The Efficacy of Intense Pulsed Light as a Treatment for Benign Pigmented Lesions on the Dorsal Hand.

Autor:	Wamsley CE; Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania., Parsa S; Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas., Culver A; Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas., Barillas J; Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas., Kenkel JM; Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, Texas.
Jazyk:	angličtina
Zdroj:	Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] [Dermatol Surg] 2022 Aug 01; Vol. 48 (8), pp. 827-832. Date of Electronic Publication: 2022 May 26.
DOI:	10.1097/DSS.0000000000003494
Abstrakt:	Background: Intense pulsed light (IPL) is a noninvasive therapeutic option to treat benign pigmented lesions by targeting melanin. Objective: The purpose of this study was to assess IPL as a treatment for benign pigmented dorsal hand lesions. Materials and Methods: A total of fifteen subjects, 40 to 73 years old, received 3 monthly IPL treatments over the dorsal hands. Subjects followed up 1 and 3 months after treatment. At every visit, photographs were taken using the VISIA Complexion Analysis System (Canfield Scientific, Fairfield, NJ) and analyzed using the RBX Brown Spots Analysis algorithm. The Clinician Global Aesthetic Improvement Scale and Subject Global Aesthetic Improvement Scale were completed at both follow-up visits. Results: A total of fifteen subjects completed all six visits. The number of brown spots decreased 9.26% ( p = .0004) and 7.52% ( p = .0132) at each follow-up visit. The mean brown intensity decreased 6.15% ( p = .0183) and 7.67% ( p = .0178), whereas the mean contrast intensity decreased 8.88% ( p < .0001) and 6.60% ( p = .0007) 1 and 3 months after treatment, respectively. The mean Clinician Global Aesthetic Improvement Scale was 2.03 and 2.23, whereas the mean Subject Global Aesthetic Improvement Scale 1 and 3 months after treatment was 1.6 and 1.8, respectively. Conclusion: Objective analysis, along with clinician and subject assessments, showed an improvement in the appearance of benign pigmented lesions in the treated area after 3 IPL treatments. (Copyright © 2022 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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