Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparison of Two Therapeutic Modalities of Microneedling alone and with 5-Fluorouracil in Treatment of Resistant Vitiligo Lesions

Document Type : Original Article (s)

Authors
Aniseh Aliabadi 1
Sara Sabourirad 2
Sadegh Vahabi-Amlashi 2
Mahmoud Reza jaafari 3
Ali Hadianfar 4
1 Resident, Department of Dermatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Assistant Professor, Department of Dermatology, Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3 Professor, Department of Pharmaceutics, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
4 PhD Student, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
10.22122/jims.v39i638.14008
Abstract
Background: Vitiligo is an acquired disease with unknown cause and one of the major challenges in dermatology. The aim of this study was to evaluate the therapeutic efficacy of microneedling in combination with topical liposomal form of 5-fluorouracil (5-FU) 5% in treatment of vitiligo.Methods: This study was performed as a randomized clinical trial on 25 patients with vitiligo referred to the dermatology clinics of Imam Reza and Ghaem hospitals in Mashhad City, Iran. In each patient, three lesions were selected and microneedling with liposomal form of 5-FU 5% and only microneedling were performed on one of them by random allocation. The third lesion was considered as a control without any intervention. This process was done every 2 weeks for 3 months, and the rate of improvement was assessed after 6 months.Findings: 68% of lesions (17 persons) treated with microneedling and 5-FU had significant repigmentation, 12% with 25%-50% improvement and 56% with improvement up to 25%. However, response rate of lesions treated with microneedling alone was 32%, 4% with 25%-50% improvement and 28% with improvement up to 25%. Statistical analysis of data with generalized estimating equation (GEE) method showed that in terms of response to treatment, the lesions treated with microneedling and 5-FU had a significant difference with microneedling alone and also with control lesions (P < 0.050).Conclusion: According to our findings, the combined use of microneedling with topical 5-FU significantly improves resistant vitiligo lesions compared to microneedling method alone.
Keywords
Efficiency
Vitiligo
5-Fluorouracil
Dry needling
Skin Diseases
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  • Receive Date 23 March 2021
  • Accept Date 06 April 2022