A Review of Energy-Based Device Interventions to Treat Keloid Scars.

IF 1.5 4区 医学 Q3 DERMATOLOGY Journal of Drugs in Dermatology Pub Date : 2024-11-01 DOI:10.36849/JDD.8210
Hira Ghani, Alicia Podwojniak, Sasha Ghofrani, Isabella Tan, Rebecca Fliorent, Khalil Khatri
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Abstract

Keloids are thickened raised scars that develop due to injury and grow beyond the boundaries of their original wound, mostly affecting individuals with skin of color. This review explores the use of energy-based devices to treat keloids, both using laser monotherapy and in combination with other drugs. Laser therapy alone has shown efficacy in treating keloids. Combination laser therapy has better keloid reduction when administered with steroids, 5-fluorouracil (5-FU), and verapamil. However, monotherapy has had less adverse reactions including dermal atrophy and local pain. Therefore, physician discretion is essential when considering treatment. This review highlights the efficacy of energy-based devices (EBDs), alone and in combination. It also reveals the need to have tailored approaches with patients. Further research is needed to develop more comprehensive treatment standards for keloids using EBDs alone or in combination. J Drugs Dermatol. 2024;23(11):998-1002. doi:10.36849/JDD.8210R1.

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治疗瘢痕疙瘩的能量设备干预综述。
瘢痕疙瘩是因受伤而形成的增厚凸起疤痕,其生长超出了原有伤口的边界,主要影响有色人种的皮肤。本综述探讨了使用基于能量的设备治疗瘢痕疙瘩的方法,包括使用激光单独治疗和与其他药物联合治疗。单用激光疗法对治疗瘢痕疙瘩有一定疗效。在与类固醇、5-氟尿嘧啶(5-FU)和维拉帕米联合使用时,激光疗法能更好地减少瘢痕疙瘩。不过,单一疗法的不良反应较少,包括真皮萎缩和局部疼痛。因此,医生在考虑治疗时必须慎重。本综述强调了基于能量的设备(EBD)单独或联合使用的疗效。它还揭示了为患者量身定制治疗方法的必要性。需要进一步开展研究,为单独或联合使用 EBD 治疗瘢痕疙瘩制定更全面的治疗标准。J Drugs Dermatol.2024;23(11):998-1002. doi:10.36849/JDD.8210R1.
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
289
审稿时长
3-6 weeks
期刊介绍: The Journal of Drugs in Dermatology (JDD) is a peer-reviewed publication indexed with MEDLINE®/PubMed® that was founded by the renowned Dr. Perry Robins MD. Founded in 2002, it offers one of the fastest routes to disseminate dermatologic information and is considered the fastest growing publication in dermatology. We present original articles, award-winning case reports, and timely features pertaining to new methods, techniques, drug therapy, and devices in dermatology that provide readers with peer reviewed content of the utmost quality. Our high standards of content are maintained through a balanced, peer-review process. Articles are reviewed by an International Editorial Board of over 160 renowned experts.
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