Studying intense pulsed light method along with corticosteroid injection in treating keloid scars.
BACKGROUND
Results of various studies suggest that the hypertrophic and keloid scars are highly prevalent in the general population and are irritating both physically and mentally.


OBJECTIVE
Considering the variety of existing therapies, intense pulsed light (IPL) method along with corticosteroid injection was evaluated in treating these scars.


METHODS
86 subjects were included in this clinical trial. Eight sessions of therapeutic intervention were done with IPL along with corticosteroid intralesional injection using 450 to 1200 NM filter, Fluence 30-40 J/cm2, pulse duration of 2.1-10 ms and palsed delay 10-40 ms with an interval of three weeks. To specify the recovery consequences and complication rate and to determine features of the lesion, the criteria specified in the study of Eroll and Vancouver scar scale were used.


RESULTS
The level of clinical improvement, color improvement and scar height was 89.1%, 88.8% and 89.1% respectively. The incidence of complications (1 telangiectasia case, 7 hyperpigmentation cases and 2 atrophy cases) following treatment with IPL was 11.6%. Moreover, the participants' satisfaction with IPL method was 88.8%.


CONCLUSIONS
This study revealed that a combined therapy (intralesional corticosteroid injection + IPL) increases the recovery level of hypertrophic and keloid scars. It was also demonstrated that this method had no significant side effect and patients were highly satisfied with this method.
Department of Dermatology, Kerman University of Medical Sciences, Kerman, IR Iran.
Simin
S
Shamsi Meymandi
Department of Dermatology, Kerman University of Medical Sciences, Kerman, IR Iran.
Azadeh
A
Rezazadeh
Department of Dermatology, Kerman University of Medical Sciences, Kerman, IR Iran.
Ali
A
Ekhlasi
Hypertrophic; IPL; Keloid