Research Article

Application of PRP in Chloasma: A Meta-Analysis and Systematic Review

Table 4

Treatment outcomes of included studies.

StudyGroupMASImMASIDegree of improvement N (%)Patient satisfaction N (%)Adverse effects N (%)Other outcomes
BeforeAfterBeforeAfter

Faiz and Meng 2018 [20]15.71 ± 6.814.98 ± 2.13MASI:Temporary
Poor (0–25% decrease) 4 (26.7)Mild erythema: 2(13.3)
Fair (26–50% decrease) 9 (60)
Good (51–75% decrease) 2 (13.3)
Excellent (>75% decrease) 0 (0)
Hofny et al. 2019 [3]A: microneedling with Dermapen
B: microinjections using mesoneedles
11.86 ± 5.256.96 ± 4.825.71 ± 2.562.90 ± 2.05mMASI:Very satisfied: 9 (39.1)Swelling, redness and soreness
Excellent (>75–100% decrease): 3 (13)Satisfied: 9 (39.1)
Significant (>50–75% decrease): 8 (34.8) mild (>25–50% decrease):Slight satisfaction: 3 (13.1)
9 (39.2)Unsatisfied: 2 (8.7)
Slight (0–25% decrease): 3 (13.0)
MASI:
Excellent (>75–100% decrease): 3 (13.1)
Significant (>50–75% decrease): 5 (21,7) mild (>25–50% decrease): 10 (43.5)
Slight (0–25% decrease): 5 (21.7)
Sirithanabadeekul et al. 2020 [4]A: intradermal PRP injection
B: intradermal saline injection
A: 4.92 ± 0.96
B: 4.98 ± 0.86
A: 3.5 ± 0.67
B: 4.53 ± 0.96
From baseline to the end of treatment, the patients’ satisfaction under PRP condition was significantly improved at the time of visitBruisingMean melanin levels;
A:
Before:
256.73 ± 17.68
After:
238.63 ± 16.4
B: 246.57 ± 22.88 (before)
249.47 ± 21.36 (after)
Tuknayat et al. 2020 [17]47.3% reductionmMASI:Xerosis
Excellent (>75% decrease): 4 (6.25)Hyperpigmentation
Significant (51–75% decrease): 21 (32.8) mild (26–50% decrease): 27 (42.1)
Slight (1–25% decrease): 10 (15.6)
No minimal (0% decrease): 2 (3.1)
Mumtaz et al. 2021 [1]A: intradermal platelet-rich plasmaA: 29.84 ± 5.14A: 8.72 ± 3.40
B: intradermal tranexamicB: 29.56 ± 4.39B:14.97 ± 4.33
Adel et al. 2021 [18]A: PPL16.3 ± 7.710.9 ± 6.3A: 19 ± 6.4A: 14.2 ± 5.8
B: 14.6 ± 5.5
MASI:No significant difference between both sides
B: PRP + IPLB: 19.8 ± 5.833.13% improvement mMASI:
No significant difference between both sides
Gamea et al. 2020 [19]A: topical5%A: 12.1 ± 2.9A: 3.6 ± 1.9mMASI:A:Hyperpigmentation:
B: topical 5% tranexamic acidA:Highly satisfied: 5 (25) mildly satisfied:A: 1 (5)
Excellent (75–100% decrease): 3 (15)10 (50)B: 2 (10)
Significant (50–74% decrease): 4 (20) mild (25–49% decrease): 12 (60)Partially satisfied: 3 (15)Erythema:
Slight (0–24% decrease): 1 (5)Not satisfied: 2 (10)A: 10 (50)
B:B:B: 0 (0)
Excellent (75–100% decrease): 1 (5)Highly satisfied: 3 (5) mildly satisfied: 2 (10)Pain:
Significant (50–74% decrease): 3 (15) mild (25–49% decrease): 7 (35)Partially satisfied: 4 (20)A:12 (60)
Slight (0–24% decrease): 9 (45)Not satisfied: 11 (55)B: 0 (0)
Tuknayat et al. 2021 [2]13.76.258Excellent: 4 (10)Xerosis: 14 (35)
Very pleased: 19 (47.5)Pruritus: 10 (25)
Pleased: 16 (40)
Satisfied: 1 (2.5)
Not satisfied: 0 (0)

PRP: platelet-rich plasma; IPL: intense pulse light; MASI: melasma area severity index; mMASI: modified melasma area severity index.