Application of platelet lysate in the treatment of alopecia areata

Authors

Abstract

Introduction: Alopecia areata, characterized by non-scarring hair loss, is an autoimmune and multifactorial disease with a high impact on the patient's skin aesthetics and their psychosocial sphere; therefore, platelet lysate is presented as a new hope for its treatment.

Objective: To evaluate the effectiveness of topical autologous platelet lysate in patients with alopecia areata.

Methods: A quasi-experimental therapeutic intervention study was carried out in 50 patients with clinical and dermoscopic diagnosis of alopecia areata, treated at "Juan Bruno Zayas Alfonso" Hospital in Santiago de Cuba, from 2018 to 2020, divided into two groups: the study group received topical treatment with autologous platelet lysate and the control group received 0.1 % triamcinolone acetonide cream. The work was carried out jointly with the Renato Guitart Provincial Blood Bank to obtain topical platelet lysate. For statistical analysis, the computerized system SPSS 20.1, employed percentage, mean, standard deviation, and Fisher's test, were used.

Results: The majority of patients were between 29-38 years (46.0 %); 58.0 % were male, with multiple alopecic plaques, mainly located on the scalp, with evolution between 4 and 12 months, and clinical evaluations at baseline, one, two, and three months; were carried out. Treatment was effective in 94.0 % of cases.

Conclusions: Therapy with topical autologous platelet lysate is beneficial and without adverse reactions..

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References

1.Sterkens A, Lambert J, Bervoets A. Alopecia areata: a review on diagnosis, immunological etiopathogenesis and treatment options. Clinical and Experimental Medicine. 2021[citado 28/6/2024]; 21(2): 215-30.Disponible en: https://link.springer.com/article/10.1007/s10238-020-00673-w

2.Echavarría C, Velásquez MM. Aspectos clínicos e inmunopatogénicos de la alopecia areata. Rev. argent. dermatol. 2019[citado 28/6/2024]; 100(2): 11-20. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1851-300X2019000200011&lng=es.

3.Suchonwanit P, Kositkuljorn C, Pomsoong C. Alopecia areata: an autoimmune disease of multiple players. ImmunoTargets and Therapy. 2021[citado 28/6/2024]; 10:299-312. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328385/pdf/itt-10-299.pdf

4.¿Qué es la alopecia areata? | Síntomas, causas y cómo tratar la enfermedad. La Vanguardia. 2023[citado 28/6/2024]. Disponible en: https://www.lavanguardia.com/vida/salud/20190619/462985635886/que-alopecia-areata-sintomas-causas-como-tratar-enfermedad.html

5.Shimizu Y, Ntege EH, Sunami H, Inoue Y. Regenerative medicine strategies for hair growth and regeneration: A narrative review of literature. Regen Ther. 2022 [citado 28/6/2024]; 21:527-39. Disponible en:

https://pmc.ncbi.nlm.nih.gov/articles/PMC9637724/pdf/main.pdf

6.Mostaghimi A, Napatalung L, Sikirica V, Winnette R, Xenakis J, Zwillich SH, Gorsh B. Patient perspectives of the social, emotional and functional impact of alopecia areata: a systematic literature review. Dermatology and therapy. 2021[citado 28/6/2024]; 11(3): 867-83. Disponible en: https://link.springer.com/article/10.1007/s13555-021-00512-0

7.Zhou C, Li X, Wang C, Zhang J. Alopecia areata: an Update on Etiopathogenesis, Diagnosis, and Management. Allergy and Immunology. 2021[citado /28/6/2024]; 61(3): 403-23. Disponible en: https://link.springer.com/article/10.1007/s12016-021-08883-0

8.Bordes Pastor G. Eficacia del plasma rico en plaquetas como tratamiento para la alopecia: una revisión integradora [Tesis]. Universitat Jaume I; 2020[citado 28/6/2024]. Disponible en: https://repositori.uji.es/server/api/core/bitstreams/3c9c03d2-154b-435b-98ab-aebc12ca98d0/content

9.Lauren C,Strazzulla BA, Chun Wang EH, Avila L, Sicco KL, Brinster N, Christiano AM, Shapiro J. Alopecia areata: disease characteristics, clinical evaluation, and new perspectives on pathogenesis. Journal of the American Academy of Dermatology. 2018[citado 28/6/2024]; 78(1): 1-12. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S019096221731873X

