The Use 2940 Er: YAG Laser and 595 Pulsed Dye Laser (PDL) inCombination with Intralesional Cortico

Journal of Pan-Arab League of Dermatologists
Vol. 19, No. 3, October 2008  Page 69- 75

The Use 2940 Er: YAG Laser and 595 Pulsed Dye Laser (PDL) in
Combination with Intralesional Corticosteroids for the Treatment of Keloid

Eman Shaarawy
Department of Dermatology, Faculty of Medicine, Cairo University

Abstract

Background: Keloid is a significant clinicalproblem, especially in dark populations. Differenttreatment modalities were used for thetreatment of keloid; however it had limited outcomeand high rate of recurrence.Aim of the Work: The aim of this work is toevaluate the combined effect of 2940 Er: YAGlaser and 595 PDL laser with intralesional corticosteroidsfor the treatment of keloid.

Patients and Methods: Twenty two patients  were included in this study; 10 females and 12males. The keloids were completely removed forall patients with Er: YAG laser followed by immediateintralesional injection of corticosteroidsat the site of the removed keloid. Threeweeks later, 595 PDL laser was used for foursessions, three weeks apart. The patients werefollowed up at a 2 months interval for 12months.

Results: All the patients showed marked improvementswith 100% flattening and disappearanceof the keloids with no hardness, erythemaor pruritis after the last 595 PDL sessionsand for the following 8 months. At the endof the tenth month, only two patients (9.1%)showed mild small recurrence. Hypopigmentationwhich developed in 4 patients (18.2%) ofthe patients was the main complication.

Conclusion: The combined use of Er: YAG laserand 595 PDL, with intralesional corticosteroidsis a successful modality for the treatmentof keloids with a very low recurrence rate.

Journal of Pan-Arab League of Dermatologists
Vol. 19, No. 3, October 2008  Page 69- 75

The Use 2940 Er: YAG Laser and 595 Pulsed Dye Laser (PDL) in
Combination with Intralesional Corticosteroids for the Treatment of Keloid

Eman Shaarawy
Department of Dermatology, Faculty of Medicine, Cairo University

Abstract

Background: Keloid is a significant clinicalproblem, especially in dark populations. Differenttreatment modalities were used for thetreatment of keloid; however it had limited outcomeand high rate of recurrence.Aim of the Work: The aim of this work is toevaluate the combined effect of 2940 Er: YAGlaser and 595 PDL laser with intralesional corticosteroidsfor the treatment of keloid.

Patients and Methods: Twenty two patients  were included in this study; 10 females and 12males. The keloids were completely removed forall patients with Er: YAG laser followed by immediateintralesional injection of corticosteroidsat the site of the removed keloid. Threeweeks later, 595 PDL laser was used for foursessions, three weeks apart. The patients werefollowed up at a 2 months interval for 12months.

Results: All the patients showed marked improvementswith 100% flattening and disappearanceof the keloids with no hardness, erythemaor pruritis after the last 595 PDL sessionsand for the following 8 months. At the endof the tenth month, only two patients (9.1%)showed mild small recurrence. Hypopigmentationwhich developed in 4 patients (18.2%) ofthe patients was the main complication.

Conclusion: The combined use of Er: YAG laserand 595 PDL, with intralesional corticosteroidsis a successful modality for the treatmentof keloids with a very low recurrence rate.