Lentigines, Post Inflammatory Hyperpigmentation
Conditions
Keywords
Post inflammatory hyperpigmentation, topical high potency steroid, Qs NdYAG laser
Brief summary
To investigate the benefit of the application of topical high potency steroid on the incidence of post inflammatory hyperpigmentation after laser treatment.
Detailed description
* The incidence of post inflammatory hyperpigmentation (PIH) after treating lentigines with Q-switched Nd:YAG laser was 78.3%. * It has been found that the incidence of PIH decreased to 40% after applied topical high potency steroid 2 days after the laser treatment. * By these anti-inflammatory and anti-PIH effects of the high potency steroid, the investigators aimed that the application of steroid 2 days before and 2 days after the laser treatment would be better reduction in the incidence of PIH after Q-switched Nd:YAG laser.
Interventions
Apply only on the treated area twice a day as mentions
Treatment of facial lentigines. The energy using depends on the endpoint of immediate whitening of the lesions.
Sponsors
Study design
Eligibility
Inclusion criteria
* Having multiple lentigines on both sides of the face * Fitzpatrick skin phototype 3-5
Exclusion criteria
* Patients with lesions with any clinical suspicion of being pre-cancerous or skin malignancies of any kind * Patients who have photosensitive dermatoses * Pregnancy and lactation woman * Patients with wound infections (herpes, other) on the day of treatment * Patients with moderate and severe inflammatory acne, Immunosuppressed patients, history of vitiligo * Patients with unrealistic concerns/expectations and inability to do the appropriate post-operative care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The incidence of post inflammatory hyperpigmentation | 2 weeks | By investigator's observation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side effects of topical steroid | Follow-up 2, 3, 4, 8, 12 and 24 weeks after the last treatment | By investigators' observation of telangiectasia, erythema or atrophy. |
| The patients satisfaction | Follow-up 4, 8, 12 and 24 weeks after the last treatment | By using Quartile grading scale of improvement; 0 = not improve, 1= 1-25% improvement, 2 = 26-50% improvement, 3 = 51-75% improvement and 4 = 76-100% improvement |
Countries
Thailand