About this trial
This randomized controlled prospective single-blinded comparative clinical study aims to compare the efficacy and safety of fractional carbon dioxide (CO2) laser therapy versus mechanical dermabrasion, both combined with topical 5-fluorouracil, in the treatment of acquired non-vitiligo leukoderma. The study will evaluate repigmentation, clinical improvement, patient satisfaction, and treatment-related adverse effects.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients receiving topical treatment will be required to undergo a two-week washout period.
No sex predilection.
Cooperative patients.
Patients with non-vitiligo leukoderma, including post-burn leukoderma, post-inflammatory hypopigmentation, and stable hypopigmented scar.
Disqualifiers
Vitiligo leukoderma.
History of bleeding disorder or current anticoagulant therapy.
Pregnancy or lactation.
Keloid scarring or hypertrophic scars.
Trial design
Parallel
Treatments tested in this trial
Fractional CO2 Laser
DeviceFractional carbon dioxide (CO2) laser therapy followed by topical 5-fluorouracil application. Laser parameters will be adjusted according to lesion size and site.
Dermabrasion
Procedure/SurgeryMechanical dermabrasion using manual or motor-driven dermabrasion followed immediately by topical 5-fluorouracil application.
5-Fluorouracil
DrugTopical 5-fluorouracil applied immediately after fractional CO2 laser or dermabrasion according to the assigned study arm.
Treatment groups
Trial outcomes
Primary outcomes
Degree of Repigmentation
Repigmentation will be assessed by two blinded dermatologists using the Mean Improvement Score by Physician (MISP), based on a 5-grade scale: grade 1, \<25% improvement; grade 2, 25-49%; grade 3, 50-74%; grade 4, \>75-99%; and grade 5, 100% complete repigmentation.
Sponsors and contacts
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