Photothermal removal of telangiectases of the lower extremities with the PhotodermVL.
BACKGROUND
Telangiectases of the lower extremities have been refractory to permanent ablation by photothermal coagulation. In addition, adverse effects often occur because of nonselective absorption of the light by the overlying skin.


OBJECTIVE
This study was performed to determine the effectiveness and the incidence of adverse effects associated with the PhotodermVL in the treatment of telangiectases, less than 0.4 mm in diameter, of the lower extremities.


METHODS
Seventy-two patients were treated, each at one treatment site, by means of a treatment protocol designed by ESC Medical Systems, Ltd., the developer and manufacturer of the PhotodermVL.


RESULTS
Complete, or almost complete, clearance of telangiectases was observed in 10% of patients. No improvement occurred in 56% of treated telangiectases, and 25% had partial clearing. Adverse effects were common, including scarring in 21% of patients.


CONCLUSIONS
The PhotodermVL provided a low rate of success in the treatment of telangiectases on the lower extremities. Treatment was associated with a high rate of adverse effects.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001284:Atrophy; D002921:Cicatrix / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017495:Hyperpigmentation / Q000209:etiology; D017496:Hypopigmentation / Q000209:etiology; D015994:Incidence; D007868:Leg Dermatoses / Q000601:surgery*; D008028:Light Coagulation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D012074:Remission Induction; D012867:Skin / Q000473:pathology / Q000528:radiation effects; D017445:Skin Diseases, Vascular / Q000601:surgery*; D013684:Telangiectasis / Q000601:surgery*; D016896:Treatment Outcome