Treatment of poikiloderma of Civatte with the pulsed dye laser: a series of patients with severe depigmentation

Meijs, M. M.; Blok, F.A.A.; Rie, Menno A. de

doi:10.1111/j.1468-3083.2006.01782.x

Cited by 34 publications

(25 citation statements)

References 14 publications

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“…Using high fluence on the PDL can result in late depigmentation which may be as distressing as the original condition [ 20 ]. Some authors have reported very high efficacy and low incidence of side effects after treating poikiloderma of Civatte with IPL [ 21 ].…”

Section: Other Indicationsmentioning

confidence: 98%

Vascular Lasers

Madan¹

2014

Handbook of Lasers in Dermatology

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Lasers and flashlamps are the mainstay of treatment of vascular malformations of the skin. A thorough understanding of the principles of selective photothermolysis will allow the laser practitioner to use the right device with appropriate wavelength and pulse duration at right fluence to effectively and safely treat the vascular lesion in their patients. In this chapter we will focus on use of such lasers in the treatment of vascular indications. Keywords

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Section: Other Indicationsmentioning

confidence: 98%

Vascular Lasers

Madan¹

2014

Handbook of Lasers in Dermatology

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“…Results in clinical trials using the vascular pulsed dye laser for the treatment of erythema in rosacea, blood vessel dilation/growth in hemangiomas and telangiectasia, as well as hemosiderin deposition from capillaritis are excellent; however, purpura, prolonged erythema, late-onset hypopigmented macules, and post-inflammatory hyperpigmentation are complications that require serious consideration prior to therapy, especially in the patient with cosmetic concerns 27–31. Although patients are often dissatisfied knowing that there are no “quick fixes” available, it is important that there is a clear discussion regarding the planned therapeutic regimen and the importance of close clinical follow-up, and that meticulous commitment to treatment be emphasized by the practitioner.…”

Section: Importance Of Cosmetic Camouflagementioning

confidence: 99%

Emotional benefit of cosmetic camouflage in the treatment of facial skin conditions: personal experience and review

Levy¹,

Emer²

2012

CCID

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BackgroundRecent studies highlighting the psychological benefits of medical treatment for dermatological skin conditions have demonstrated a clear role for medical therapy in psychological health. Skin conditions, particularly those that are overtly visible, such as those located on the face, neck, and hands, often have a profound effect on the daily functioning of those affected. The literature documents significant emotional benefits using medical therapy in conditions such as acne, psoriasis, vitiligo, and rosacea, but there is little evidence documenting similar results with the use of cosmetic camouflage. Here we present a review highlighting the practical use of cosmetic camouflage makeup in patients with facial skin conditions and review its implications for psychological health.MethodsA search of the Medline and Scopus databases was performed to identify articles documenting the emotional benefit of cosmetic camouflage.ResultsCosmetic camouflage provides a significant emotional benefit for patients with facial skin conditions, and this is substantiated by a literature review and personal experience. More clinical studies are needed to assess and validate the findings reported here.ConclusionPatients with visible skin conditions have increased rates of depression, anxiety, and decreased self-esteem. It is prudent for us to consider therapies that can offer rapid and dramatic results, such as cosmetic camouflage.

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“…Numerous lasers and light sources including: pulsed‐dye lasers (PDLs), intense pulsed light sources (IPLs), long pulse‐duration neodymium‐doped yttrium‐aluminum garnet (Nd:YAG) lasers incorporating a potassium‐titanyl‐phosphate (KTP) frequency‐doubling crystal, and fractionated non‐ablative and ablative lasers have all been used to remove the extra blood vessels and pigment comprising POC. The intense vascularity of POC makes this an ideal condition to treat with vascular specific lasers such as the PDL and KTP lasers.…”

Section: Introductionmentioning

confidence: 99%

Treatment of poikiloderma of Civatte using a redesigned pulsed dye laser with a 15 mm diameter treatment spot

et al. 2018

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Objectives The pulsed‐dye laser has long been a gold standard in the treatment of poikiloderma of Civatte. Recent advances in pulsed dye laser technology enable output energies 50% higher, enabling beam diameters of up to 15 mm with clinically relevant fluences. In this study, we investigate this new laser for treatment of this condition. Materials and Methods Twenty subjects were enrolled in the study. A total of four treatments were administered at monthly intervals. Blinded assessment of digital, cross‐polarized photographs taken at baseline and two months following the last treatment was performed by blinded physician raters using an 11‐point clearance scale. Subject reported pain scores immediately following treatment and side effects at all visits were recorded by the investigator. Results Seventeen subjects completed the study. Blinded reviewers correctly identified the baseline photo in 48 of 51 cases (94%). All three reviewers mis‐identified the same subjects. The blinded reviewers scored 14 out of the 17 subjects with an improvement greater than 40% and 10 out of the 17 subjects greater than 50%. Average improvement was 49% for all 17 subjects. Side effects were limited to mild edema, and mild to moderate erythema and purpura. Pain scores averaged 3.5 on using an 11‐point scale. Conclusion This study demonstrates the safety and effectiveness of a new pulsed‐dye laser with a 15 mm spot and 50% higher fluences for the treatment of poikiloderma of Civatte. Lasers Surg. Med. 51:54–58, 2019. © 2018 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.

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Treatment of poikiloderma of Civatte with the pulsed dye laser: a series of patients with severe depigmentation

Cited by 34 publications

References 14 publications

Vascular Lasers

Vascular Lasers

Emotional benefit of cosmetic camouflage in the treatment of facial skin conditions: personal experience and review

Treatment of poikiloderma of Civatte using a redesigned pulsed dye laser with a 15 mm diameter treatment spot

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