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Pulsed dye laser therapy for rosacea.
Br J Plast Surg. 2004 Jun; 57(4):303-10.BJ

Abstract

Rosacea is a chronic and progressive inflammatory skin disorder affecting the facial convexities for which no curative measure is currently available. Forty consecutive patients with rosacea were treated with the Cynosure PhotoGenica V pulsed dye laser. The improvement following laser therapy was assessed according to a sliding scale: 1 (worse after treatment), 2 (no improvement), 3 (slight improvement), 4 (moderate improvement), 5 (marked improvement). Following an average of 2.4 (range 1-10) laser treatments, a mean score of 4.4 and 4.3 for overall improvement was achieved as judged by the patients and independently assessed by a family member or a close friend of the patients, respectively. The response of erythema and telangiectasia to laser therapy, evaluated by an independent panel of 10 members, showed a mean score of 3.7. Three patients experienced an exacerbation of rosacea during the treatment period requiring antibiotic therapy. During the follow-up period of 6.0-55.5 (mean, 23.3) months after completion of laser therapy, no patient (including 13 patients in whom papulation and pustulation which were amongst the presenting symptoms) required medical treatment. Six patients developed post-inflammatory hyper-pigmentation necessitating skin bleach but no other complication such as scarring was observed. Three patients reported that the residual erythema had progressed after an initial improvement during follow-up periods of 52.4, 15.8 and 6.0 months. All patients felt that laser therapy was worthwhile. We conclude that pulsed dye laser therapy is a useful treatment for rosacea.

Authors+Show Affiliations

Tan ST
The Wellington Regional Plastic, Maxillofacial and Burns Unit, Hutt Hospital, Wellington, New Zealand. sweetan@plastsurg.co.nz
Bialostocki A
No affiliation info available
Armstrong JR
No affiliation info available

MeSH

AdolescentAdultAgedAged, 80 and overFemaleHumansLaser TherapyLasersMaleMiddle AgedPatient SatisfactionPhotographyRosaceaTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15145732

Citation

Tan, S T., et al. "Pulsed Dye Laser Therapy for Rosacea." British Journal of Plastic Surgery, vol. 57, no. 4, 2004, pp. 303-10.
Tan ST, Bialostocki A, Armstrong JR. Pulsed dye laser therapy for rosacea. Br J Plast Surg. 2004;57(4):303-10.
Tan, S. T., Bialostocki, A., & Armstrong, J. R. (2004). Pulsed dye laser therapy for rosacea. British Journal of Plastic Surgery, 57(4), 303-10.
Tan ST, Bialostocki A, Armstrong JR. Pulsed Dye Laser Therapy for Rosacea. Br J Plast Surg. 2004;57(4):303-10. PubMed PMID: 15145732.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pulsed dye laser therapy for rosacea. AU - Tan,S T, AU - Bialostocki,A, AU - Armstrong,J R, PY - 2003/11/13/received PY - 2004/02/16/accepted PY - 2004/5/18/pubmed PY - 2004/7/9/medline PY - 2004/5/18/entrez SP - 303 EP - 10 JF - British journal of plastic surgery JO - Br J Plast Surg VL - 57 IS - 4 N2 - Rosacea is a chronic and progressive inflammatory skin disorder affecting the facial convexities for which no curative measure is currently available. Forty consecutive patients with rosacea were treated with the Cynosure PhotoGenica V pulsed dye laser. The improvement following laser therapy was assessed according to a sliding scale: 1 (worse after treatment), 2 (no improvement), 3 (slight improvement), 4 (moderate improvement), 5 (marked improvement). Following an average of 2.4 (range 1-10) laser treatments, a mean score of 4.4 and 4.3 for overall improvement was achieved as judged by the patients and independently assessed by a family member or a close friend of the patients, respectively. The response of erythema and telangiectasia to laser therapy, evaluated by an independent panel of 10 members, showed a mean score of 3.7. Three patients experienced an exacerbation of rosacea during the treatment period requiring antibiotic therapy. During the follow-up period of 6.0-55.5 (mean, 23.3) months after completion of laser therapy, no patient (including 13 patients in whom papulation and pustulation which were amongst the presenting symptoms) required medical treatment. Six patients developed post-inflammatory hyper-pigmentation necessitating skin bleach but no other complication such as scarring was observed. Three patients reported that the residual erythema had progressed after an initial improvement during follow-up periods of 52.4, 15.8 and 6.0 months. All patients felt that laser therapy was worthwhile. We conclude that pulsed dye laser therapy is a useful treatment for rosacea. SN - 0007-1226 UR - https://www.unboundmedicine.com/medline/citation/15145732/Pulsed_dye_laser_therapy_for_rosacea_ DB - PRIME DP - Unbound Medicine ER -