PMID- 38373440 OWN - NLM STAT- MEDLINE DCOM- 20240326 LR - 20240326 IS - 1476-4180 (Electronic) IS - 1476-4172 (Linking) VI - 25 IP - 5-8 DP - 2023 Nov 17 TI - Efficacy, tolerance and acceptability of pulsed dye laser on facial and neckline telangiectasias in systemic scleroderma: a prospective open-label monocentric study in 21 patients. PG - 77-85 LID - 10.1080/14764172.2024.2313472 [doi] AB - Facial and neckline telangiectasias have an underestimated yet important impact on quality of life of patients with systemic scleroderma (SSc). This monocentric, prospective, open-label, intra-patient comparative study was conducted in 21 consecutive patients with SSc. Patients underwent 4 sessions of PDL 8 weeks apart. A final quadruple assessment was performed by several raters 2 months after the last session, based on the following criteria: change in telangiectasia number; subjective improvement score (LINKERT scale); impact on the quality of life (QoL; SKINDEX score); visual analog pain scale; adverse effects (AEs), including treatment discontinuation for PDL-induced purpura and patient satisfaction. The mean telangiectasia number decreased by 5 (32%) at the end of the protocol. Eighteen patients (85.7%) reported an improvement or a strong improvement, versus 73.81% for the expert committee. Immediate session pain (mean = 3.4/10) was slightly less than overall pain (mean = 4.6/10). Ten patients (47%) experienced at least one AE (oozing/crusts, edema, epidermal blistering), including PDL-induced purpura in 3 patients (14%). AEs were mostly transient (<1 week) and mild (CTCAE grade 1). All QoL parameters improved after treatment, and 85% of patients were satisfied. FAU - Kottler, D AU - Kottler D AUID- ORCID: 0000-0002-5952-8796 AD - Department of Dermatology, Caen, France. FAU - Dupechez, L AU - Dupechez L AD - Department of Dermatology, Caen, France. FAU - Martin Silva, N AU - Martin Silva N AD - Department of Internal Medicine, CHU de Caen Normandie, Caen, France. FAU - Boutemy, J AU - Boutemy J AD - Department of Internal Medicine, CHU de Caen Normandie, Caen, France. FAU - Dumont, A AU - Dumont A AD - Department of Internal Medicine, CHU de Caen Normandie, Caen, France. FAU - Maigne, G AU - Maigne G AD - Department of Internal Medicine, CHU de Caen Normandie, Caen, France. FAU - Aouba, A AU - Aouba A AD - Department of Internal Medicine, CHU de Caen Normandie, Caen, France. FAU - Dompmartin, A AU - Dompmartin A AD - Department of Internal Medicine, CHU de Caen Normandie, Caen, France. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20240219 PL - England TA - J Cosmet Laser Ther JT - Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology JID - 101136419 SB - IM MH - Humans MH - *Lasers, Dye/adverse effects MH - Pain MH - Prospective Studies MH - *Purpura MH - Quality of Life MH - *Scleroderma, Systemic/complications MH - *Telangiectasis/etiology/therapy MH - Treatment Outcome OTO - NOTNLM OT - Systemic scleroderma OT - facial and neckline telangiectasias OT - psychosocial assessment OT - pulsed dye laser OT - vascular laser EDAT- 2024/02/20 11:50 MHDA- 2024/03/26 06:45 CRDT- 2024/02/19 19:03 PHST- 2024/03/26 06:45 [medline] PHST- 2024/02/20 11:50 [pubmed] PHST- 2024/02/19 19:03 [entrez] AID - 10.1080/14764172.2024.2313472 [doi] PST - ppublish SO - J Cosmet Laser Ther. 2023 Nov 17;25(5-8):77-85. doi: 10.1080/14764172.2024.2313472. Epub 2024 Feb 19.