A Randomized, Controlled Pilot Trial Comparing Platelet-Rich Plasma to Topical Minoxidil Foam for Treatment of Androgenic Alopecia in Women.

Autor:	Bruce AJ; Department of Dermatology, Mayo Clinic, Jacksonville, Florida., Pincelli TP; Department of Dermatology, Mayo Clinic, Jacksonville, Florida., Heckman MG; Division of Biomedical Statistics and Informatics, Mayo Clinic, Jacksonville, Florida., Desmond CM; Center for Regenerative Medicine, Mayo Clinic, Jacksonville, Florida., Arthurs JR; Center for Regenerative Medicine, Mayo Clinic, Jacksonville, Florida.; Division of Transplant Medicine, Mayo Clinic, Jacksonville, Florida., Diehl NN; Division of Biomedical Statistics and Informatics, Mayo Clinic, Jacksonville, Florida., Douglass EJ; Departments of Cardiovascular Medicine., Bruce CJ; Departments of Cardiovascular Medicine., Shapiro SA; Orthopedic Surgery, Mayo Clinic, Jacksonville, Florida.
Jazyk:	angličtina
Zdroj:	Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] [Dermatol Surg] 2020 Jun; Vol. 46 (6), pp. 826-832.
DOI:	10.1097/DSS.0000000000002168
Abstrakt:	Background: Androgenic alopecia (AGA) is a common hair loss disorder. Studies have demonstrated successful treatment with platelet-rich plasma (PRP) in men, but studies in women are few. Objective: To evaluate PRP in the treatment of AGA in women, compared with topical minoxidil. Materials and Methods: Twenty women with AGA received topical minoxidil for 12 weeks and injectable PRP for 12 weeks in a randomized crossover design with an 8-week washout between treatments. Standardized TrichoScan analysis and quality-of-life questionnaires were assessed at baseline and 12-week follow-up for each treatment. Results: After PRP, significant increases from baseline to Week 12 in TrichoScan analysis hair count (p = .002) and vellus hair density (p = .009) occurred. However, minoxidil resulted in significant increases in hair count (p < .001), vellus hair density (p = .03), terminal hair density (p = .004), and cumulative thickness (p = .004). Several quality of life responses improved from baseline to Week 12 after PRP treatment, whereas no improvements were noted after minoxidil. Conclusion: Platelet-rich plasma is an effective treatment for hair regrowth in female AGA, although not as effective as minoxidil. However, the improved quality of life responses after PRP, but not minoxidil, suggest a potential overall greater degree of satisfaction with PRP. Levels of Evidence: I. Clinical Trial Registration: NCT03488108.
Databáze:	MEDLINE
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