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Efficacy and safety of micro‐needling combined with topical 5‐fluorouracil and excimer light vs. excimer light alone in treatment of non‐segmental vitiligo: A comparative study
Author(s) -
Saad Mohammad A.,
Tawfik Khaled Mohamed,
Abdelaleem Hazem L.
Publication year - 2023
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.15481
Subject(s) - vitiligo , excimer , medicine , dermatology , dry needling , fluorouracil , surgery , chemotherapy , optics , acupuncture , physics , alternative medicine , pathology , fluorescence
Background/Purpose Vitiligo is one of the most challenging dermatological diseases with little improvement promises. Various modalities of treatment both medical and surgical have been used in the treatment of vitiligo. Some proved to be effective, others with controversial results and the rest were effective less. The aim of the present study was to evaluate the additional effect of topical 5‐fluorouracil after micro‐needling to excimer light (308 nm) in treatment of non‐segmental vitiligo. Methods Fifty patients were included in the present study, only 33 patients continued the treatment for 6 months. Two patches were selected in every patient to be treated, one patch with micro‐needling then application of 5 FU and excimer (Group A), and the other with excimer only (Group B). Results The treatment with the combination of micro‐needling then application of 5 FU and excimer showed significant earlier response versus excimer alone. Also, the percentage of re‐pigmentation was higher in the patches treated with the combination especially in the face and trunk. The combination of 5 FU after micro‐needling and Excimer is more suitable for localized and focal vitiligo. Conclusion Topical 5 FU after micro‐needling is a promising, rapid, and cost‐effective therapeutic strategy for treatment of non‐segmental vitiligo It had limited side effects, and the best response was reported for lesions affecting face and trunk.