Asunto(s)
Remoción del Cabello , Hidradenitis Supurativa/cirugía , Láseres de Estado Sólido/uso terapéutico , Remoción del Cabello/efectos adversos , Humanos , Láseres de Estado Sólido/efectos adversos , Dolor/etiología , Estudios Prospectivos , Método Simple Ciego , Brote de los Síntomas , Resultado del TratamientoRESUMEN
BACKGROUND: There is limited information regarding early development of soft-tissue and/or bone hypertrophy with facial port-wine stains (PWS). OBJECTIVE: We sought to characterize patients with hypertrophic PWS presenting during childhood. METHODS: Patients with a facial PWS and underlying hypertrophy that developed before the age of 18 years were included in a multicenter retrospective study. Age at onset of the hypertrophy, its location, association with odontologic problems, presence of other associated complications, and response to laser treatment were recorded. RESULTS: A total of 98 patients were included. The mean age at onset of hypertrophy, retrieved for 77 of 98 patients, was 5.6 years. The hypertrophy was congenital in 26%. Odontologic problems were noted in 39.8% of cases. Other complications, including cataract, asymmetric development of the maxillary bone, and speech delay/disorders, were reported in 18.4%. In all, 67 patients received laser treatment. Only 3% achieved complete or nearly complete clearance of the PWS. LIMITATIONS: As only cases of PWS with early-onset hypertrophy were included, we were unable to calculate the prevalence of this manifestation. CONCLUSION: PWS with early-onset hypertrophy are associated with a high rate of complications and a poor response to laser treatment. Periodic monitoring is recommended for early detection and treatment of complications.
Asunto(s)
Anomalías Múltiples , Láseres de Colorantes/uso terapéutico , Mancha Vino de Oporto/patología , Mancha Vino de Oporto/cirugía , Anomalías Múltiples/diagnóstico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Cara , Femenino , Humanos , Hipertrofia/congénito , Hipertrofia/patología , Hipertrofia/cirugía , Lactante , Masculino , Persona de Mediana Edad , Cuello , Mancha Vino de Oporto/complicaciones , Pronóstico , Estudios Retrospectivos , Adulto JovenRESUMEN
BACKGROUND: More and more we are seeing depilatory mechanisms based on IPL technology and used at home. As far as we know, these appliance have not undergone either safety or efficacy testing. AIMS: The aim of the study was to compare tolerance and efficacy of two depilation methods a medical device in-home-use IPL (E-One) and hot wax. MATERIALS & METHODS: Axillae of 63 persons were treated by either IPL (intense pulsed light) or hot wax for 49 weeks. Tolerance was assessed clinically by a dermatologist and efficacy by an independent blinded photographic assessment. RESULTS: Tolerance of the two methods is reasonably good with better results for the IPL treatment. IPL treatment is also much more efficient. CONCLUSION: This study confirmed good tolerance and excellent efficacy of this first one medical device used at home. Taking into consideration the mechanical action of the IPL and our experience, other cutaneous appliances (against wrinkles (or aging), hyperpigmentation. etc.) could be considered after optimization of the technical parameters.
Asunto(s)
Remoción del Cabello/métodos , Luz , Ceras , Adulto , Axila , Seguridad de Productos para el Consumidor , Femenino , Calor , Humanos , Luz/efectos adversos , Masculino , Persona de Mediana Edad , Pulso Arterial , Distribución Aleatoria , Seguridad , Autocuidado , Método Simple Ciego , Resultado del Tratamiento , Ceras/efectos adversosRESUMEN
The pigmentary disorders are a very heterogeneous group with a high therapeutic demand from the patients. The lasers have provided a major advance in the treatment of some pigmentary lesions. The indication and the optimal parameters are actually quite well defined. However, pigmentary lasers have limits and some dermatosis can even be worsened after laser treatment. Those limitations as well as the potential side effects have to clearly be explained to the patients that often seek for a miracle cure.
