e0a\u304c\u308a\u307e\u3059\u3002\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u30df\u30cb\u30d1\u30eb\u30b9\u7642\u6cd5\u7b49\u3067\u6d3b\u52d5\u6027\u3092\u6291\u3048\u3066\u304b\u3089\u5149\u7dda\u7642\u6cd5\u3092\u958b\u59cb\u3057\u307e\u3059<a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%E9%80%B2%E8%A1%8C%E6%9C%9F%E9%9D%9E%E5%88%86%E7%AF%80%E5%9E%8B%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%20%E9%80%B2%E8%A1%8C%E6%9C%9F%E9%9D%9E%E5%88%86%E7%AF%80%E5%9E%8B%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%81%AE%E6%82%A3%E8%80%85%E3%81%AB%E3%81%AF%EF%BC%8C%E7%97%87%E7%8A%B6%E3%81%AE%E5%AE%89%E5%AE%9A%20%E5%8C%96%EF%BC%88%E7%97%85%E5%A4%89%E3%81%8C%E6%8B%A1%E5%A4%A7%E3%81%97%E3%81%AA%E3%81%84%E3%81%93%E3%81%A8%EF%BC%89%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E7%AC%AC%201%20%E9%81%B8%E6%8A%9E%E7%99%82%E6%B3%95%E3%81%A8,%E5%90%8C%E6%99%82%E3%81%AB%E9%96%8B%E5%A7%8B%E3%81%99%E3%82%8B%E3%81%93%E3%81%A8%E3%81%8C%E6%9C%89%E7%94%A8%E3%81%A7%E3%81%82%E3%82%8B%EF%BC%8E%E5%86%85%E6%9C%8D%E3%82%B9%E3%83%86%E3%83%AD%E3%82%A4%E3%83%89%E5%8D%98%20%E7%8B%AC%E3%82%88%E3%82%8A%E3%82%82%E6%9C%89%E5%8A%B9%E3%81%A7%E3%81%82%E3%82%8B%E3%81%A8%E8%80%83%E3%81%88%E3%82%89%E3%82%8C%E3%82%8B%EF%BC%8E1%EF%BD%9E3%20%E3%82%AB%E6%9C%88%E3%81%A7%E7%97%85%E5%8B%A2%E3%81%8C%20%E5%AE%89%E5%AE%9A%E3%81%99%E3%82%8B%E3%81%93%E3%81%A8%E3%81%8C%E6%9C%9F%E5%BE%85%E3%81%95%E3%82%8C%E3%82%8B%EF%BC%8E%E5%85%A8%E8%BA%AB%E6%80%A7%E3%82%B3%E3%83%AB%E3%83%81%E3%82%B3%E3%82%B9%E3%83%86%E3%83%AD%E3%82%A4%20%E3%83%89%E3%81%8C%E4%BD%BF%E7%94%A8%E3%81%A7%E3%81%8D%E3%81%AA%E3%81%84%EF%BC%88%E4%BD%BF%E7%94%A8%E3%81%8C%E5%9B%B0%E9%9B%A3%E3%81%AA%EF%BC%89%E6%88%90%E4%BA%BA%E3%81%8A%E3%82%88%E3%81%B3%E5%B0%8F%E5%85%90%E3%81%A7\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a><a href=\"https:\/\/www.dermatol.or.jp\/uploads\/uploads\/files\/guideline\/Hakuhan2025.pdf#:~:text=%E5%8C%96%EF%BC%88%E7%97%85%E5%A4%89%E3%81%8C%E6%8B%A1%E5%A4%A7%E3%81%97%E3%81%AA%E3%81%84%E3%81%93%E3%81%A8%EF%BC%89%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E7%AC%AC%201%20%E9%81%B8%E6%8A%9E%E7%99%82%E6%B3%95%E3%81%A8%20%E3%81%97%E3%81%A6%20NB,UVB%20%E7%85%A7%E5%B0%84%E7%99%82%E6%B3%95%E3%82%92%E5%8D%98%E7%8B%AC%E3%81%A7%E7%94%A8%E3%81%84%E3%81%A6%E9%80%B2%E8%A1%8C%E6%9C%9F%E9%9D%9E%E5%88%86%E7%AF%80%E5%9E%8B%20%E5%B0%8B%E5%B8%B8%E6%80%A7%E7%99%BD%E6%96%91%E3%82%92%E5%AE%89%E5%AE%9A%E3%81%95%E3%81%9B%E3%82%8B%E3%81%93%E3%81%A8%E3%81%8C%E3%81%A7%E3%81%8D%E3%82%8B192%EF%BC%89%EF%BC%8E\" target=\"_blank\" rel=\"noreferrer noopener\">dermatol.or.jp<\/a>\u3002<\/p>\n\n\n\n<p><strong>\u671f\u5f85\u3055\u308c\u308b\u7d4c\u904e:<\/strong> 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target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a>\u3002\u5f93\u3063\u3066\u77ed\u671f\u3067\u52b9\u679c\u304c\u4e4f\u3057\u304f\u3068\u3082\u7c98\u308a\u5f37\u304f\u6cbb\u7642\u3092\u7d99\u7d9a\u3057\u3001\u5c11\u306a\u304f\u3068\u3082\u534a\u5e74\u7a0b\u5ea6\u306f\u7d4c\u904e\u3092\u8ffd\u3046\u3088\u3046\u6307\u5c0e\u3057\u307e\u3059\u3002\u305f\u3060\u3057<strong>\u52b9\u679c\u5224\u5b9a\u306e\u7bc0\u76ee<\/strong>\u3082\u91cd\u8981\u3067\u3001\u4f8b\u3048\u3070NB-UVB\u306a\u3089<strong>48\u56de<\/strong>\u3067\u660e\u3089\u304b\u306a\u6539\u5584\u304c\u306a\u3051\u308c\u3070\u4e2d\u6b62\u691c\u8a0e\u3001\u30a8\u30ad\u30b7\u30de\u3082<strong>30\u56de<\/strong>\u307b\u3069\u3067\u76ee\u5b89\u3092\u8a55\u4fa1\u3001\u3068\u3044\u3063\u305f\u533a\u5207\u308a\u3092\u8a2d\u3051\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=5,20\" target=\"_blank\" rel=\"noreferrer noopener\">pmc.ncbi.nlm.nih.gov<\/a><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12890118\/#:~:text=Results%3A%20%20Subjects%20tolerated%20the,There%20were%20no%20adverse%20effects\" target=\"_blank\" rel=\"noreferrer