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Postinflammatory Hyperpigmentation Successfully Treated with 1,064-nm Picosecond-Domain Neodymium:Yttrium-Aluminum- Garnet Laser

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초록

Postinflammatory hyperpigmentation (PIH) is a reactive hypermelanosis of the skin occurring as a result of variable inflammatory processes, such as trauma, and inflammatory dermatosis. Although topical agents are the first-line treatment of PIH, treatment of PIH remains challenging. In this report, we treated a patient with PIH using picosecond-domain Nd:YAG lasers. After five sessions of 1,064-nm picosecond-domain Nd:YAG laser treatment, the patient presented nearly complete improvement, with no remarkable side effects or recurrence for the duration of 6 months. We suggest that 1,064-nm picosecond-domain Nd:YAG laser can be effectively and safely used to treat pigmented lesions in the dermis, particularly PIH, in Asian patients.

Abstract

Postinflammatory hyperpigmentation (PIH) is a reactive hypermelanosis of the skin occurring as a result of variable inflammatory processes, such as trauma, and inflammatory dermatosis. Although topical agents are the first-line treatment of PIH, treatment of PIH remains challenging. In this report, we treated a patient with PIH using picosecond-domain Nd:YAG lasers. After five sessions of 1,064-nm picosecond-domain Nd:YAG laser treatment, the patient presented nearly complete improvement, with no remarkable side effects or recurrence for the duration of 6 months. We suggest that 1,064-nm picosecond-domain Nd:YAG laser can be effectively and safely used to treat pigmented lesions in the dermis, particularly PIH, in Asian patients.

참고문헌 (7)

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  2. Oram Y, "Refractory postinflammatory hyperpigmentation treated fractional CO2 laser", J Clin Aesthet Dermatol, 7, pp.42~44 (2014)
  3. Katz TM, "Fractional photothermolysis for the treatment of postinflammatory hyperpigmentation", Dermatol Surg, 35, pp.1844~1848 (2009)
  4. Rokhsar CK, "Fractional photothermolysis for the treatment of postinflammatory hyperpigmentation after carbon dioxide laser resurfacing", Dermatol Surg, 35, pp.535~537 (2009)
  5. Cho SB, "Treatment of postinflammatory hyperpigmentation using 1064-nm Q-switched Nd:YAG laser with low fluence: report of three cases", J Eur Acad Dermatol Venereol, 23, pp.1206~1207 (2009)
  6. Ross EV, "The picosecond revolution and laser tattoo treatments:are shorter pulses really better", Br J Dermatol, 176, pp.299~300 (2017)
  7. Ahn KJ, "Pattern analysis of laser-tattoo interactions for picosecond- and nanosecond-domain 1,064-nm neodymium-doped yttriumaluminum-garnet lasers in tissue-mimicking phantom", Sci Rep, 7, pp.1533~ (2017)

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