Striae Distensae
Conditions
Brief summary
A split-side comparative clinical study evaluating the efficacy and safety of injectable platelet-rich fibrin (PRF) versus platelet-rich plasma (PRP), alone or combined with microneedling, in the treatment of striae distensae. Thirty patients received PRF or PRP on one side and combination therapy with microneedling on the contralateral side over five sessions. Outcomes included striae width, length, severity score, and patient satisfaction
Interventions
Autologous platelet-rich fibrin prepared via single-spin centrifugation without anticoagulant and injected intradermally
Intradermal injection of platelet-rich plasma
Performed using a dermapen device with 1 mm needle depth, followed by topical application of PRF.
Performed using a dermapen device with 1 mm needle depth, followed by topical application of PRP.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ≥18 years * Presence of striae distensae (rubrae or alba) * Willingness to participate and provide informed consent
Exclusion criteria
* Keloid or hypertrophic scar tendency * Bleeding disorders or anticoagulant use * Pregnancy * Active skin infections (e.g., herpes, impetigo, tinea) * History of malignancy or collagen disease * Use of antineoplastic drugs * Conditions impairing wound healing * Unrealistic expectations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Imam, Nelva, Alviera score (INA score) (Change in striae severity) | baseline to 1 month after last session | The INA score ranges from 0 to 54, with higher scores indicating greater striae distensae severity, therefore representing a worse outcome. Severity was categorized as mild for scores \<21, moderate for scores 21-40, and severe for scores \>40. |
| Change in striae severity (Imam, Nelva, Alviera score (INA score) | 1 month after last session | The INA score ranges from 0 to 54, with higher scores indicating greater striae distensae severity, therefore representing a worse outcome. Severity was categorized as mild for scores \<21, moderate for scores 21-40, and severe for scores \>40. |
Countries
Egypt