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43081

Comparison between a 595-nm Pulsed Dye Laser and a 1064-nm Nd:YAG Laser for Treatment of Chronic Cutaneous Lupus Erythematosus with Clinical & Histopathological Outcome Evaluation

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Last updated: 30 Jan 2023

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Abstract

Background: Chronic cutaneous lupus erythematosus (CCLE) is limited to the skin, commonly affecting the face, frequently disfiguring and sometimes therapeutically challenging. Cutaneous lupus erythematosus has been treated with different laser in many studies and reports with promising results, presenting another new line of CCLE treatment. Aim of the work: This work aimed to evaluate and compare between the efficacy and safety of pulsed dye laser (PDL) versus ND: YAG laser for CCLE treatment. Patients and methods: This comparative study included a total of twenty patients with CCLE who had active lesion and with histologically confirmed lupus erythematosus, attending at Dermatology Outpatient Clinic of Al-Azhar University Hospitals. The patients were divided into 2 groups; group (A): 20 patients were treated by PDL and group (B): 20 patients were treated by ND:YAG laser. The degree of CCLE and clinical response evaluation was assessed using CLASI system. Results: In both groups A & B clearance rate was equal (50%) and Improvement rate was 100% with significant decline in ‘‘active'' CLASI after laser treatment in both groups. P-value was 0.04 in group A and 0.005 in group B, without significant difference between both groups. Conclusion: PDL and ND: YAG laser are safe and effective in CCLE treatment with insignificant difference between them. So, we recommend early laser usage as main treatment of CCLE particularly for refractory cases for other treatment line or as an adjunctive therapy to decrease incidence of atrophy and scarring.

DOI

10.21608/ejhm.2019.43081

Keywords

Chronic cutaneous lupus erythematosus, PDL, ND: YAG laser

Authors

First Name

Abdel Shakour Abdel Hafiz

Last Name

Al-Mohamady

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Affiliation

Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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First Name

Hussein Mohamed Hassab

Last Name

El Naby

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Affiliation

Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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First Name

Shady Mahmoud

Last Name

Attia

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Affiliation

Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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First Name

Sara Abdel Hafez

Last Name

El-Hussiny

MiddleName

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Affiliation

Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

sara.abdel_hafez@yahoo.com

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Volume

76

Article Issue

5

Related Issue

6642

Issue Date

2019-07-01

Receive Date

2019-07-30

Publish Date

2019-07-01

Page Start

4,148

Page End

4,154

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_43081.html

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https://ejhm.journals.ekb.eg/service?article_code=43081

Order

17

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023