Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study
ABSTRACT Background and Aims In recent years, the application of various light and laser devices in the treatment of different types of alopecia has been established. This systematic review aims to assess the efficacy and safety of laser therapy and phototherapy in cicatricial and non‐cicatricial al...
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| Language: | English |
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Wiley
2024-11-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70180 |
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| author | Mohammad Amin Jafari Ghazal Bazgir Fatemeh Sadat Hosseini‐Baharanchi Alireza Jafarzadeh Azadeh Goodarzi |
| author_facet | Mohammad Amin Jafari Ghazal Bazgir Fatemeh Sadat Hosseini‐Baharanchi Alireza Jafarzadeh Azadeh Goodarzi |
| author_sort | Mohammad Amin Jafari |
| collection | DOAJ |
| description | ABSTRACT Background and Aims In recent years, the application of various light and laser devices in the treatment of different types of alopecia has been established. This systematic review aims to assess the efficacy and safety of laser therapy and phototherapy in cicatricial and non‐cicatricial alopecia. Methods A comprehensive search was conducted on PubMed, Scopus, Science Direct, and Google Scholar. Articles were evaluated across four subgroups: alopecia areata, androgenic alopecia, telogen effluvium, and cicatricial alopecia. Included studies were published in English or Persian between January 2010 and September 2023, focusing on interventional, cohort, or case series research that achieved a minimum score of 75% on the EBL checklist. Exclusion criteria encompassed animal and in vitro studies, review articles, case reports, duplicated or irrelevant research, as well as studies that did not meet the designated EBL score. Editorial letters and case studies were also excluded. Results Initially, 965 records were collected, resulting in the inclusion of 58 studies in the final review: 26 on alopecia areata, 26 on androgenic alopecia, five on cicatricial alopecia, and one on telogen effluvium. Narrow‐band ultraviolet B, 308‐nm excimer laser, and psoralen ultraviolet A therapy showed varying effectiveness; specifically, the excimer laser was notably effective for patients with shorter disease duration. In androgenic alopecia, erbium‐glass and thulium lasers effectively increased hair density but showed a gradual decline posttreatment. Low‐level light/laser therapy also increased hair density and diameter and exhibited potential benefits when used alongside minoxidil, but did not significantly enhance outcomes in telogen effluvium treatment. Conclusion Light/laser therapy can serve as an additive treatment for cicatricial alopecia, particularly lichen planopilaris, but has limited efficacy in treating telogen effluvium. Overall, light/laser therapies exhibit a significant positive effect on increasing hair density and diameter across various alopecia types. |
| format | Article |
| id | doaj-art-947c347b33a049589789941e1282fcd2 |
| institution | OA Journals |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
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| series | Health Science Reports |
| spelling | doaj-art-947c347b33a049589789941e1282fcd22025-08-20T02:05:31ZengWileyHealth Science Reports2398-88352024-11-01711n/an/a10.1002/hsr2.70180Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review StudyMohammad Amin Jafari0Ghazal Bazgir1Fatemeh Sadat Hosseini‐Baharanchi2Alireza Jafarzadeh3Azadeh Goodarzi4Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine Iran University of Medical Sciences (IUMS) Tehran IranStudent Research Committee, School of Medicine Iran University of Medical Sciences Tehran IranDepartment of Biostatistics, School of Public Health Iran University of Medical Sciences Tehran IranDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine Iran University of Medical Sciences (IUMS) Tehran IranDepartment of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine Iran University of Medical Sciences (IUMS) Tehran IranABSTRACT Background and Aims In recent years, the application of various light and laser devices in the treatment of different types of alopecia has been established. This systematic review aims to assess the efficacy and safety of laser therapy and phototherapy in cicatricial and non‐cicatricial alopecia. Methods A comprehensive search was conducted on PubMed, Scopus, Science Direct, and Google Scholar. Articles were evaluated across four subgroups: alopecia areata, androgenic alopecia, telogen effluvium, and cicatricial alopecia. Included studies were published in English or Persian between January 2010 and September 2023, focusing on interventional, cohort, or case series research that achieved a minimum score of 75% on the EBL checklist. Exclusion criteria encompassed animal and in vitro studies, review articles, case reports, duplicated or irrelevant research, as well as studies that did not meet the designated EBL score. Editorial letters and case studies were also excluded. Results Initially, 965 records were collected, resulting in the inclusion of 58 studies in the final review: 26 on alopecia areata, 26 on androgenic alopecia, five on cicatricial alopecia, and one on telogen effluvium. Narrow‐band ultraviolet B, 308‐nm excimer laser, and psoralen ultraviolet A therapy showed varying effectiveness; specifically, the excimer laser was notably effective for patients with shorter disease duration. In androgenic alopecia, erbium‐glass and thulium lasers effectively increased hair density but showed a gradual decline posttreatment. Low‐level light/laser therapy also increased hair density and diameter and exhibited potential benefits when used alongside minoxidil, but did not significantly enhance outcomes in telogen effluvium treatment. Conclusion Light/laser therapy can serve as an additive treatment for cicatricial alopecia, particularly lichen planopilaris, but has limited efficacy in treating telogen effluvium. Overall, light/laser therapies exhibit a significant positive effect on increasing hair density and diameter across various alopecia types.https://doi.org/10.1002/hsr2.70180alopeciaalopecia noncicatrisatabaldnesscicatrisatalow‐level light therapylupus erythematosus |
| spellingShingle | Mohammad Amin Jafari Ghazal Bazgir Fatemeh Sadat Hosseini‐Baharanchi Alireza Jafarzadeh Azadeh Goodarzi Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study Health Science Reports alopecia alopecia noncicatrisata baldness cicatrisata low‐level light therapy lupus erythematosus |
| title | Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study |
| title_full | Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study |
| title_fullStr | Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study |
| title_full_unstemmed | Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study |
| title_short | Efficacy and Safety of Laser Therapy and Phototherapy in Cicatricial and NonCicatricial Alopecia: A Systematic Review Study |
| title_sort | efficacy and safety of laser therapy and phototherapy in cicatricial and noncicatricial alopecia a systematic review study |
| topic | alopecia alopecia noncicatrisata baldness cicatrisata low‐level light therapy lupus erythematosus |
| url | https://doi.org/10.1002/hsr2.70180 |
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