Superficial chemical peeling with salicylic Acid in facial dermatoses.
OBJECTIVE
To determine the effectiveness of salicylic acid chemical peeling in common dermatological conditions affecting face in people with predominant Fitzpatrick skin type IV and V.


METHODS
An interventional, quasi-experimental study.


METHODS
Military Hospital, Rawalpindi and PAF Hospital, Sargodha, from July 2002 to June 2003.


METHODS
A total of 167 patients of either gender, aged between 13 to 60 years, having some facial dermatoses (melasma, acne vulgaris, postinflammatory hyperpigmentations, freckles, fine lines and wrinkles, post-inflammatory scars, actinic keratoses, and plane facial warts) were included. A series of eight weekly hospital based peeling sessions was conducted in all patients under standardized conditions with 30% salicylic acid. Clinical improvement in different disorders was evaluated by change in MASI score, decrease in the size of affected area and % reduction in lesions count. McNemar test was applied for data analysis.


RESULTS
Majority of the patients showed moderate to excellent response. There was 35% to 63% improvement (p<0.05) in all dermatoses. Significant side effects, as feared in Asian skins were not observed.


CONCLUSIONS
Chemical peeling with salicylic acid is an effective and safe treatment modality in many superficial facial dermatoses.
Bari
Arfan Ul
AU
Department of Dermatology, Combined Military Hospital, Muzaffarabad, Azad Jammun Kashmir.
Iqbal
Zafar
Z
Rahman
Simeen Ber
SB