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Study aim
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Determining the effectiveness of fractional co2 laser with Platelet-Rich Plasma (PRP) and excimer lamp in comparison with fractional co2 laser with local tacrolimus and excimer lamp in patients with vitiligo referred to Afzalipour Hospital in Kerman
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Design
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Clinical trial, with parallel, double-blind, randomized, single-phase groups on 36 patients. A table of numbers was used for randomization.
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Settings and conduct
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Patients in both groups receive three sessions of CO2 fractional laser at one-month intervals and an excimer lamp twice a week for a maximum of 12 weeks. In addition to laser injection, patients in group A use PRP injection and patients in group B use 0.1% tacrolimus ointment.
Burning, itching, dryness, redness, flushing, scaling telangiectasia, secondary infection, and type of repigmentation are assessed by a physician who does not know the type of treatment.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Patients over 18 years of age with vitiligo who have not received any treatment for vitiligo for 3 months prior to enrollment
Exclusion criteria: Uncontrolled systemic diseases, renal failure, history of allergy to calcineurin inhibitors and macrolides, Unstable vitiligo, age under 18, segmental vitiligo, involvement of more than 20% of the skin surface, history of autoimmune disease and use Other treatments, patient with Koebner-positive history, history of colloid and pregnancy and lactation
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Intervention groups
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For group A patients, in addition to excimer laser and CO2, PRP injection is performed monthly.
Group B patients are treated with 0.1% tacrolimus ointment on the skin twice a day from the next day.
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Main outcome variables
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Burning, itching, dryness, redness, flushing, scaling telangiectasia, secondary infection and type of repigmentation