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Intense Pulsed Light for Acne Vulgaris

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Aesthetic Applications of Intense Pulsed Light

Abstract

Acne vulgaris is a self-limiting chronic inflammatory disorder of the pilo-sebaceous unit characterized by exacerbations and remissions. It is often the early manifestation of puberty and, in girls, it appears relatively early. Acne treatment is divided into two parts, topical and systemic. For grades 1 and 2 acne, topical treatment is all that is required but, for grades 3 and 4, systemic drugs, such as tetracyclines, retinoids, etc., are required to control the acne. Chemical peeling with glycolic and salicylic acid, cryosurgery with liquid nitrogen or carbon dioxide, and narrow band ultraviolet light are a few of the supportive procedural treatments for grades 3 and 4 acne. Intense Pulsed Light therapy is an effective and safe modality of treatment in inflammatory grades 3 and 4 acne vulgaris.

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References

  1. Williams C, Layton AM. Persistent acne in women: Implications for the patient and for therapy. Am J Clin Dermatol. 2006;7:281–90.

    Article  Google Scholar 

  2. Lucky AW, Biro FM, Huster GA, Leach AD, Morrison JA, Ratterman J. Acne vulgaris in premenarchal girls. An early sign of puberty associated with rising levels of dehydroepiandrosterone. Arch Dermatol. 1994;130:308–14.

    Article  CAS  Google Scholar 

  3. Vulgaris A, Eruptions A. Fitzpatrick’s dermatology in general medicine. 7th ed. New York: McGraw-Hill; 2012. p. 690–703.

    Google Scholar 

  4. Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic dermatitis and psoriasis. Br J Dermatol. 1998;139:846–50.

    Article  CAS  Google Scholar 

  5. Mallon E, Newton JN, Klassen A, Stewart-Brown SL, Ryan TJ, Finlay AY. The quality of life in acne: a comparison with general medical conditions using generic questionnaires. Br J Dermatol. 1999;140:672–6.

    Article  CAS  Google Scholar 

  6. Haider A, Shaw JC. Treatment of acne vulgaris. JAMA. 2004;292:726–35.

    Article  CAS  Google Scholar 

  7. Leyden JJ. Therapy for acne vulgaris. N Engl J Med. 1997;336:1156–62.

    Article  CAS  Google Scholar 

  8. Skidmore R, Kovach R, Walker C, Thomas J, Bradshaw M, Leyden J, Powala C, Ashley R. Effects of subantimicrobial-dose doxycycline in the treatment of moderate acne. Arch Dermatol. 2003;139:459–64.

    Article  CAS  Google Scholar 

  9. Ortonne JP. Oral isotretinoin treatment policy. Do we all agree? Dermatology. 1997;195(Suppl 1):34–40.

    Article  Google Scholar 

  10. Weiss JS. Current options for the topical treatment of acne vulgaris. Pediatr Dermatol. 1997;14:480–8.

    Article  CAS  Google Scholar 

  11. Bojar RA, Cunliffe WJ, Holland KT. The short-term treatment of acne vulgaris with benzoyl peroxide: effects on the surface and follicular cutaneous microflora. Br J Dermatol. 1995;132:204–8.

    Article  CAS  Google Scholar 

  12. Gollnick H, Schramm M. Topical therapy in acne. J Eur Acad Dermatol Venereol. 1998;11(Suppl 1):S8–12; discussion S28-9

    Article  Google Scholar 

  13. Ross JI, Snelling AM, Carnegie E, Coates P, Cunliffe WJ, Bettoli V, et al. Antibiotic-resistant acne: lessons from Europe. Br J Dermatol. 2003;148:467–78.

    Article  CAS  Google Scholar 

  14. Sinnott SJ, Bhate K, Margolis DJ, Langan SM. Antibiotics and acne: an emerging iceberg of antibiotic resistance. Br J Dermatol. 2016;175:1127–8. https://doi.org/10.1111/bjd.15129.

    Article  PubMed  Google Scholar 

  15. Rai R, Natrajan K. Laser and light based treatments of acne. Indian J Dermatol Venereol Leprol. 2013;79:300–9. https://doi.org/10.4103/0378-6323.110755.

    Article  PubMed  Google Scholar 

  16. Babilas P. Light-assisted therapy in dermatology - the use of IPL. Med Laser Appl. 2010;25:61–9.

    Article  Google Scholar 

  17. Elman M, Lebzelter J. Light therapy in the treatment of acne vulgaris. Dermatol Surg. 2004;30(2 Pt 1):139–46.

    PubMed  Google Scholar 

  18. Barakat MT, Maftah NH, Khayyat EI, Abdelhakim ZA. Significant reduction of inflammation and sebaceous gland size in acne vulgaris lesions after intense pulsed light treatment. Dermatol Ther. 2017;30:e12418. https://doi.org/10.1111/dth.12418.

    Article  Google Scholar 

  19. Taylor M, Porter R, Gonzalez M. Intense pulsed light may improve inflammatory acne through TNF-alpha down regulation. J Cosmet Laser Therapy. 2014;16:96–103. https://doi.org/10.3109/14764172.2013.864198.

