Introduction: Male pattern alopecia (MPA) is a common disorder hugely impacting the quality of life of affected individuals. The meager number of options available for treatment has their own limitations. Novel therapies are continuously being researched for. Materials and Methods: The present study included thirty male patients with Hamilton Grade II to Grade V. All patients received four sequential treatments with microneedling (MN) on one half of the scalp and platelet-rich plasma (PRP) with MN (MN + PRP) on the other half for 4 months. Three months following the last session, evaluation was done from the vertex and temporal sites in both the groups by dermoscopic microphotographs by a blinded evaluator. In addition, the patients were asked about their satisfaction score on the basis of treatment outcome. Results: Overall hair thickness showed significant increase in both MN and MN + PRP group. Furthermore, the increase in thickness was almost double in the MN group as compared to MN + PRP group (0.006 and 0.003 mm, respectively). Overall hair density also increased significantly in both the study groups but more in MN + PRP group (14.6 hair/cm 2 ) than the MN group (10.8 hair/cm 2 ). However, the difference between the results of both the groups was not statistically significant. Conclusion: To the best of our knowledge, this is the first split scalp study for MPA. We conclude that MN and PRP are both effective in treatment of androgenetic alopecia and improve the hair parameters and patient satisfaction. However, no additional effect of PRP over MN was observed. Both these therapies are safe and well tolerated without any major side effects. Limitations of our study were small sample size and lack of long-term follow-up.
An ideal dermatoscope should be handy and have good magnification and illumination, and it should be easy to store and share its images digitally. Unfortunately, it is still not available at all centers, especially in developing countries, because of financial constraints. Only a few models of dermatoscopes are smartphone compatible, and they require special kits to connect to smartphones, adding to the cost.
COVID-19 pandemic does not look it is going to end soon; the population is adapting and acclimatising to this new normal. In order to prevent the spread of virus, people are changing their daily habits, which include frequent washing of hands and wearing a mask. Masks are covering almost lower twothirds of the face providing photoprotection to the nose, cheeks, lips, and perioral and mandibular regions. Masks are made of tightly woven fibres, which favour photoprotection. The combination of these masks and sunglasses covers almost the entirety of face. In this era of COVID-19 when everyone is donning a mask, patients with these disorders are becoming more confident in wearing them. The social stigma attached in looking different is becoming less and hence the compliance has increased many folds. This is turning out to be a blessing in disguise for patients with lupus erythematosus and other connective tissue disorders like dermatomyositis. The risk of basal cell carcinoma and squamous cell carcinomas will be further decreasing. This photoprotection 1 provided by the mask is providing additional shield to patients with disorders like polymorphic light eruptions, actinic prurigo, hydroa vacciniforme, solar urticaria and chronic actinic dermatitis.
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