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Keratosis pilaris rubra and keratosis pilaris atrophicans faciei treated with pulsed dye laser: report of 10 cases.
J Eur Acad Dermatol Venereol. 2011 Jun; 25(6):710-4.JE

Abstract

BACKGROUND

Keratosis pilaris rubra (KPR) and keratosis pilaris atrophicans faciei (KPAF) are both keratinization disorders characterized by erythema and keratotic follicular papules usually located on cheeks, forehead, chin and eyebrows. Topical keratolytics, vitamin D3 analogues, antibiotics, topical and oral retinoids have been used with limited results. As this condition can be socially very limiting, the need for an effective treatment has led to the use of other technologies such as pulsed dye laser (PDL) or intense pulsed light.

OBJECTIVE

The aim of this study was to assess the efficacy and safety of PDL in patients with KPR or KPAF.

METHODS

Ten patients with KPR or KPAF were treated with two to seven sessions of PDL at 595-nm wavelength. Laser therapy was performed using a spot size of 7 or 10mm, a pulse duration of 0.5 or 1.5ms and a fluence from 5 to 9J/cm(2) . Two dermatologists evaluated treatment effectiveness by means of photographs of the patients before starting and after finishing the therapy.

RESULTS

Complete resolution of erythema was achieved in three patients; clearance of erythema was >75% in the other seven patients. Transient purpura was present in all patients for about 2weeks and one patient presented postinflammatory hyperpigmentation for 7months.

CONCLUSION

We consider that PDL is a good option for the treatment of KPR and KPAF. A marked reduction in erythema is achieved in all patients with a low incidence of side effects.

Authors+Show Affiliations

Dermatology Department, Ramon y Cajal Hospital, Madrid, Spain. raistlin_majere_19@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20569297

Citation

Alcántara González, J, et al. "Keratosis Pilaris Rubra and Keratosis Pilaris Atrophicans Faciei Treated With Pulsed Dye Laser: Report of 10 Cases." Journal of the European Academy of Dermatology and Venereology : JEADV, vol. 25, no. 6, 2011, pp. 710-4.
Alcántara González J, Boixeda P, Truchuelo Díez MT, et al. Keratosis pilaris rubra and keratosis pilaris atrophicans faciei treated with pulsed dye laser: report of 10 cases. J Eur Acad Dermatol Venereol. 2011;25(6):710-4.
Alcántara González, J., Boixeda, P., Truchuelo Díez, M. T., & Fleta Asín, B. (2011). Keratosis pilaris rubra and keratosis pilaris atrophicans faciei treated with pulsed dye laser: report of 10 cases. Journal of the European Academy of Dermatology and Venereology : JEADV, 25(6), 710-4. https://doi.org/10.1111/j.1468-3083.2010.03772.x
Alcántara González J, et al. Keratosis Pilaris Rubra and Keratosis Pilaris Atrophicans Faciei Treated With Pulsed Dye Laser: Report of 10 Cases. J Eur Acad Dermatol Venereol. 2011;25(6):710-4. PubMed PMID: 20569297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Keratosis pilaris rubra and keratosis pilaris atrophicans faciei treated with pulsed dye laser: report of 10 cases. AU - Alcántara González,J, AU - Boixeda,P, AU - Truchuelo Díez,M T, AU - Fleta Asín,B, Y1 - 2010/06/21/ PY - 2010/6/24/entrez PY - 2010/6/24/pubmed PY - 2011/10/28/medline SP - 710 EP - 4 JF - Journal of the European Academy of Dermatology and Venereology : JEADV JO - J Eur Acad Dermatol Venereol VL - 25 IS - 6 N2 - BACKGROUND: Keratosis pilaris rubra (KPR) and keratosis pilaris atrophicans faciei (KPAF) are both keratinization disorders characterized by erythema and keratotic follicular papules usually located on cheeks, forehead, chin and eyebrows. Topical keratolytics, vitamin D3 analogues, antibiotics, topical and oral retinoids have been used with limited results. As this condition can be socially very limiting, the need for an effective treatment has led to the use of other technologies such as pulsed dye laser (PDL) or intense pulsed light. OBJECTIVE: The aim of this study was to assess the efficacy and safety of PDL in patients with KPR or KPAF. METHODS: Ten patients with KPR or KPAF were treated with two to seven sessions of PDL at 595-nm wavelength. Laser therapy was performed using a spot size of 7 or 10mm, a pulse duration of 0.5 or 1.5ms and a fluence from 5 to 9J/cm(2) . Two dermatologists evaluated treatment effectiveness by means of photographs of the patients before starting and after finishing the therapy. RESULTS: Complete resolution of erythema was achieved in three patients; clearance of erythema was >75% in the other seven patients. Transient purpura was present in all patients for about 2weeks and one patient presented postinflammatory hyperpigmentation for 7months. CONCLUSION: We consider that PDL is a good option for the treatment of KPR and KPAF. A marked reduction in erythema is achieved in all patients with a low incidence of side effects. SN - 1468-3083 UR - https://www.unboundmedicine.com/medline/citation/20569297/Keratosis_pilaris_rubra_and_keratosis_pilaris_atrophicans_faciei_treated_with_pulsed_dye_laser:_report_of_10_cases_ L2 - https://doi.org/10.1111/j.1468-3083.2010.03772.x DB - PRIME DP - Unbound Medicine ER -