1540 nm和755 nm皮秒激光联合治疗COVID-19相关性带状疱疹瘢痕1例

IF 1.2 4区 医学 Q3 DERMATOLOGY
Journal of Cosmetic and Laser Therapy Pub Date : 2022-11-17 Epub Date: 2022-09-06 DOI:10.1080/14764172.2022.2120619
Miguel Alpalhão, Sofia Duarte, Isabel Correia, Paulo Filipe
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引用次数: 0

摘要

患者为33岁女性,Fitzpatrick IV型光型,在新冠肺炎康复4周后,经聚合酶链反应证实,右三叉神经眼部皮段出现水痘带状疱疹疹。急性症状消退后,患者额头出现明显的萎缩性疤痕,约2mm深,并伴有明显的炎症后色素沉着。她来我们诊所寻求治疗,因为伤疤造成了严重的心理困扰。我们决定采用铒玻璃1540 nm非烧蚀激光和755 nm翠绿石皮秒激光联合治疗。开始治疗16周后,观察到显着改善,色素沉着完全消退,萎缩性疤痕全面改善。治疗期间无并发症发生。这种策略可能是治疗这些病变的有效和安全的选择,这些病变可能越来越多地出现在COVID-19疾病或SARS-CoV-2疫苗接种后的年轻人身上,甚至在皮肤较黑的照片型中也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combination treatment of COVID-19 associated herpes zoster scar with 1540 nm and 755 nm picosecond lasers: a case report.

A 33-year-old female, Fitzpatrick IV phototype, developed varicella zoster eruption over the ophthalmic dermatome of the right trigeminal nerve, confirmed through Polymerase Chain Reaction, 4 weeks after recovering from COVID-19 disease. After the resolution of the acute manifestations, she developed significant atrophic scars on the forehead, about 2 mm deep, with marked post-inflammatory hyperpigmentation. She came to our clinic looking for treatment, as the scars caused significant psychological distress. We decided for a combination treatment with Erbium:glass 1540 nm non-ablative laser and 755 nm Alexandrite picosecond laser. After 16 weeks of starting treatment, significant improvement was observed, with complete resolution of the hyperpigmentation and overall improvement in the atrophic scar. No complications occurred during the treatment period. This strategy may be an effective and safe option to treat these lesions, which may be increasingly found in young individuals after COVID-19 disease or SARS-CoV-2 vaccination, even in darker skin phototypes.

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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: A unique journal that focuses on the application of cosmetic laser and light therapies on the skin. The Journal of Cosmetic & Laser Therapy provides a forum for stimulating and up-to-date studies demonstrating the wide range of therapeutic options for clinicians and surgeons involved in cosmetic and dermatological treatment. The journal is aimed at dermatologists, cosmetic surgeons, plastic and facial plastic surgeons, oculoplastic surgeons and all those interested in the rapidly expanding field of cosmetic and laser therapy. Features include: -Cosmetic surgery, including facial rejuvenation, hair removal and skin resurfacing -Use of lasers and other light sources for cosmetic and dermatological treatment -Applications of peeling agents, fillers, injectables, implants and other cosmetic modalities -Topical treatments -Practical tips and safety issues
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