2021
DOI: 10.1007/s13555-021-00486-z
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Treatment of Mild-to-Moderate Plaque Psoriasis with a New 650-Microsecond 1064-nm Nd:YAG Laser: Clinical and Dermoscopic Assessment

Abstract: Introduction About 70–80% of patients with psoriasis suffer from mild disease, and new modalities of topical treatment are urgently needed. This study aims to evaluate the effectiveness of 650-microsecond 1064-nm Nd:YAG laser in the therapy of psoriatic plaques and assess the utility of dermoscopy in predicting treatment response. Methods Ten patients (mean age 37.4 ± 16.2 years) with stable plaque-type psoriasis were enrolled. The microsecond Nd:YAG laser treatment was… Show more

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Cited by 7 publications
(12 citation statements)
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“…Classical dermoscopic findings include regularly distributed red dots, in the form of glomerular (bushy) capillaries at higher magnifications, on a pink-to-red background and accompanied by varying amount of white or yellowish scales. [14][15][16][17] Our findings are consistent with prior results. Psoriatic papules and plaques on the dorsa of the hands were characterized by dotted vessels of uniform distribution and white scales.…”
Section: Discussionsupporting
confidence: 93%
See 1 more Smart Citation
“…Classical dermoscopic findings include regularly distributed red dots, in the form of glomerular (bushy) capillaries at higher magnifications, on a pink-to-red background and accompanied by varying amount of white or yellowish scales. [14][15][16][17] Our findings are consistent with prior results. Psoriatic papules and plaques on the dorsa of the hands were characterized by dotted vessels of uniform distribution and white scales.…”
Section: Discussionsupporting
confidence: 93%
“…The dermoscopic aspects of psoriasis have been extensively studied, so far. Classical dermoscopic findings include regularly distributed red dots, in the form of glomerular (bushy) capillaries at higher magnifications, on a pink‐to‐red background and accompanied by varying amount of white or yellowish scales 14–17 . Our findings are consistent with prior results.…”
Section: Discussionsupporting
confidence: 91%
“…Half of the six patients with globular vessels did not respond to laser. In the studies by Marta Kołt-Kami ńska et al [19], no clinical response was obtained in some of the patients. In our study, a reduction in psoriatic lesions was observed in all patients.…”
Section: Discussionmentioning
confidence: 93%
“…The 1064 nm Nd:YAG laser therapy is used to treat different types of psoriasis, such as plaque psoriasis and nail psoriasis, due to its ability to act on the overly branched and dilated blood vessels in psoriatic skin. In the study by Marta Kołt-Kami ńska and others [19], ten patients underwent four treatments using a Nd:YAG 1064 nm laser with a 650-microsecond pulse width at weekly intervals. Patients showed a significant improve-ment in all elements of mPASI, with a maximum mean reduction in total mPASI of 30.3%.…”
Section: Discussionmentioning
confidence: 99%
“…The dynamic observation of patients with psoriasis who had been cured, showed that, with the improvement of clinical symptoms, the diameter of the dilated glomus under dermoscopy decreased gradually. [69][70][71] Moreover, the distribution density of the dotted/ globular vessels decreased gradually until there was a partial return to normal. 72,73 The clinical symptom score shown a significant correlation with the diameter of the glomus observed under dermoscopy, 74 which suggested that the changes in the vascular pattern in the skin lesions may be used as an index to observe the effect of psoriasis treatment and the recovery of skin lesions.…”
Section: Assessment Of Therapeutic Effectmentioning
confidence: 99%