title: The sensitization potential of sunscreen after ablative fractional skin resurfacing using modified human repeated insult patch test.
abstract: BACKGROUND
  Ablative fractional skin resurfacing has become popular and proven to be useful in treating scars, photoaging and wrinkles. Although post-inflammatory hyperpigmentation (PIH) is the most common complication especially in dark-skinned patients like Asian. Several modalities have been used to overcome the PIH.
  
  
  OBJECTIVE
  To determine the sensitization potential of sunscreen applied immediately after ablative fractional skin resurfacing.
  
  
  METHODS
  Sixty volunteers were recruited. Of these 30 subjects were from previous ablative fractional skin resurfacing study who applied broad-spectrum sunscreen containing anti-inflammatory agent starting on the first day after resurfacing and another 30 non-resurfacing subjects had applied the same sunscreen on the intact skin. All subjects were patch/photopatch tested for sensitization study by using modified human repeated insult patch test (HRIPT).
  
  
  RESULTS
  There were significantly higher sensitization rate of UV-filter, octocrylene and the sunscreen in resurfacing group than in non-resurfacing group.
  
  
  CONCLUSIONS
  Early application of sunscreen after ablative fractional skin resurfacing has increased the incidence of sensitization potential of sunscreen. The sunscreen is recommended to start using from D3 after fractional ablative skin resurfacing to ensure the complete recovery of skin barrier and minimize the risk of sensitization.
authors: a Department of Dermatology, Faculty of Medicine , Siriraj Hospital, Mahidol University , Bangkok , Thailand.
authors: Waranya
authors: W
authors: Boonchai
authors: a Department of Dermatology, Faculty of Medicine , Siriraj Hospital, Mahidol University , Bangkok , Thailand.
authors: Angkana
authors: A
authors: Sathaworawong
authors: a Department of Dermatology, Faculty of Medicine , Siriraj Hospital, Mahidol University , Bangkok , Thailand.
authors: Chanisada
authors: C
authors: Wongpraparut
authors: a Department of Dermatology, Faculty of Medicine , Siriraj Hospital, Mahidol University , Bangkok , Thailand.
authors: Rungsima
authors: R
authors: Wanitphakdeedecha
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D044466:Asian People; D002921:Cicatrix / Q000209:etiology; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000208:ethnology / Q000209:etiology* / Q000628:therapy*; D007249:Inflammation; D007328:Insulin / Q000737:chemistry; D053685:Laser Therapy / Q000009:adverse effects; D007834:Lasers; D008297:Male; D008875:Middle Aged; D010328:Patch Tests / Q000379:methods*; D012867:Skin / Q000528:radiation effects*; D015595:Skin Aging; D013473:Sunscreening Agents / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D000893:Anti-Inflammatory Agents; D007328:Insulin; D013473:Sunscreening Agents
keywords: Laser resurfacing; sensitization; sunscreen