Abstract
According to the literature, intense pulsed light (IPL) represents a versatile tool in the treatment of some dermatological conditions (i.e., pigmentation disorders, hair removal, and acne), due to its wide range of wavelengths. The authors herein report on 58 unconventional but effective uses of IPL in several cutaneous diseases, such as rosacea (10 cases), port-wine stain (PWS) (10 cases), disseminated porokeratosis (10 cases), pilonidal cyst (3 cases), seborrheic keratosis (10 cases), hypertrophic scar (5 cases) and keloid scar (5 cases), Becker's nevus (2 cases), hidradenitis suppurativa (2 cases), and sarcoidosis (1 case). Our results should suggest that IPL could represent a valid therapeutic support and option by providing excellent outcomes and low side effects, even though it should be underlined that the use and the effectiveness of IPL are strongly related to the operator's experience (acquired by attempting at least one specific course on the use of IPL and one-year experience in a specialized centre). Moreover, the daily use of these devices will surely increase clinical experience and provide new information, thus enhancing long-term results and improving IPL effectiveness.
Highlights
First introduced in 1990s, intense pulsed light (IPL) was obtained by U.S Food and Drug Administration (FDA) authorization in 1995 for the treatment of lower-limb telangiectasias.This polychromatic, noncoherent, and broad-spectrum pulsed light source is able to emit light of a wavelength between 390 nm and 1200 nm [1]
We obtained good outcomes for all the treated patients, who were affected by different dermatological conditions
Superficial vessels were hit with greater accuracy by IPL and dermoscopic examinations revealed a change in vessel colour from red to blue immediately after treatment
Summary
First introduced in 1990s, intense pulsed light (IPL) was obtained by U.S Food and Drug Administration (FDA) authorization in 1995 for the treatment of lower-limb telangiectasias This polychromatic, noncoherent, and broad-spectrum pulsed light source (xenon lamp) is able to emit light of a wavelength between 390 nm and 1200 nm [1]. The wavelength should be selected in dependence of the absorption peak of the target chromophore and the pulse duration should last less than the thermal relaxation time. This limits the diffusion of heat and damage to surrounding structures. A wide range of treatment parameters, including pulse sequence and pulse delay time, can be customized, giving users greater versatility and accuracy [1]
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