Paththinige Niluka Dilrukshi, Akarawita Janaka K W, Jeganathan Geetha
Department of Dermatology, National Hospital, Colombo, Sri Lanka.
Department of Transfusion Medicine, National Hospital, Colombo, Sri Lanka.
Skin Appendage Disord. 2020 Jan;6(1):19-24. doi: 10.1159/000502919. Epub 2019 Oct 4.
Androgenetic alopecia (AGA) is a common, chronic hair loss disorder. Platelet-rich plasma (PRP) is a novel therapeutic tool for AGA. The objective of this study was to assess the clinical efficacy and safety of autologous activated PRP injections in AGA.
Twenty-four AGA patients were enrolled in the study. All the patients received 4 PRP treatments at baseline (T1), 3 weeks (T2), 6 weeks (T3), and at 14 weeks (T5). We evaluated hair density (hairs/cm) at 6 time points (T1-T3, T4 [9 weeks], T5, and T6 [7 months]) and patient satisfaction was assessed at T6 with a patient satisfaction questionnaire. Hair count (hairs/0.48 cm) was assessed using dermoscopic photographs and hair density (hairs/cm) was calculated accordingly.
Twenty-three men and one woman were included with baseline hair density of 102.25 ± 18.463. Hair density significantly increased at all time points with < 0.001 compared to the baseline. Patients were satisfied with a mean result rating of 72.92 on a linear analogue scale of 0-100. Other than mild pain felt during injections, no remarkable adverse effects were noted.
PRP injections may have a positive therapeutic effect on AGA without major side effects.
雄激素性脱发(AGA)是一种常见的慢性脱发疾病。富血小板血浆(PRP)是治疗AGA的一种新型治疗手段。本研究的目的是评估自体活化PRP注射治疗AGA的临床疗效和安全性。
24例AGA患者纳入本研究。所有患者在基线(T1)、3周(T2)、6周(T3)和14周(T5)时接受4次PRP治疗。我们在6个时间点(T1-T3、T4[9周]、T5和T6[7个月])评估头发密度(每平方厘米头发数量),并在T6时通过患者满意度问卷评估患者满意度。使用皮肤镜照片评估头发计数(每0.48平方厘米头发数量),并据此计算头发密度(每平方厘米头发数量)。
纳入23名男性和1名女性,基线头发密度为102.25±18.463。与基线相比,所有时间点的头发密度均显著增加,<0.001。患者对0-100线性模拟量表上的平均结果评分为72.92,感到满意。除注射期间感到轻度疼痛外,未观察到明显不良反应。
PRP注射可能对AGA有积极治疗作用,且无重大副作用。