Pestoni Porvén Carmela, Vieira Dos Santos Vanessa, Del Pozo Losada Jesus
a Abaton Centro Médico , A Coruña , Spain.
J Cosmet Laser Ther. 2017 Dec;19(8):465-468. doi: 10.1080/14764172.2017.1349323. Epub 2017 Jul 10.
Nodulocystic acne is prone to scarring and difficult to treat with treatments other than oral isotretinoin. The aim of this article is to discuss the role of a single session of a fractional carbon dioxide (CO) laser combined with a topical treatment with a tretinoin and antibiotic gel for a month as a successful treatment to improve nodulocystic acne and chronic microcystic acne. Two cases were involved: the first with nodulocystic acne lesions that persisted after oral retinoids and the second with chronic microcystic acne resistant to topical treatments. After only one session of treatment with the CO laser and the topical treatment, a complete healing of the nodulocystic acne lesions was observed with minimal secondary effects. The microcystic acne showed great improvement. No other topical or oral treatment was needed. This treatment could be a safe and effective treatment for nodulocystic acne lesions and microcystic acne when other treatments fail. More studies should be performed to confirm our results.
结节囊肿性痤疮易于形成瘢痕，除口服异维A酸外，用其他治疗方法难以治愈。本文旨在探讨单次分次二氧化碳（CO）激光联合外用维甲酸和抗生素凝胶治疗一个月作为一种成功治疗方法改善结节囊肿性痤疮和慢性微囊性痤疮的作用。本文涉及两个病例：第一例为口服维甲酸后仍持续存在的结节囊肿性痤疮损害，第二例为对局部治疗耐药的慢性微囊性痤疮。仅经过一次CO激光和外用治疗后，观察到结节囊肿性痤疮损害完全愈合，且副作用极小。微囊性痤疮有显著改善。无需其他局部或口服治疗。当其他治疗方法无效时，这种治疗方法对于结节囊肿性痤疮损害和微囊性痤疮可能是一种安全有效的治疗方法。应开展更多研究以证实我们的结果。
