✦ LIBER ✦

Treatment of lupus erythematosus with pulsed dye laser

✍ Scribed by Ofelia Baniandrés; Pablo Boixeda; Paulina Belmar; Alejandro Pérez

Publisher: John Wiley and Sons
Year: 2003
Tongue: English
Weight: 46 KB
Volume: 32
Category: Article
ISSN: 0196-8092
DOI: 10.1002/lsm.10169

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background and Objectives

The treatment of cutaneous lupus erythematosus (CLE) with dye and argon laser has been evaluated in a number of articles in recent years. The improvement of telangiectasias and chronic erythema of the cutaneous lesions was based on the selective photothermolysis ablation of the dilated capillaries and venules.

Study Design/Materials and Methods

We describe the results of the treatment of cutaneous lesions of 14 patients; eight with discoid lupus erythematosus (DLE) and six with systemic lupus erythematosus (SLE). Three patients received a treatment with flashlamp pulsed dye laser (FPDL) (585 nm, 450 microseconds) with fluences in the range from 5 to 7.75 J/cm^2^; the other 11 patients were treated with long pulsed dye laser (LPDL) (595 nm, 1.5–10 milliseconds) with fluences in the range from 6 to 13 J/cm^2^ depending on the pulse duration.

Results

During a median follow‐up of 10 months, we observed an average improvement in over 60% of the lesions. A few side effects were observed in all patients: four had transient hyperpigmentation and one patient had light scarring. Three patients had a relapse after more than 1 year; they were then offered conventional treatment.

Conclusions

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