rct
    2014
    High Quality

    Near-visible light and UV photoprotection in the treatment of melasma: a double-blind randomized trial

    Castanedo-Cazares JP, et al.

    Published in Photodermatology, Photoimmunology & Photomedicine

    Methodology

    Double-blind randomized trial in melasma patients using hydroquinone 4% with either a UV-only or UV-plus-visible-light sunscreen, assessed by MASI scores and colorimetry.

    Key Findings

    Sunscreen blocking visible as well as UV light produced significantly greater reduction in melasma severity (MASI) and colorimetric pigmentation when combined with hydroquinone than UV-only sunscreen over eight weeks.

    Conclusions

    UV-visible light sunscreen enhances the depigmenting efficacy of hydroquinone compared with UV-only sunscreen in the treatment of melasma.

    Limitations

    Small single-centre sample (n=68), short 8-week follow-up, largely Fitzpatrick type III-IV Hispanic population, and no assessment of relapse after stopping.

    Outcomes Measured

    Sunscreen blocking visible as well as UV light produced significantly greater reduction in melasma severity (MASI) and colorimetric pigmentation when combined with hydroquinone than UV-only sunscreen over eight weeks.

    Related Health Concerns

    Study Details

    Year:2014
    Sample Size:68
    Duration:8 weeks
    Quality Score:7/10

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