Cutaneous Compression for the Laser Treatment of Epidermal Pigmented Lesions with the 595-nm Pulsed Dye Laser

BACKGROUNDThe 595-nm pulsed dye laser has been the standard of care for many vascular lesions and has rarely been used in the treatment of epidermal pigmented lesions. OBJECTIVEThe objective was to investigate the effectiveness and safety of a compression technique for the treatment of epidermal pig...

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Veröffentlicht in:Dermatologic surgery 2008-02, Vol.34 (2), p.179-183
Hauptverfasser: GARDEN, JEROME M, BAKUS, ABNOEAL D, DOMANKEVITZ, YACOV
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container_end_page 183
container_issue 2
container_start_page 179
container_title Dermatologic surgery
container_volume 34
creator GARDEN, JEROME M
BAKUS, ABNOEAL D
DOMANKEVITZ, YACOV
description BACKGROUNDThe 595-nm pulsed dye laser has been the standard of care for many vascular lesions and has rarely been used in the treatment of epidermal pigmented lesions. OBJECTIVEThe objective was to investigate the effectiveness and safety of a compression technique for the treatment of epidermal pigmented lesion using a modified 595-nm pulsed dye laser with no epidermal cooling. METHODSTwelve subjects (mean age 58 years) underwent treatments using a modified 595-nm dye laser with a compression handpiece and no epidermal cooling. Treatments were performed with radiant exposures of 7 to 12 J/cm, 7-mm spot size, and 1.5-ms pulse duration. Each subject received one to four treatments, 4 to 6 weeks apart. Follow-up evaluations were held before each treatment and 4 months after last treatment. RESULTSClearance of 75% to 100% was obtained in 43, 59, 76, and 79% of the lesions treated after one, two, three, and four treatments respectively. The fourth treatment was evaluated 4 months posttreatment. Side effects included immediate erythema and edema and rare cases of transient hyperpigmentation and atrophy. No purpura and long-lasting side effects were observed. CONCLUSIONThe compression technique with a modified 595-nm pulsed dye laser system is effective and safe for the treatment of epidermal pigmented lesions.
doi_str_mv 10.1097/00042728-200802000-00006
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OBJECTIVEThe objective was to investigate the effectiveness and safety of a compression technique for the treatment of epidermal pigmented lesion using a modified 595-nm pulsed dye laser with no epidermal cooling. METHODSTwelve subjects (mean age 58 years) underwent treatments using a modified 595-nm dye laser with a compression handpiece and no epidermal cooling. Treatments were performed with radiant exposures of 7 to 12 J/cm, 7-mm spot size, and 1.5-ms pulse duration. Each subject received one to four treatments, 4 to 6 weeks apart. Follow-up evaluations were held before each treatment and 4 months after last treatment. RESULTSClearance of 75% to 100% was obtained in 43, 59, 76, and 79% of the lesions treated after one, two, three, and four treatments respectively. The fourth treatment was evaluated 4 months posttreatment. Side effects included immediate erythema and edema and rare cases of transient hyperpigmentation and atrophy. No purpura and long-lasting side effects were observed. CONCLUSIONThe compression technique with a modified 595-nm pulsed dye laser system is effective and safe for the treatment of epidermal pigmented lesions.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/00042728-200802000-00006</identifier><identifier>PMID: 18093202</identifier><language>eng</language><publisher>Malden, MA: by the American Society for Dermatologic Surgery, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Dermatology ; Female ; Follow-Up Studies ; Humans ; Lasers, Dye - therapeutic use ; Low-Level Light Therapy - methods ; Medical sciences ; Middle Aged ; Pigmentary diseases of the skin ; Pigmentation Disorders - pathology ; Pigmentation Disorders - radiotherapy ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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OBJECTIVEThe objective was to investigate the effectiveness and safety of a compression technique for the treatment of epidermal pigmented lesion using a modified 595-nm pulsed dye laser with no epidermal cooling. METHODSTwelve subjects (mean age 58 years) underwent treatments using a modified 595-nm dye laser with a compression handpiece and no epidermal cooling. Treatments were performed with radiant exposures of 7 to 12 J/cm, 7-mm spot size, and 1.5-ms pulse duration. Each subject received one to four treatments, 4 to 6 weeks apart. Follow-up evaluations were held before each treatment and 4 months after last treatment. RESULTSClearance of 75% to 100% was obtained in 43, 59, 76, and 79% of the lesions treated after one, two, three, and four treatments respectively. The fourth treatment was evaluated 4 months posttreatment. Side effects included immediate erythema and edema and rare cases of transient hyperpigmentation and atrophy. No purpura and long-lasting side effects were observed. CONCLUSIONThe compression technique with a modified 595-nm pulsed dye laser system is effective and safe for the treatment of epidermal pigmented lesions.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Lasers, Dye - therapeutic use</subject><subject>Low-Level Light Therapy - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pigmentary diseases of the skin</subject><subject>Pigmentation Disorders - pathology</subject><subject>Pigmentation Disorders - radiotherapy</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GARDEN, JEROME M</creatorcontrib><creatorcontrib>BAKUS, ABNOEAL D</creatorcontrib><creatorcontrib>DOMANKEVITZ, YACOV</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GARDEN, JEROME M</au><au>BAKUS, ABNOEAL D</au><au>DOMANKEVITZ, YACOV</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cutaneous Compression for the Laser Treatment of Epidermal Pigmented Lesions with the 595-nm Pulsed Dye Laser</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2008-02</date><risdate>2008</risdate><volume>34</volume><issue>2</issue><spage>179</spage><epage>183</epage><pages>179-183</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUNDThe 595-nm pulsed dye laser has been the standard of care for many vascular lesions and has rarely been used in the treatment of epidermal pigmented lesions. OBJECTIVEThe objective was to investigate the effectiveness and safety of a compression technique for the treatment of epidermal pigmented lesion using a modified 595-nm pulsed dye laser with no epidermal cooling. METHODSTwelve subjects (mean age 58 years) underwent treatments using a modified 595-nm dye laser with a compression handpiece and no epidermal cooling. Treatments were performed with radiant exposures of 7 to 12 J/cm, 7-mm spot size, and 1.5-ms pulse duration. Each subject received one to four treatments, 4 to 6 weeks apart. Follow-up evaluations were held before each treatment and 4 months after last treatment. RESULTSClearance of 75% to 100% was obtained in 43, 59, 76, and 79% of the lesions treated after one, two, three, and four treatments respectively. The fourth treatment was evaluated 4 months posttreatment. Side effects included immediate erythema and edema and rare cases of transient hyperpigmentation and atrophy. No purpura and long-lasting side effects were observed. CONCLUSIONThe compression technique with a modified 595-nm pulsed dye laser system is effective and safe for the treatment of epidermal pigmented lesions.</abstract><cop>Malden, MA</cop><pub>by the American Society for Dermatologic Surgery, Inc</pub><pmid>18093202</pmid><doi>10.1097/00042728-200802000-00006</doi><tpages>5</tpages></addata></record>
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source Journals@Ovid Ovid Autoload; MEDLINE; Wiley Online Library All Journals
subjects Adult
Aged
Biological and medical sciences
Dermatology
Female
Follow-Up Studies
Humans
Lasers, Dye - therapeutic use
Low-Level Light Therapy - methods
Medical sciences
Middle Aged
Pigmentary diseases of the skin
Pigmentation Disorders - pathology
Pigmentation Disorders - radiotherapy
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
title Cutaneous Compression for the Laser Treatment of Epidermal Pigmented Lesions with the 595-nm Pulsed Dye Laser
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