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一位 Fitzpatrick 皮肤分型为 IV 型的患者在接受强脉冲光治疗后出现二度烧伤：病例报告

Second-Degree Burns Following Intense Pulsed Light Therapy in a Patient With Fitzpatrick Skin Type IV: A Case Report.

作者信息

Kim Jisu, Cartier Matthew, Morcos Monica

机构信息

Internal Medicine, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

Dermatology, Hospital Zambrano Hellion, Tecnológico de Monterrey, San Pedro Garza Garcia, MEX.

出版信息

Cureus. 2025 Aug 14;17(8):e90119. doi: 10.7759/cureus.90119. eCollection 2025 Aug.

DOI:10.7759/cureus.90119
PMID:40955262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12433457/
Abstract

Intense pulsed light (IPL) therapy is widely used in cosmetic dermatology for the treatment of unwanted hair, vascular lesions, pigmentary disorders, and acne-related sequelae. We present a case of a male in his late 20s with Fitzpatrick skin type IV who sustained second-degree burns following IPL therapy for post-acne erythema performed by a non-medical operator. The patient developed erythema, blisters, and desquamation. He was treated with oral medications (acyclovir and cephalexin), corticosteroid ointment, and medicated powder dressings. Subsequent treatment included light-emitting diode (LED) therapy, picosecond laser sessions, and topical depigmenting agents. Significant improvement was noted after four months with minimal residual hyperpigmentation. This case highlights the risks associated with IPL treatment administered by untrained personnel and underscores the importance of professional oversight and patient-specific parameter adjustments.

摘要

强脉冲光（IPL）疗法在美容皮肤科中广泛用于治疗多余毛发、血管病变、色素紊乱以及痤疮相关后遗症。我们报告一例28岁左右、 Fitzpatrick皮肤分型为IV型的男性病例，其在由非医疗人员进行的IPL治疗痤疮后红斑时遭受了二度烧伤。患者出现红斑、水疱和脱皮。他接受了口服药物（阿昔洛韦和头孢氨苄）、皮质类固醇软膏和药粉敷料治疗。后续治疗包括发光二极管（LED）疗法、皮秒激光治疗以及外用脱色剂。四个月后有显著改善，残留色素沉着极少。该病例突出了未经培训人员进行IPL治疗的风险，并强调了专业监督和根据患者具体情况调整参数的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/037a4aaa215a/cureus-0017-00000090119-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/c6588b21e3a7/cureus-0017-00000090119-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/53fdf6586db6/cureus-0017-00000090119-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/06031bdc4a06/cureus-0017-00000090119-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/811dedc4b0ea/cureus-0017-00000090119-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/2a0a4db6fb18/cureus-0017-00000090119-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/037a4aaa215a/cureus-0017-00000090119-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/c6588b21e3a7/cureus-0017-00000090119-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/53fdf6586db6/cureus-0017-00000090119-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/06031bdc4a06/cureus-0017-00000090119-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/811dedc4b0ea/cureus-0017-00000090119-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/2a0a4db6fb18/cureus-0017-00000090119-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc3/12433457/037a4aaa215a/cureus-0017-00000090119-i06.jpg

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本文引用的文献

1
Intense Pulsed Light Therapy Improves Acne-Induced Post-inflammatory Erythema and Hyperpigmentation: A Retrospective Study in Chinese Patients.强脉冲光疗法改善痤疮后炎症性红斑和色素沉着：一项针对中国患者的回顾性研究。
Dermatol Ther (Heidelb). 2022 May;12(5):1147-1156. doi: 10.1007/s13555-022-00719-9. Epub 2022 Apr 12.
2
Intense Pulsed Light: From the Past to the Future.强脉冲光：从过去到未来。
Photomed Laser Surg. 2016 Oct;34(10):435-447. doi: 10.1089/pho.2016.4139. Epub 2016 Sep 30.
3
Side effects from intense pulsed light: Importance of skin pigmentation, fluence level and ultraviolet radiation-A randomized controlled trial.
强脉冲光的副作用：皮肤色素沉着、能量密度水平和紫外线辐射的重要性——一项随机对照试验
Lasers Surg Med. 2017 Jan;49(1):88-96. doi: 10.1002/lsm.22566. Epub 2016 Jul 30.
4
Intense Pulsed Light Therapy for Skin Rejuvenation.强脉冲光疗法用于皮肤年轻化
Clin Plast Surg. 2016 Jul;43(3):535-40. doi: 10.1016/j.cps.2016.03.008. Epub 2016 Apr 29.
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Common causes of injury and legal action in laser surgery.激光手术中常见的损伤原因和法律诉讼。
JAMA Dermatol. 2013 Feb;149(2):188-93. doi: 10.1001/jamadermatol.2013.1384.
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Treatment errors resulting from use of lasers and IPL by medical laypersons: results of a nationwide survey.医疗外行使用激光和 IPL 导致的治疗失误：一项全国性调查的结果。
J Dtsch Dermatol Ges. 2013 Feb;11(2):149-56. doi: 10.1111/j.1610-0387.2012.08042.x. Epub 2012 Nov 29.
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Intense pulsed light (IPL): a review.强脉冲光（IPL）：综述
Lasers Surg Med. 2010 Feb;42(2):93-104. doi: 10.1002/lsm.20877.
8
Burning, paradoxical hypertrichosis, leukotrichia and folliculitis are four major complications of intense pulsed light hair removal therapy.灼痛、矛盾性多毛症、白发症和毛囊炎是强脉冲光脱毛治疗的四大主要并发症。
J Dermatolog Treat. 2008;19(6):360-3. doi: 10.1080/09546630802132627.
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IPL technology: a review.强脉冲光技术：综述
Lasers Surg Med. 2003;32(2):78-87. doi: 10.1002/lsm.10145.
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Side-effects after IPL photodepilation.强脉冲光脱毛后的副作用。
Dermatol Surg. 2002 Dec;28(12):1131-4. doi: 10.1046/j.1524-4725.2002.02117.x.