10.Meah N, Wall D, York K, Bhoyrul B, Bokhari L, Asz-Sigall D.et al. The Alopecia areata Consensus of Experts (ACE) study part II: results of an international expert opinion on diagnosis and laboratory evaluation for alopecia areata. Journal of the American Academy of Dermatology. 2021[citado 28/6/2024]; 84(6):1594-601.Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0190962220326141

11.Senna M, Ko J, Tosti A, Edson Heredia E, Fenske DC, Ellinwood AK, et al. Alopecia areata treatment patterns, healthcare resource utilization, and comorbidities in the US population using insurance claims. Advances in therapy. 2021[citado 28/10/2022]; 38(9): 4646-58. Disponible en: https://link.springer.com/article/10.1007/s12325-021-01845-0

12.Cuba. Ministerio de Salud Pública Cuba. Anuario Estadístico de Salud. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2022[citado 28/6/2024]. Disponible en: https: https://files.sld.cu/dne/files/2023/10/Anuario-Estadistico-de-Salud-2022-Ed-20231.pdf

13.Rodgers AR. Why finding a treatment for alopecia areata is important: a multifaceted perspective. Journal of Investigative Dermatology Symposium Proceedings. 2019[citado 28/6/2024]; 19(1): 551-53.Disponible en: https://www.sciencedirect.com/science/article/pii/S1087002417300412

14.Jacas Portuondo AL, López Pupo N, Girón Jacas A, Girón Maturell Y. Comorbilidades y factores asociados en pacientes con alopecia areata. Medisan. 2022[citado /6/2024]; 26(6): e4344. Disponible en: https://medisan.sld.cu/index.php/san/article/view/4344/pdf

15.Planas Pavón M, León García Y. Tratamiento de la Alopecia areata Universal con concentrado de plaquetas. Invest Medicoquir. 2019[citado 28/6/2024]; 11(1): 1-12. Disponible en: https://revcimeq.sld.cu/index.php/imq/article/view/460/533

16.Sharma AN, Michelle L, Juhasz M, Muller Ramos P, Atanaskova Mesinkovska N. Low-dose oral minoxidil as treatment for non-scarring alopecia: a systematic review. Int J Dermatol. 2020[citado 28/6/2024]; 59(8): 1013-19. Disponible en: https://www.researchgate.net/publication/342056058_Low-dose_oral_minoxidil_as_treatment_for_non-scarring_alopecia_a_systematic_review

17.Ranpariya RH, Gupta SB, Deora MS, Agrawal PV, Mathur R, Raheja A. Intralesional triamcinolone acetonide versus platelet rich plasma: a comparative study in the treatment of alopecia areata of scalp.Int J Res Dermatol. 2019[citado 28/6/2024]; 5(3): 521-27.

Disponible en: https://www.ijord.com/index.php/ijord/article/view/697/379

18.Basmanav FB, Betz RC. Translational impact of omics studies in alopecia areata: recent advances and future perspectives. Expert Review of Clinical Immunology. 2022[citado 28/6/2024]; 18(8): 845-57. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/1744666X.2022.2096590

19.González Hernández WC, Méndez Juárez A, Sánchez Álvarez I. Tratamientos emergentes de la alopecia areata. Dermatología Rev Mex. 2019 [citado 28/6/2024]; 63(5): 469-80. Disponible en: https://dermatologiarevistamexicana.org.mx/article/tratamientos-emergentes-de-la-alopecia-areata/

20.Castro Turuseta A, Rodríguez García M, Tobar Ceron P, Rodríguez Martínez K, García Gómez R. Concentrado plaquetario autólogo en el tratamiento de la alopecia areata. Acta Médica. 2020 [citado 28/6/2024]; 21(3): 1-16 Disponible en: https://revactamedica.sld.cu/index.php/act/article/view/117/pdf

Published

2026-02-26

How to Cite

1.
Jacas Portuondo AL, Salas Santana I, Robinson Rodríguez RJ, Alí Pérez NA. Application of platelet lysate in the treatment of alopecia areata. MEDISAN [Internet]. 2026 Feb. 26 [cited 2026 Feb. 28];30:e4833. Available from: https://medisan.sld.cu/index.php/san/article/view/4833

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Original Articles