Intralesional Vitamin D versus Triamcinolone Acetonide for the Treatment of Keloids: A Systematic Review and Meta-analysis of Randomized Controlled Trials - Summary - MDSpire
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Intralesional Vitamin D versus Triamcinolone Acetonide for the Treatment of Keloids: A Systematic Review and Meta-analysis of Randomized Controlled Trials
To evaluate the comparative efficacy and safety of intralesional vitamin D versus triamcinolone acetonide (TAC) in the management of keloids.
Key Findings:
TAC demonstrated superior efficacy in improving scar severity (MD = -9.72; 95% CI -17.41 to -2.02; p = 0.013).
TAC was more effective in lesion flattening (RR = 0.68; 95% CI 0.48 to 0.96; p = 0.028).
Vitamin D was associated with significantly lower risks of pigmentation changes (RR = 0.23; 95% CI 0.07 to 0.78; p = 0.018) and skin atrophy (RR = 0.51; 95% CI 0.32 to 0.82; p = 0.006).
No significant differences were found in pain, erythema, telangiectasia, or blister formation between the two treatments.
Interpretation:
Limitations:
The evidence base is limited, necessitating cautious interpretation of findings.