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Intense pulsed light as an alternative treatment for erythematotelangiectatic rosacea: a case report

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주제분류의학일반

초록

Rosacea is a chronic inflammatory condition characterized by recurrent episodes of flushing, persistent erythema, inflammatory papules, pustules, and telangiectasia that usually affects the centrofacial region. Conventional oral and topical agents primarily target inflammatory papules and pustules, but limited evidence supports their ability to manage background facial erythema and telangiectasia. Instead, recommendations favor intense pulsed light (IPL) or vascular lasers, such as the pulsed dye laser (PDL), for treating erythematotelangiectatic rosacea (ETR). Previous studies have confirmed the effectiveness of PDL and IPL as treatments for facial erythema and telangiectasia. This report details the case of a 66-year-old Korean female with ETR successfully treated with IPL and highlights its potential as an alternative treatment option for ETR patients refractory to PDL and conventional medications.

Abstract

Rosacea is a chronic inflammatory condition characterized by recurrent episodes of flushing, persistent erythema, inflammatory papules, pustules, and telangiectasia that usually affects the centrofacial region. Conventional oral and topical agents primarily target inflammatory papules and pustules, but limited evidence supports their ability to manage background facial erythema and telangiectasia. Instead, recommendations favor intense pulsed light (IPL) or vascular lasers, such as the pulsed dye laser (PDL), for treating erythematotelangiectatic rosacea (ETR). Previous studies have confirmed the effectiveness of PDL and IPL as treatments for facial erythema and telangiectasia. This report details the case of a 66-year-old Korean female with ETR successfully treated with IPL and highlights its potential as an alternative treatment option for ETR patients refractory to PDL and conventional medications.

참고문헌 (9)

  1. Kassir R, "Intense pulsed light for the treatment of rosacea and telangiectasias", J Cosmet Laser Ther, 13, pp.216~222 (2011)
  2. Papageorgiou P, "Treatment of rosacea with intense pulsed light : significant improvement and long-lasting results", Br J Dermatol, 159, pp.628~632 (2008)
  3. van Zuuren EJ, "Rosacea : new concepts in classification and treatment", Am J Clin Dermatol, 22, pp.457~465 (2021)
  4. Rusina T, "Erythematotelangiectatic rosacea : the combination of 0. 5% brimonidine tartrate gel and broadband pulse light therapy to reverse its effects", J Cosmet Dermatol, 20, pp.2116~2118 (2021)
  5. Schaller M, "Recommendations for rosacea diagnosis, classification and management : update from the global ROSacea COnsensus 2019 panel", Br J Dermatol, 182, pp.1269~1276 (2020)
  6. Schaller M, "Rosacea treatment update : recommendations from the global ROSacea COnsensus(ROSCO)panel", Br J Dermatol, 176, pp.465~471 (2017)
  7. Srinivas CR, "Lasers for vascular lesions : standard guidelines of care", Indian J Dermatol Venereol Leprol, 77, pp.349~368 (2011)
  8. Neuhaus IM, "Comparative efficacy of nonpurpuragenic pulsed dye laser and intense pulsed light for erythematotelangiectatic rosacea", Dermatol Surg, 35, pp.920~928 (2009)
  9. Handler MZ, "IPL vs PDL in treatment of facial erythema : a split-face study", J Cosmet Dermatol, 16, pp.450~453 (2017)

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