Efficacy of topical 5-fluorouracil with microneedling versus topical latanoprost with microneedling in treatment of patients with localized stable vitiligo: A randomized clinical trial | ||
| SVU-International Journal of Medical Sciences | ||
| Article 28, Volume 7, Issue 1, January 2024, Pages 258-269 PDF (351.17 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2024.252488.1749 | ||
| Authors | ||
| Eisa Mohamed Hegazy1; Moustafa A. El Taieb2; Soheir Abdelhamid Ali1; Mahmoud Ahmed Ali2; Amal Mohamed Abd El-Aziz* 1; Hassan M. Ibrahim1 | ||
| 1Dermatology, Venereology, and Andrology Department, Faculty of Medicine, South Valley University, Qena, Egypt | ||
| 2Dermatology, Aswan, Venerology, and Andrology Department, Faculty of Medicine, Aswan University, Aswan, Egypt | ||
| Abstract | ||
| Background: Although several studies were conducted on treatment of localized vitiligo with multiple adjuvants, there is no ideal therapy with optimum results. Objectives: The purpose of this research is to compare the effectiveness of topical 5-fluorouracil and topical latanoprost in stimulating skin regimentation in patients with localized stable vitiligo following skin microneedling. Patients and methods: This prospective randomized clinical trial conducted on forty patients with localized stable vitiligo was divided randomly into two groups: Group (A): 20 patients were received latanoprost after microneedling Group (B): 20 patients were received 5-Flourouracil 5% solution after microneedling. All patients were clinically and photographically evaluated using Vitiligo Area Scoring Index (VASI). Results: There was no statistically significant difference between both groups regarding the degree of repigmentation in response to treatment (p value = 0.317). Excellent improvement (> 75% repigmentation) was achieved in 45% of patients in both groups. Also, there was significant reduction in the VASI score for both groups when comparing post-treatment with the baseline. As regard the complications, there was minimal complications only one case with post inflammatory hyperpigmentation. Conclusion: Microneedling combined with 5-Fluorouracil or latanoprost are both safe and effective treatments of localized stable vitiligo with no significant difference. | ||
| Keywords | ||
| Latanoprost; 5-fluorouracil; Microneedling; Vitiligo | ||
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