The Value of Using Mini-oral Pulse Steroid Therapy Along With Non Cultured Epidermal Cell Suspension (NCES) in Stable Resistant Vitiligo

Inclusion Criteria: * Patients with non-segmental vitiligo (NSV) with acral or resistant lesions over the elbows and knees, that has not responded to conventional treatment * Stability for ≥ 1 year * Age ≥18 years * Lack of topical treatment for at least 1 month prior to surgery and systemic treatment for at least 3 months prior to surgery. Exclusion Criteria: * Non acral NSV responsive to conventional treatment modalities * Active vitiligo; new lesions, expansion of old lesions, confetti like lesions, ill-defined edges or koebnerization in \< 1 year * Age \< 18 years. * Pregnant females. * Patients with hypertension, diabetes or tuberculosis * Topical treatment in the past month and systemic treatment in the past 3 months.