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Topical calcipotriol vs narrowband ultraviolet B in treatment of alopecia areata: a randomized-controlled trial.

Abstract
Alopecia areata is a chronic relapsing autoimmune inflammatory hair disorder with no novel therapy. The objectives of this study are to compare the efficacy of topical calcipotriol vs narrow band ultraviolet B phototherapy (NB-UVB) in the treatment of alopecia areata and its correlation with serum vitamin D3 levels. A randomized-controlled trial has been conducted on 60 patients with scalp alopecia areata randomized into four groups; topical calcipotriol, NB-UVB, both and placebo. All patients were evaluated by assessment of severity of alopecia areata by severity of alopecia tool (SALT) score at baseline and 3 months after treatment and vitamin D3 levels at baseline and after 3 months. SALT score and vitamin D3 levels were significantly improved in all groups except placebo after treatment with (P = 0.026, P = 0.005, P = 0.004, P = 0.140) and (P = 0.028, P = 0.011, P = 0.003, P = 0.725), respectively. Combined therapy showed non-significant improvement in SALT score (P = 0.530, P = 0.643), respectively, and significant improvement in serum vitamin D3 levels than each line alone with (P = 0.021, P = 0.044), respectively. Both topical calcipotriol and NB-UVB are effective therapies in the treatment of AA and associated with improvement of SALT score and vitamin D3 levels.
AuthorsMoustafa A El Taieb, Eisa M Hegazy, Hassan M Ibrahim, Asmaa B Osman, Manal Abualhamd
JournalArchives of dermatological research (Arch Dermatol Res) Vol. 311 Issue 8 Pg. 629-636 (Oct 2019) ISSN: 1432-069X [Electronic] Germany
PMID31236672 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
Chemical References
  • Dermatologic Agents
  • calcipotriene
  • Cholecalciferol
  • Calcitriol
Topics
  • Administration, Topical
  • Adolescent
  • Adult
  • Alopecia Areata (blood, diagnosis, therapy)
  • Calcitriol (administration & dosage, analogs & derivatives)
  • Cholecalciferol (blood)
  • Combined Modality Therapy (methods)
  • Dermatologic Agents (administration & dosage)
  • Female
  • Humans
  • Male
  • Severity of Illness Index
  • Treatment Outcome
  • Ultraviolet Therapy (methods)
  • Young Adult

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