{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:30:02Z","timestamp":1787841002763,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Vitiligo, an acquired depigmentation disorder, significantly impacts patients\u2019 quality of life due to psychological and aesthetic concerns. Surgical techniques such as suction blister (SB) and micro punch grafting (MPG) are used for stable vitiligo, but their effects have not been fully compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aims to compare the efficacy of SB and MPG in treating stable vitiligo, focusing on repigmentation outcomes and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This study is a double-blind randomized clinical trial with a self-controlled design. Thirty-one participants were randomized to receive SB or MPG on paired vitiligo patches. Lesions were assessed at baseline, 4 weeks and 12 weeks post-treatment using the Vitiligo Area Scoring Index (VASI) and repigmentation percentages. Data were analyzed using paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests and repeated measures analysis of variance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both techniques demonstrated significant increases in VASI and repigmentation over time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). However, MPG showed superior outcomes at 12 weeks, with significantly higher repigmentation rates compared to SB (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Patient satisfaction scores and repigmentation quality were notably better in the MPG group. Adverse effects, including scarring and discolouration, were minimal in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both SB and MPG effectively improved stable vitiligo lesions, with MPG showing greater efficacy in repigmentation and patient satisfaction. These findings suggest MPG as a preferred option for stable vitiligo treatment in clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijd.ijd_1022_24","type":"journal-article","created":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T07:02:43Z","timestamp":1757746963000},"page":"65-69","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Efficacy of Suction Blister and Micro Punch Grafting in Treating Stable Vitiligo: A Clinical Trial"],"prefix":"10.4103","volume":"71","author":[{"given":"Ali","family":"Asilian","sequence":"first","affiliation":[{"name":"From the Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zabihollah","family":"Shahmoradi","sequence":"additional","affiliation":[{"name":"From the Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Shoushtarizadeh","sequence":"additional","affiliation":[{"name":"From the Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Alizadeh","sequence":"additional","affiliation":[{"name":"From the Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Seyedyousefi","sequence":"additional","affiliation":[{"name":"From the Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atefe","family":"Samimi","sequence":"additional","affiliation":[{"name":"From the Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"R1-20251231","first-page":"935","article-title":"Melanocyte biology","volume":"1","author":"Bolognia","year":"2003","journal-title":"Dermatol"},{"key":"R2-20251231","first-page":"45","article-title":"Investigation of factors associated with health-related quality of life and psychological distress in vitiligo","volume":"14","author":"Bonotis","year":"2016","journal-title":"J Dtsch Dermatol Ges"},{"key":"R3-20251231","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1590\/abd1806-4841.20142717","article-title":"Vitiligo--Part 2--classification, histopathology and 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