Piccolo Domenico, Kostaki Dimitra, Dianzani Caterina, Crisman Giuliana, Conforti Claudio
Drs. Piccolo, Kostaki, and Crisman are with the Skin Centers in Avezzano-Pescara, Italy.
Dr. Conforti is with the Dermatology Clinic of Hospital Maggiore at the University of Trieste in Trieste, Italy.
J Clin Aesthet Dermatol. 2022 Mar;15(3):22-25.
Acne is defined as a chronic inflammatory disease of the pilosebaceous units, mainly affecting the face of young adults, but the chest and back can be involved as well. Oral antibiotics, topical retinoids, azelaic acid, benzoyl peroxide, and isotretinoin represent the most common treatment used for the treatment of acne, but several adverse effects and a lack of durable remission, with poor adherence by the patients, have been reported thus far. Lasers have been shown to be effective and safe to treat acne; intense pulsed light (IPL) demonstrates high efficacy rates, minimal discomfort, rapid recovery times, and excellent cosmetic and therapeutic outcomes.
In this prospective study, we assessed the efficacy, safety, and reproducibility of a novel IPL protocol as a monotherapy in the treatment of acne of the chest and back.
We included patients (N=50) aged 14 to 30 who presented with moderate papulopustular acne sited on the chest and back (Cook's Acne Grading Scale method 4-6, Pillsbury Scale III-IV). We performed four IPL sessions at two-week intervals on each patient.
An excellent outcome was achieved in 50 percent of the patients and a good outcome in the 35 percent of the patients. Patients experienced light erythema and mild burning as the most common side effects, which spontaneously resolved within 24 to 96 hours.
Consistent with previous reports, our study demonstrated IPL to be a safe and effective treatment for severe cases of acne on the chest and back, providing excellent aesthetic and therapeutic results in 85 percent of treated patients.
痤疮被定义为一种毛囊皮脂腺的慢性炎症性疾病，主要影响年轻成年人的面部，但胸部和背部也可能受累。口服抗生素、外用维甲酸、壬二酸、过氧化苯甲酰和异维甲酸是治疗痤疮最常用的方法，但迄今为止，已报道了几种不良反应以及缺乏持久缓解且患者依从性差的情况。激光已被证明对治疗痤疮有效且安全；强脉冲光（IPL）显示出高有效率、最小不适、快速恢复时间以及出色的美容和治疗效果。
在这项前瞻性研究中，我们评估了一种新型IPL方案作为单一疗法治疗胸部和背部痤疮的疗效、安全性和可重复性。
我们纳入了14至30岁的患者（N = 50），他们胸部和背部患有中度丘疹脓疱性痤疮（库克痤疮分级量表方法4 - 6级，皮尔斯伯里量表III - IV级）。我们对每位患者每隔两周进行四次IPL治疗。
50%的患者取得了优异的效果，35%的患者取得了良好的效果。患者最常见的副作用是轻度红斑和轻度灼痛，这些症状在24至96小时内自行消退。
与先前的报告一致，我们的研究表明IPL是治疗胸部和背部重度痤疮的一种安全有效的方法，在85%的治疗患者中提供了出色的美学和治疗效果。