noopener\">pubmed.ncbi.nlm.nih.gov<\/a>\u3002\u52b9\u679c\u304c\u5f97\u3089\u308c\u305f\u5834\u5408\u3001\u305d\u306e\u60a3\u8005\u306b\u9069\u3057\u305f\u6cbb\u7642\u9593\u9694\u3067\u7d9a\u3051\u307e\u3059\u3057\u3001\u52b9\u679c\u4e0d\u5341\u5206\u306a\u3089\u5225\u6cbb\u7642\u3078\u306e\u5207\u66ff\u3048\u3092\u8003\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u7dad\u6301\u7642\u6cd5\u3068\u518d\u767a:<\/strong> 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href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=than%20laser%20monotherapy,after%20six%20months%20of%20treatment\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a><a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=measures%2C%20limiting%20the%20ability%20to,ultraviolet\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u5b9f\u969b\u300112\u304b\u6708\u9593\u67081\u56de\u7167\u5c04\u3057\u305f\u7fa4\u3067\u306f\u518d\u767a\u738730.1%\u3067\u3001\u7121\u7167\u5c04\u306e\u5bfe\u7167\u7fa440.5%\u3088\u308a\u6709\u610f\u306b\u4f4e\u304b\u3063\u305f\u3068\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=There%20was%20no%20consensus%20on,Taieb%2C%202013\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a><a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=documented%20no%20significant%20differences%20in,Sun%2C%202015\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u3053\u306e\u3053\u3068\u304b\u3089\u3001<strong>\u8272\u7d20\u518d\u7740\u5f8c\u3082\u5b9a\u671f\u7684\u306a\u7167\u5c04\u3067\u8272\u7d20\u7dad\u6301\u3092\u56f3\u308c\u308b<\/strong>\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3057\u304b\u3057\u9577\u671f\u7167\u5c04\u306b\u3088\u308b\u30ea\u30b9\u30af\u3068\u306e\u517c\u306d\u5408\u3044\u3082\u3042\u308a\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f<strong>\u7dad\u6301\u7642\u6cd5\u306f\u6700\u59271\uff5e2\u5e74\u7a0b\u5ea6<\/strong>\u306b\u7559\u3081\u3001\u305d\u308c\u4ee5\u4e0a\u306f\u304a\u52e7\u3081\u3057\u306a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059<a href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=than%20laser%20monotherapy,after%20six%20months%20of%20treatment\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a>\u3002\u5b9f\u969b\u3001\u30a8\u30ad\u30b7\u30de\u3084NB-UVB\u3092200\u56de\u4ee5\u4e0a\u3082\u6f2b\u7136\u3068\u7d9a\u3051\u308b\u3088\u308a\u306f\u3001\u4e00\u65e6\u7d42\u4e86\u3057\u3066\u7d4c\u904e\u89b3\u5bdf\u3057\u3001\u518d\u71c3\u6642\u306b\u307e\u305f\u96c6\u4e2d\u6cbb\u7642\u3059\u308b\u65b9\u304c\u5408\u7406\u7684\u3067\u3059\u3002\u60a3\u8005\u3078\u306e\u30d5\u30a9\u30ed\u30fc\u4f53\u5236\u3068\u3057\u3066\u306f\u3001<strong>\u518d\u767a\u3057\u305f\u3089\u65e9\u3081\u306b\u53d7\u8a3a\u3057\u6cbb\u7642\u518d\u958b\u3059\u308b<\/strong>\u3088\u3046\u6307\u5c0e\u3057\u3001\u7279\u306b\u30d5\u30a9\u30c8\u30bf\u30a4\u30d7I-III\u306e\u60a3\u8005\u306f\u5e741\u56de\u306e\u76ae\u819a\u30c1\u30a7\u30c3\u30af\u3082\u517c\u306d\u3066\u53d7\u8a3a\u3092\u4fc3\u3057\u307e\u3059<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6536079\/#:~:text=4%20months%20and%20beyond%20after,UVB\" target=\"_blank\" rel=\"noreferrer 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href=\"https:\/\/www.selecthealthofsc.com\/content\/dam\/first-choice\/selecthealthofsc\/pdf\/provider\/resources\/clinical\/policies-20250723\/ccp1303-excimer-laser-vitiligo.pdf.coredownload.inline.pdf#:~:text=disease%20along%20with%20a%20shared,and%20lamps%20are%20recommended%20for\" target=\"_blank\" rel=\"noreferrer noopener\">selecthealthofsc.com<\/a><a 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