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Treatment of melasma with the 1,927-nm fractional thulium fiber laser: a retrospective analysis of 20 cases with long-term follow-up.

Identifieur interne : 000232 ( PubMed/Checkpoint ); précédent : 000231; suivant : 000233

Treatment of melasma with the 1,927-nm fractional thulium fiber laser: a retrospective analysis of 20 cases with long-term follow-up.

Auteurs : Ane Beatriz M. Niwa Massaki [États-Unis] ; Sasima Eimpunth ; Sabrina G. Fabi ; Isabella Guiha ; William Groff ; Richard Fitzpatrick

Source :

RBID : pubmed:23255085

Descripteurs français

English descriptors

Abstract

Melasma is a common acquired symmetrical hyperpigmentation that is often recurrent and refractory.

DOI: 10.1002/lsm.22100
PubMed: 23255085


Affiliations:


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pubmed:23255085

Le document en format XML

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<title xml:lang="en">Treatment of melasma with the 1,927-nm fractional thulium fiber laser: a retrospective analysis of 20 cases with long-term follow-up.</title>
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<name sortKey="Niwa Massaki, Ane Beatriz M" sort="Niwa Massaki, Ane Beatriz M" uniqKey="Niwa Massaki A" first="Ane Beatriz M" last="Niwa Massaki">Ane Beatriz M. Niwa Massaki</name>
<affiliation wicri:level="2">
<nlm:affiliation>Goldman, Butterwick, Fitzpatrick, Groff and Fabi Cosmetic Laser Dermatology, 8232 Regents Rd, Apt 201, San Diego, CA 92122, USA. aneniwa@gmail.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Eimpunth, Sasima" sort="Eimpunth, Sasima" uniqKey="Eimpunth S" first="Sasima" last="Eimpunth">Sasima Eimpunth</name>
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<name sortKey="Fabi, Sabrina G" sort="Fabi, Sabrina G" uniqKey="Fabi S" first="Sabrina G" last="Fabi">Sabrina G. Fabi</name>
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<name sortKey="Groff, William" sort="Groff, William" uniqKey="Groff W" first="William" last="Groff">William Groff</name>
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<term>Adult</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lasers, Solid-State (therapeutic use)</term>
<term>Melanosis (surgery)</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Retrospective Studies</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lasers à solide (usage thérapeutique)</term>
<term>Mélanose ()</term>
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<term>Satisfaction du patient</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Melanosis</term>
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<term>Lasers, Solid-State</term>
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<div type="abstract" xml:lang="en">Melasma is a common acquired symmetrical hyperpigmentation that is often recurrent and refractory.</div>
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<Day>26</Day>
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<Month>08</Month>
<Day>14</Day>
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<Volume>45</Volume>
<Issue>2</Issue>
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<Title>Lasers in surgery and medicine</Title>
<ISOAbbreviation>Lasers Surg Med</ISOAbbreviation>
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<ArticleTitle>Treatment of melasma with the 1,927-nm fractional thulium fiber laser: a retrospective analysis of 20 cases with long-term follow-up.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Melasma is a common acquired symmetrical hyperpigmentation that is often recurrent and refractory.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate the efficacy and safety of a single administration of high-density fractional thulium fiber laser (1,927 nm) for the treatment of refractory melasma in 20 patients.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A retrospective chart and photographs review of 20 women (Fitzpatrick skin type II-IV) with clinical diagnosis of melasma treated with the 1,927-nm fractionated thulium laser at 10 or 20 mJ/cm(2) , with 60-70% surface area coverage. Four investigators independently evaluated Melasma Area Severity Index (MASI) scores before, 4 weeks, 3-6 months, and 6-12 months after treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean MASI scores decreased dramatically from 13.2 ± 5.4 before treatment to 8.5 ± 3.5 at 4 weeks after laser treatment (P = 0.004). Patient assessment revealed that 12 of the 20 subjects had more than 50% clearance of their melasma. Recurrence was reported by 7 out of 15 patients who were successfully followed-up (mean 10.2 months). Two patients developed postinflammatory hyperpigmentation that subsided with topical bleaching after 3 months.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">High-density coverage fractional 1,927-nm thulium laser proved to be safe and effective for melasma with long-term remission.</AbstractText>
<CopyrightInformation>Copyright © 2012 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
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<LastName>Niwa Massaki</LastName>
<ForeName>Ane Beatriz M</ForeName>
<Initials>AB</Initials>
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<Affiliation>Goldman, Butterwick, Fitzpatrick, Groff and Fabi Cosmetic Laser Dermatology, 8232 Regents Rd, Apt 201, San Diego, CA 92122, USA. aneniwa@gmail.com</Affiliation>
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<name sortKey="Niwa Massaki, Ane Beatriz M" sort="Niwa Massaki, Ane Beatriz M" uniqKey="Niwa Massaki A" first="Ane Beatriz M" last="Niwa Massaki">Ane Beatriz M. Niwa Massaki</name>
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