Vitiligo - Macular Depigmentation
Conditions
Brief summary
This study is a randomized controlled trial comparing microneedling with topical minoxidil 5% versus microneedling with minoxidil combined with NB-UVB phototherapy in stable vitiligo. It aims to evaluate both clinical and histopathological outcomes in 30 patients with non-segmental stable vitiligo. Vitiligo is a chronic depigmenting disorder caused by melanocyte destruction with significant psychosocial impact. The study also investigates immunohistochemical changes, particularly Wnt/β-catenin signaling expression in lesional skin. The combination therapy is expected to enhance repigmentation by improving melanocyte activation, drug delivery, and angiogenesis
Interventions
Micronnedlin depth 1% then topical Minoxidil5% and Narrow Band UVB
Microneedling with topical Minoxidil 5%
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with stable non-segmental vitiligo * No new lesions * No enlargement of existing lesions * Patients of both sexes * Age 16 years or older
Exclusion criteria
* Active vitiligo * Pregnant or lactating women * History of keloid formation * Hematological disorders * Coagulopathies * Use of anticoagulant therapy * Use of medications that may prolong bleeding * Previous vitiligo treatment in the last 2 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Repigmentation in the vitiliginous area after receiving the treatment and increasing the wnt b catenin marker level in the histopathological specimen | From enrollment to the end of treatment at 16 weeks for each patient |