医学
三氯乙酸
病变
皮肤病科
烧蚀
红斑
外科
核医学
内科学
生物化学
化学
作者
Aakanksha Arora,Alpana Mohta,Rajesh Datt Mehta,Bhikam Chand Ghiya,Prasoon Soni,Vishnu Kumar Jangir,Manoj Kumar Yadav,Rajesh Khokhar,Vijay Mangava
标识
DOI:10.4103/jcas.jcas_157_22
摘要
Abstract Xanthelasma palpebrarum (XP) is a benign cosmetic condition. Although the role of CO 2 laser is well described, there are only a few studies on Erbium: YAG in XP. Similarly, trichloroacetic acid (TCA) is commonly used in XP. However, there are only a few studies comparing these modalities in the treatment of XP. Aim: To evaluate the effectiveness and safety of Erbium: YAG laser and 50% TCA in the treatment of XP with the role of dermoscope in the evaluation of lesions. Materials and Methods: A total of 20 subjects were randomly allocated into two groups: group A (TCA) and group B (laser). All patients were subcategorized into three grades viz. I (mild), II (moderate), and III (severe) using a self-devised scoring system. Results: About 25% and 70% of patients achieved complete clearance in groups A and B, respectively ( P = 0.017). The rate of recurrence was 40% and 15% in groups A and B. Dyspigmentation and erythema were the most common side effects. Pretreatment dermoscopic evaluation of the lesion showed a network of brown streaks on a background of a yellowish structureless area and was used to assess the area and margins of the lesion where the adipose tissue was found during the procedure and serial assessment of the lesion.
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