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Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review

Background: The treatment of port-wine stains (PWS) with the pulsed dye laser (PDL) is well established in patients with lighter skin phototypes with few complications. Evidence is emerging that PDL also produces favourable outcome in patients with darker skin types. This review aimed to evaluate th...

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Main Authors: Shamsudin, Norashikin, Hemandas, Gangaram, Hussein, Suraiya H.
Format: Article
Language:English
Published: Persatuan Dermatologi Malaysia 2009
Online Access:http://psasir.upm.edu.my/id/eprint/17481/1/Treatment%20response%20of%20port-wine%20stain%20to%20585-nm%20pulsed%20dye%20laser%20a%205-year%20retrospective%20review.pdf
http://psasir.upm.edu.my/id/eprint/17481/
http://www.dermatology.org.my/malaysia_journal.php
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spelling my.upm.eprints.174812016-09-08T08:42:36Z http://psasir.upm.edu.my/id/eprint/17481/ Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review Shamsudin, Norashikin Hemandas, Gangaram Hussein, Suraiya H. Background: The treatment of port-wine stains (PWS) with the pulsed dye laser (PDL) is well established in patients with lighter skin phototypes with few complications. Evidence is emerging that PDL also produces favourable outcome in patients with darker skin types. This review aimed to evaluate the efficacy of flashlamp-pumped PDL for PWS in our centre and to assess the complications of treatment. Patients and Methods: A retrospective review of 36 patients with PWS treated with PDL (585-nm, 450 microseconds pulse width, Candela Sptl-1b) at the Department of Dermatology, Hospital Kuala Lumpur over a five-year period from 2003 to 2007 was undertaken. All patients (28 females, 8 males; 25 Chinese, 10 Malays and 1 Indian) were of Fitzpatrick skin types IV (30/36) and V (6/36) with ages ranged from 1 to 59 years (mean 18.9 years). The site of lesion was mainly facial (34/36) with colour varying from red (24/36) to pink (4/36), dark purple (1/36) and mixed (7/36). Response was graded as 0-25% = nil to minimal lightening; 26-50% = moderate lightening; 51-75% = marked lightening; 76-100% = excellent based on the last treatment visit. Results: The number of sessions ranged from 2 to 16 over 4 to 52 months (mean 5.9 months). The average treatment interval was 4.6 months (range, 1 to 13 months). In a total of 213 sessions, minimal lightening was observed in 19(53%) patients after a mean of 4.2 sessions, moderate lightening in 8(22%) patients after a mean of 8.1 sessions, marked lightening in 3(8%) patients after a mean of 6 sessions and excellent in 6(17%) patients after a mean of 6.8 sessions. No patient showed complete clearance. 1 patient developed both textural change and scarring. Conclusion: The flashlamp-pumped PDL is a useful and safe treatment modality for PWS in Asian patients of darker skin phototypes. Persatuan Dermatologi Malaysia 2009 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/17481/1/Treatment%20response%20of%20port-wine%20stain%20to%20585-nm%20pulsed%20dye%20laser%20a%205-year%20retrospective%20review.pdf Shamsudin, Norashikin and Hemandas, Gangaram and Hussein, Suraiya H. (2009) Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review. Malaysian Journal of Dermatology, 23. pp. 1-6. ISSN 1511-5356 http://www.dermatology.org.my/malaysia_journal.php
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: The treatment of port-wine stains (PWS) with the pulsed dye laser (PDL) is well established in patients with lighter skin phototypes with few complications. Evidence is emerging that PDL also produces favourable outcome in patients with darker skin types. This review aimed to evaluate the efficacy of flashlamp-pumped PDL for PWS in our centre and to assess the complications of treatment. Patients and Methods: A retrospective review of 36 patients with PWS treated with PDL (585-nm, 450 microseconds pulse width, Candela Sptl-1b) at the Department of Dermatology, Hospital Kuala Lumpur over a five-year period from 2003 to 2007 was undertaken. All patients (28 females, 8 males; 25 Chinese, 10 Malays and 1 Indian) were of Fitzpatrick skin types IV (30/36) and V (6/36) with ages ranged from 1 to 59 years (mean 18.9 years). The site of lesion was mainly facial (34/36) with colour varying from red (24/36) to pink (4/36), dark purple (1/36) and mixed (7/36). Response was graded as 0-25% = nil to minimal lightening; 26-50% = moderate lightening; 51-75% = marked lightening; 76-100% = excellent based on the last treatment visit. Results: The number of sessions ranged from 2 to 16 over 4 to 52 months (mean 5.9 months). The average treatment interval was 4.6 months (range, 1 to 13 months). In a total of 213 sessions, minimal lightening was observed in 19(53%) patients after a mean of 4.2 sessions, moderate lightening in 8(22%) patients after a mean of 8.1 sessions, marked lightening in 3(8%) patients after a mean of 6 sessions and excellent in 6(17%) patients after a mean of 6.8 sessions. No patient showed complete clearance. 1 patient developed both textural change and scarring. Conclusion: The flashlamp-pumped PDL is a useful and safe treatment modality for PWS in Asian patients of darker skin phototypes.
format Article
author Shamsudin, Norashikin
Hemandas, Gangaram
Hussein, Suraiya H.
spellingShingle Shamsudin, Norashikin
Hemandas, Gangaram
Hussein, Suraiya H.
Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
author_facet Shamsudin, Norashikin
Hemandas, Gangaram
Hussein, Suraiya H.
author_sort Shamsudin, Norashikin
title Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
title_short Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
title_full Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
title_fullStr Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
title_full_unstemmed Treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
title_sort treatment response of port-wine stain to 585-nm pulsed dye laser: a 5-year retrospective review
publisher Persatuan Dermatologi Malaysia
publishDate 2009
url http://psasir.upm.edu.my/id/eprint/17481/1/Treatment%20response%20of%20port-wine%20stain%20to%20585-nm%20pulsed%20dye%20laser%20a%205-year%20retrospective%20review.pdf
http://psasir.upm.edu.my/id/eprint/17481/
http://www.dermatology.org.my/malaysia_journal.php
_version_ 1643826530619490304
score 13.211869

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