Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma

Background: Melasma is a common acquired hypermelanosis in areas exposed to sunlight, which exacerbates with sunlight, pregnancy, and endocrine diseases. Melasma is problematic regarding cosmetic especially in women. Many drugs have been used for its treatment, but regarding side effects, they have...

Full description

Bibliographic Details
Main Authors: Fariba Iraji, Ali Asililan, Fatemeh Fadaei, Mohammad Ali Nilforoushzadeh
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2014-03-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/2524
_version_ 1827843085492551680
author Fariba Iraji
Ali Asililan
Fatemeh Fadaei
Mohammad Ali Nilforoushzadeh
author_facet Fariba Iraji
Ali Asililan
Fatemeh Fadaei
Mohammad Ali Nilforoushzadeh
author_sort Fariba Iraji
collection DOAJ
description Background: Melasma is a common acquired hypermelanosis in areas exposed to sunlight, which exacerbates with sunlight, pregnancy, and endocrine diseases. Melasma is problematic regarding cosmetic especially in women. Many drugs have been used for its treatment, but regarding side effects, they have limited relative usage. Therefore, testing a new drug with higher effectiveness and fewer side effects is necessary. This study attempted to evaluate the effectiveness of kojic acid on melasma. Methods: In this study double-blind clinical trial study, 40 patients with melasma were enroled. One group of 20 people received kojic acid cream 2%, and the other used glycolic acid 10% and hydroquinone cream 2%. In the first group, 43 pigmented macules and in the second group, 21 pigmented macules existed. The changes of pigments in terms of recovery time, color tone and size of the pigments over a three-month treatment period was evaluated with clinical assessment, completing monthly questionnaire, and in a few cases with the aid of Wood's lamp. After the three-month treatment period, the collected data using the Friedman test, t-test were analyzed. Findings: In total, 79% of the patients were cured after 3 months. According to Friedman test, regarding healing time of the pigment, there was a significant difference between the groups (P = 0.008). Regarding the color tone changes of the pigment at the end of the second and third months, there was a significant difference between the two groups. Conclousion: Kojic acid 2% cream has a good efficacy in the treatment of melasma with no serious complications.
first_indexed 2024-03-12T08:19:41Z
format Article
id doaj.art-5803fe1b6da9490a9480103d4c019592
institution Directory Open Access Journal
issn 1027-7595
1735-854X
language fas
last_indexed 2024-03-12T08:19:41Z
publishDate 2014-03-01
publisher Isfahan University of Medical Sciences
record_format Article
series مجله دانشکده پزشکی اصفهان
spelling doaj.art-5803fe1b6da9490a9480103d4c0195922023-09-02T18:35:49ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2014-03-0131269229523301506Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of MelasmaFariba Iraji0Ali Asililan1Fatemeh Fadaei2Mohammad Ali Nilforoushzadeh3Associate Professor, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan,IranProfessor, Department of Dermatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran AND Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, IranBackground: Melasma is a common acquired hypermelanosis in areas exposed to sunlight, which exacerbates with sunlight, pregnancy, and endocrine diseases. Melasma is problematic regarding cosmetic especially in women. Many drugs have been used for its treatment, but regarding side effects, they have limited relative usage. Therefore, testing a new drug with higher effectiveness and fewer side effects is necessary. This study attempted to evaluate the effectiveness of kojic acid on melasma. Methods: In this study double-blind clinical trial study, 40 patients with melasma were enroled. One group of 20 people received kojic acid cream 2%, and the other used glycolic acid 10% and hydroquinone cream 2%. In the first group, 43 pigmented macules and in the second group, 21 pigmented macules existed. The changes of pigments in terms of recovery time, color tone and size of the pigments over a three-month treatment period was evaluated with clinical assessment, completing monthly questionnaire, and in a few cases with the aid of Wood's lamp. After the three-month treatment period, the collected data using the Friedman test, t-test were analyzed. Findings: In total, 79% of the patients were cured after 3 months. According to Friedman test, regarding healing time of the pigment, there was a significant difference between the groups (P = 0.008). Regarding the color tone changes of the pigment at the end of the second and third months, there was a significant difference between the two groups. Conclousion: Kojic acid 2% cream has a good efficacy in the treatment of melasma with no serious complications.http://jims.mui.ac.ir/index.php/jims/article/view/2524MelasmaTreatment of melasmaTopical treatment of melasmaKojic acid
spellingShingle Fariba Iraji
Ali Asililan
Fatemeh Fadaei
Mohammad Ali Nilforoushzadeh
Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma
مجله دانشکده پزشکی اصفهان
Melasma
Treatment of melasma
Topical treatment of melasma
Kojic acid
title Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma
title_full Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma
title_fullStr Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma
title_full_unstemmed Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma
title_short Comparing Kojic Acid Cream 2% with Glycolic Acid 10% and Hydroquinone Cream 2% in Treatment of Melasma
title_sort comparing kojic acid cream 2 with glycolic acid 10 and hydroquinone cream 2 in treatment of melasma
topic Melasma
Treatment of melasma
Topical treatment of melasma
Kojic acid
url http://jims.mui.ac.ir/index.php/jims/article/view/2524
work_keys_str_mv AT faribairaji comparingkojicacidcream2withglycolicacid10andhydroquinonecream2intreatmentofmelasma
AT aliasililan comparingkojicacidcream2withglycolicacid10andhydroquinonecream2intreatmentofmelasma
AT fatemehfadaei comparingkojicacidcream2withglycolicacid10andhydroquinonecream2intreatmentofmelasma
AT mohammadalinilforoushzadeh comparingkojicacidcream2withglycolicacid10andhydroquinonecream2intreatmentofmelasma