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Clinical Outcomes of Small Infantile Hemangiomas Treated With Pulsed Dye Laser.
Nakazono, Misako; Kagimoto, Shintaro; Koike, Tomoyuki; Satake, Toshihiko; Maegawa, Jiro.
Afiliación
  • Nakazono M; Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Japan.
  • Kagimoto S; Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Japan.
  • Koike T; Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Japan.
  • Satake T; Department of Plastic, Reconstructive and Aesthetic Surgery, Toyama University Hospital, Toyama, Japan.
  • Maegawa J; Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Yokohama, Japan.
Dermatol Surg ; 48(8): 833-837, 2022 08 01.
Article en En | MEDLINE | ID: mdl-35580249
BACKGROUND: Infantile hemangioma (IH) often causes cosmetic disfigurement. Early intervention with propranolol for large, high-risk lesions is recommended in the American Academy of Pediatrics' Clinical Practice Guideline. Conversely, strategies for the management of small, low-risk lesions have not been established; however, pulsed dye laser (PDL) is often used to treat these lesions. OBJECTIVE: To investigate clinical outcomes of PDL in small IH lesions. PATIENTS AND METHODS: Fifty-three cases with 58 small IHs which did not meet the criteria for high-risk lesions in the guideline and were treated only with PDL were retrospectively reviewed. The characteristics of IHs and residual skin changes after treatment were evaluated. RESULTS: Forty-seven lesions (81.0%) were superficial hemangiomas, whereas 11 (19.0%) were combined-type. The median maximum diameter was 10.0 mm. Forty-five lesions (77.6%) exhibited various residual skin changes after PDL treatment, including anetoderma (53.5%), telangiectasia and erythema (43.1%), hyperpigmentation (34.5%), redundant skin (3.4%), and fibrofatty tissue (3.4%). Of these, the incidence of anetoderma and fibrofatty tissue were significantly higher in the combined group than in the superficial group ( p = .036 and .033, respectively). CONCLUSION: Even small lesions, especially combined-type, often result in cosmetic problems after PDL treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Hemangioma Capilar / Láseres de Colorantes / Anetodermia / Hemangioma Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies Límite: Child / Humans / Infant Idioma: En Revista: Dermatol Surg Asunto de la revista: DERMATOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Hemangioma Capilar / Láseres de Colorantes / Anetodermia / Hemangioma Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies Límite: Child / Humans / Infant Idioma: En Revista: Dermatol Surg Asunto de la revista: DERMATOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos