PMID- 33591615 OWN - NLM STAT- MEDLINE DCOM- 20210525 LR - 20220531 IS - 1529-8019 (Electronic) IS - 1396-0296 (Linking) VI - 34 IP - 2 DP - 2021 Mar TI - Autologous intralesional platelet rich plasma improves melasma. PG - e14881 LID - 10.1111/dth.14881 [doi] AB - Platelet rich plasma (PRP) is an upcoming interventional therapy for the treatment of melasma. Its efficacy is due to the multiple growth factors present in it which decrease melanogenesis by various signal transduction pathways. The present study evaluated the efficacy of PRP as a standalone agent in treatment of melasma. This is an open labeled prospective trial. Forty patients were given intralesional PRP at once monthly interval. Three such PRP sessions were carried out and the patients were followed up for 3 months. Assessment was done by calculating the modified melasma area severity index score (mMASI) for each patient. Patients were also asked to self-evaluate their improvement based on a scale. There was an average 54.5% reduction in the mMASI score at the end of the study. There was no relapse in any patient. This reduction was irrespective of the skin type, gender, and type of melasma. Patients self-evaluation showed that more than 90% of the patients were pleased or very pleased with the results. There were no significant side effects. PRP appears to be a potential new therapy with significant efficacy in improving pigmentation of melasma, standalone as monotherapy. CI - (c) 2021 Wiley Periodicals LLC. FAU - Tuknayat, Ankita AU - Tuknayat A AUID- ORCID: 0000-0002-3110-000X AD - Department of Dermatology, Government Medical College and Hospital, Chandigarh, India. FAU - Thami, Gurvinder Pal AU - Thami GP AD - Department of Dermatology, Government Medical College and Hospital, Chandigarh, India. FAU - Bhalla, Mala AU - Bhalla M AD - Department of Dermatology, Government Medical College and Hospital, Chandigarh, India. FAU - Sandhu, Jasleen Kaur AU - Sandhu JK AD - Department of Dermatology, Government Medical College and Hospital, Chandigarh, India. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20210228 PL - United States TA - Dermatol Ther JT - Dermatologic therapy JID - 9700070 RN - 0 (Intercellular Signaling Peptides and Proteins) SB - IM MH - Humans MH - Intercellular Signaling Peptides and Proteins MH - *Melanosis/diagnosis/therapy MH - *Platelet-Rich Plasma MH - Prospective Studies MH - Treatment Outcome OTO - NOTNLM OT - epidermal growth factor OT - melasma OT - platelet rich plasma OT - transforming growth factor EDAT- 2021/02/17 06:00 MHDA- 2021/05/26 06:00 CRDT- 2021/02/16 12:14 PHST- 2021/02/03 00:00 [revised] PHST- 2020/11/26 00:00 [received] PHST- 2021/02/06 00:00 [accepted] PHST- 2021/02/17 06:00 [pubmed] PHST- 2021/05/26 06:00 [medline] PHST- 2021/02/16 12:14 [entrez] AID - 10.1111/dth.14881 [doi] PST - ppublish SO - Dermatol Ther. 2021 Mar;34(2):e14881. doi: 10.1111/dth.14881. Epub 2021 Feb 28.