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Title:The efficacy of cysteamine as a melasma therapy : a systematic review of trial studies
Authors:ID Kusumawardani, Arie (Author)
ID Octarica, Stella Gracia (Author)
ID Kusuma Dewi, Ayu (Author)
ID Sambodo, Shelly Lavenia (Author)
ID Dwi Utama, Rahmat Firdaus (Author)
ID Primas Adjie, Sugih (Author)
Files:.pdf PDF - Presentation file, download (16,93 MB)
MD5: 8AD2CA6F73B50EA6DF359CA8F4CB9F62
 
URL URL - Source URL, visit https://acta-apa.mf.uni-lj.si/journals/acta-dermatovenerol-apa/papers/10.15570/actaapa.2025.36/actaapa.2025.36.pdf
 
Language:English
Typology:1.02 - Review Article
Organization:Logo ZSD - Association of Slovenian Dermatovenereologists
Abstract:Melasma is a chronic and refractory hyperpigmentation disorder that predominantly affects women and individuals with darker skin tones. Treatment remains challenging due to issues related to efficacy, side effects, and high recurrence rates. Cysteamine is a depigmenting agent that has demonstrated promising outcomes in melasma management with minimal adverse effects. This study evaluates the effectiveness of cysteamine as a treatment for melasma. A systematic review was conducted using databases from PubMed, Google Scholar, and ScienceDirect, including articles published over the past 10 years (2013–2023). Eight studies met the inclusion criteria for this review. Cysteamine showed good therapeutic efficacy, reflected in reductions in the melasma area and severity index (MASI) ranging from 1.5 to 10.07, with a mean decrease of 5.73. No severe adverse effects were reported, and only mild reactions such as erythema, itching, irritation, dry skin, tingling, and burning sensations were noted. Overall, cysteamine is demonstrated to be an effective and safe therapy for melasma, offering satisfactory clinical improvement with minimal side effects.
Keywords:cysteamine, hyperpigmentation, MASI, melasma
Publication status:Published
Publication version:Version of Record
Submitted for review:21.07.2025
Article acceptance date:07.11.2025
Publication date:01.12.2025
Place of publishing:Ljubljana
Publisher:Združenje slovenskih dermatovenerologov
Year of publishing:2025
Number of pages:str. 205-209
Numbering:Vol. 34, issue 4
PID:20.500.12556/DiRROS-29917 New window
UDC:616.5-003.829
ISSN on article:1318-4458
DOI:10.15570/actaapa.2025.36 New window
COBISS.SI-ID:276713731 New window
Copyright:Na spletni strani revije navedeno: Acta Dermatovenerologica Alpina, Pannonica et Adriatica (ISSN 1318-4458) is an open access medical journal published quarterly by the Association of Slovenian Dermatovenerologists (https://acta-apa.mf.uni-lj.si/index.php); Authors publishing in our journal retain copyright of their work under the Creative Commons Attribution License (CC BY 4.0). This license allows unrestricted use, distribution, and reproduction of the work in any medium, provided the original author(s) and copyright holder(s) are appropriately credited, and the original publication in the journal is properly cited, following established academic practices (https://acta-apa.mf.uni-lj.si/submissions.php).
Publication date in DiRROS:09.06.2026
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Downloads:153
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Record is a part of a journal

Title:Acta dermatovenerologica Alpina, Panonica et Adriatica
Shortened title:Acta dermatovenerolog. Alp. Panon. Adriat.
Publisher:Slovene Welding Society
ISSN:1318-4458
COBISS.SI-ID:31649024 New window

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

Language:Slovenian
Keywords:melazma, cisteamin, hiperpigmentacija, kožne bolezni, redka kožna bolezen


Collection

This document is a part of these collections:
  1. Acta dermatovenerologica Alpina, Panonica et Adriatica

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