Pulsed dye laser treatment of port-wine stains in pigmented skin.
Pulsed dye laser treatment of port-wine stains in pigmented skin.
复制标题
脉冲染料激光治疗色素皮肤中的葡萄酒色斑。
DOI：
10.1067/mjd.2000.103811
复制
发表时间：
2000
影响因子：
13.8
通讯作者：
R. Sheehan
中科院分区：
文献类型：
--
作者：
S. Sommer;R. Sheehan
背景
关于脉冲染料激光治疗深色菲茨帕特里克皮肤类型的信息很少。
方法
本文回顾性分析了13例年龄3 ~ 65岁的V型皮肤患者的临床经验，主要治疗面部葡萄酒色斑（12/13）。
结果
2例患者的反应为极好，4例为良好或中度，1例为轻微，2例为差。6名患者发生色素沉着过度，1名患者发生色素减退，尽管继续治疗，但仍有所改善。2例患者出现有限的萎缩性瘢痕。虽然这些结果不如I至IV型皮肤所描述的好，副作用更频繁，但6名患者（46%）达到了良好或极好的反应，总共97次激光治疗中有85次（87.6%）与重大问题无关。
结论
如果充分讨论了治疗预期和风险，则不应将患有PWS的V型皮肤患者排除在脉冲染料激光治疗之外。
BACKGROUND
Little information is available on pulsed dye laser treatment of darker Fitzpatrick skin types.
METHODS
We retrospectively reviewed our clinical experience treating mainly facial (12/13) port-wine stains (PWSs) in 13 patients of skin type V, whose ages ranged from 3 to 65 years.
RESULTS
The response was excellent in 2 patients, good or moderate in 4 each, slight in 1, and poor in 2. Hyperpigmentation occurred in 6 patients and hypopigmentation in 1, which improved despite continuing treatment. Limited atrophic scarring developed in two patients. Although these results were less good and side effects more frequent than described in skin types I to IV, 6 patients (46%) achieved a good or excellent response and 85 (87.6%) of the total 97 laser treatments were not associated with significant problems.
CONCLUSION
Patients of skin type V with a PWS should not be excluded from pulsed dye laser therapy, provided that treatment expectations and risks are fully discussed.