    Article  Google Scholar 

  20. Ali MM, Porter RM, Gonzalez M. Intense pulsed light enhances transforming growth factor beta 1/smad3 signaling in acne-prone skin. J Cosmet Dermatol. 2013;12:195–203.

    Article  Google Scholar 

  21. Cureda-Galindo E, Díaz-Gil G, Palomar-Gallego MA, Linares-GarcíaValdecasas R. Intense pulsed light therapy induces synthesis of dermal extracellular proteins in vitro. Lasers Med Sci. 2015;30:1931–9. https://doi.org/10.1007/s10103-015-1787-5.

    Article  Google Scholar 

  22. Cao Y, Huo R, Feng Y, Li Q, Wang F. Effects of intense pulsed light on the biological properties and ultrastructure of skin dermal fibroblasts: potential role in photoaging. Photomed Laser Surg. 2011;29:327–32. https://doi.org/10.1089/pho.2010.2867.

    Article  CAS  PubMed  Google Scholar 

  23. Ashkenazi H, Malik Z, Harth Y, Nitzan Y. Eradication of Propionibacterium acnes by its endogenous porphyrins after illumination with high intensity blue light. FEMS Immunol Med Microbiol. 2003;35:17–24.

    Article  CAS  Google Scholar 

  24. Liu J, Liu J, Ren Y, Li B, Lu S. Comparative efficacy of intense pulsed light for different erythema associated with rosacea. J Cosmet Laser Ther. 2014;16:324–7. https://doi.org/10.3109/14764172.2014.957218.

    Article  PubMed  Google Scholar 

  25. Deshpande AJ. Efficacy and safety evaluation of high-density Intense Pulsed Light in the treatment of Grades II and IV acne vulgaris as monotherapy in dark-skinned women of child bearing age. J Clin Aesthet Dermatol. 2018;11:43–8.

    PubMed  PubMed Central  Google Scholar 

  26. Kumaresan M, Srinivas CR. Efficacy of IPL in treatment of acne vulgaris: Comparison of single-and burst pulse mode in IPL. Indian J Dermatol. 2011;55:370–2. https://doi.org/10.4103/0019-5154.74550.

    Article  Google Scholar 

  27. Mei X, Shi W, Piao Y. Effectiveness of photodynamic therapy with topical 5-aminolevulinic acid and intense pulsed light in Chinese acne vulgaris patients. Photodermatol Photoimmunol Photomed. 2013;29:90–6. https://doi.org/10.1111/phpp.12031.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Maharashtra Medical Foundation, Joshi Hospital, Pune, India

    Ajay Deshpande

Authors
  1. Ajay Deshpande
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Editor information

Editors and Affiliations

  1. Emergency District Hospital, Cluj Napoca, Romania

    Lucian Fodor

  2. Director Plastic and Reconstructive Surgery Department, Rambam Health Care Campus, Haifa, Israel

    Yehuda Ullmann

Multiple Choice Questions for Comprehension

Multiple Choice Questions for Comprehension

10.1.1 Q1: Is IPL a Replacement for Medical Treatment of Acne?

  1. (a)

    Yes

  2. (b)

    No

10.1.2 Q2: Does IPL Help to Prevent or Manage Post-Inflammatory Hyperpigmentation (PIH) Associated with Inflammatory Acne?

  1. (a)

    Yes

  2. (b)

    No

10.1.3 Q3: Can It Be Used in Pregnancy?

10.1.4 Q4: What Is the Best Filter for Acne?

  1. (a)

    200–300 nm

  2. (b)

    300–400 nm

  3. (c)

    440–1100 nm

  4. (d)

    1200–1400 nm

10.1.5 Q5: What Is the Best Filter for Post-Acne Erythema ?

  1. (a)

    300–400 nm

  2. (b)

    400–500 nm

  3. (c)

    585–1100 nm

  4. (d)

    1200–1400 nm

10.1.6 Q6: Can IPL Invite or Worsen Post-Inflammatory Hyperpigmentation in Inflammatory Acne?

  1. (a)

    Yes

  2. (b)

    No

10.1.7 Q7: How Effective IPL Is in Preventing the Post-Acne Scarring?

  1. (a)

    Not useful

  2. (b)

    It reduces the inflammation process

  3. (c)

    It remodels the collagen

10.1.8 Q8: Can IPL Be Used in Patients on Systemic Isotretinoin?

  1. (a)

    Yes

  2. (b)

    No

10.1.9 Q9: Is IPL Effective in Comedonal Acne?

  1. (a)

    Yes

  2. (b)

    No

10.1.10 Q10: Any Incidence of Photosensitivity with IPL in Patients on Tetracycline Group or Retinoids?

  1. (a)

    Yes

  2. (b)

    No

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Deshpande, A. (2020). Intense Pulsed Light for Acne Vulgaris. In: Fodor, L., Ullmann, Y. (eds) Aesthetic Applications of Intense Pulsed Light. Springer, Cham. https://doi.org/10.1007/978-3-030-22829-3_10

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  • DOI: https://doi.org/10.1007/978-3-030-22829-3_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22828-6

  • Online ISBN: 978-3-030-22829-3

  • eBook Packages: MedicineMedicine (R0)

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