Platelet-Rich Plasma (PRP) As A New Approach And Promising Therapy In Patients With Alopecia Areata

Authors

  • Holy Ametati Department of Dermatology, Venereology, and Aesthetic Medical Faculty of Diponegoro University/ Dr. Kariadi General Hospital Semarang, Indonesia, Indonesia
  • Elva Kadarhadi Department of Dermatology, Venereology, and Aesthetic Medical Faculty of Diponegoro University/ Dr. Kariadi General Hospital Semarang, Indonesia, Indonesia
  • Imelda Gunawan Department of Dermatology, Venereology, and Aesthetic Medical Faculty of Diponegoro University/ Dr. Kariadi General Hospital Semarang, Indonesia, Indonesia
  • Diah Adriani Malik Department of Dermatology, Venereology, and Aesthetic Medical Faculty of Diponegoro University/ Dr. Kariadi General Hospital Semarang, Indonesia, Indonesia
  • Muji Rahayu Department of Clinical Pathology Medical Faculty of Diponegoro University/ Dr. Kariadi General Hospital Semarang, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v10i1.818

Keywords:

platelet-rich plasma, alopecia areata, hair loss

Abstract

Background: Alopecia areata (AA) is a non-scarring, autoimmune, inflammatory condition that causes well-defined areas of hair loss on the scalp and/or body. A new biotechnology called platelet-rich plasma (PRP) was developed as a result of increased interest in tissue engineering and cell-based therapies. This therapy is defined as an autologous, non-allergic preparation of platelets in concentrated plasma. Study aimed to evaluate the effect of PRP treatment in alopecia areata.

Case: This study included 3 patients complaining of multiple patchy alopecia areata. They were treated with combination of PRP therapy, topical fluocinolone acetonide 0.025% cream, minoxidil 2 and 5%, and ketoconazole 2% scalp solution. One patient was also treated with intralesional triamcinolone acetonide injections. PRP was injected intradermally every 4 weeks and final monitoring was conducted after 4-6 sessions. Evaluation and follow up results were determined using photographic monitoring as well as patient’s satisfaction.

Results: Administration of autologous PRP had significance hair regrowth in all three patients in this study. PRP treatment sessions varied from 3 to 6 sessions. However, significance outcomes in these patients were established after 3 sessions of PRP treatment, while the best results were obtained after 4-6 sessions of PRP treatment. No major side effects was reported.

Conclusion: PRP is effective in promoting hair growth. PRP treatment for alopecia areata is safe, easy to perform, and can achieve patient’s satisfaction, without any major adverse effects. However, further research on standardized protocol of PRP methods are needed.

Downloads

Download data is not yet available.

References

  1. Fayed HA, Elsaied MA, Faraj MR. Evaluation of Platelet-Rich Plasma in Treatment of Alopecia Areata: A Placebo-Controlled Study. J Egypt Women Dermatol Soc. 2018;15:100-5.
  2. Ciptasari NEW. Role of PRP (platelet-rich plasma) in alopecia areata: A literature review. Bali Med J. 2020;9(3):731-6.
  3. Cervantes J, Perper M, Wong LL, et al. Effectiveness of Platelet-Rich Plasma for Androgenetic Alopecia: A Review of the Literature. Skin Appendage Diord. 2018;4:1-11.
  4. Elsayed M, Al Otaibi L, Quraishy N, Yusufali A. A Novel Hope for Alopecia Totalis Patients: Case Report. Dubai Med J. 2020;3:150-3.
  5. Elshafy RAA, Khalifa NA, Besher RM, Ebrahim HM, Mawla MYMA. Alopecia Areata: An Overview of the Disease and its Genetic Basis: Review Article. Egypt J Hosp Med. 2022;88:2897-903.
  6. Ramos PM, Anzai A, Duque-Estrada B, Melo DF, Sternberg F, Santos LDN, Alves LD. Consensus on the treatment of alopecia areata – Brazilian Society of Dermatology. An Bras Dermatol. 2020;95(S1):39-52.
  7. Khalid AA. Medical Treatment of Alopecia. In: Ahmad M. Alopecia. IntechOpen. 2018:55-72. Available from: https://www.intechopen.com/books/alopecia/medical-treatment-of-alopecia
  8. Suchonwanit P, Thammarucha S, Leerunyakul K. Minoxidil and Its Use in Hair Disorders: A Review. Drug Des Devel Ther. 2019;13:2777-86.
  9. Choi N, Shin S, Song SU, et al. Minoxidil Promotes Hair Growth Through Stimulation od Growth Factor Release from Adipose-Derived Stem Cells. Int J Mol Sci. 2018;19(691):1-15.
  10. El-Garf, Mohie M, Salah E. Trichogenic effect of topical ketoconazole versus minoxidil 2% in female pattern hair loss: a clinical and trichoscopic evaluation. Biomed Dermatol. 2019;3:1-8.
  11. Singh GK, Pathania V, Beniwal NS, et al. Platelet Rich Plasma, 5% Minoxidil Lotion and Oral Dutasteride Versus 5% Minoxidil Lotion and Oral Dutasteride in Male Androgenetic Alopecia: A Pilot Study in Routine Clinical Setting. Indian J Clin Dermatol. 2019;2(3):78-83.

Additional Files

Published

2023-03-31

How to Cite

1.
Ametati H, Kadarhadi E, Gunawan I, Malik DA, Rahayu M. Platelet-Rich Plasma (PRP) As A New Approach And Promising Therapy In Patients With Alopecia Areata. Medica Hospitalia J. Clin. Med. [Internet]. 2023 Mar. 31 [cited 2024 Nov. 21];10(1):118-23. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/818

Citation Check