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Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas

Pulsed dye laser (LCP) is currently the gold standard for Port wine stains (PWS) treatment. However, predictive clinical criteria indicating a right or poor response are not yet clear in our context. This study aims to determine the factors associated with poor/good response in Moroccan patients wit...

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Detalles Bibliográficos
Autores principales: Baghad, Bouchra, Chiheb, Soumiya, Benchikhi, Hakima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5326187/
https://www.ncbi.nlm.nih.gov/pubmed/28292171
http://dx.doi.org/10.11604/pamj.2016.25.218.9229
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author Baghad, Bouchra
Chiheb, Soumiya
Benchikhi, Hakima
author_facet Baghad, Bouchra
Chiheb, Soumiya
Benchikhi, Hakima
author_sort Baghad, Bouchra
collection PubMed
description Pulsed dye laser (LCP) is currently the gold standard for Port wine stains (PWS) treatment. However, predictive clinical criteria indicating a right or poor response are not yet clear in our context. This study aims to determine the factors associated with poor/good response in Moroccan patients with PWS treated with LCP. We conducted a retrospective study of patients treated for PWS at the dermatology department at the CHU Ibn Rochd in Casablanca between January 2008 and December 2013. We collected the following clinical parameters: age, sex, location, history, parameters used, number of sessions, phototype and physician satisfaction with outcome of the bleaching therapy. A good response was defined by the achievement of 50% lesional lightening at the end of the 6th session. Patients were contacted by telephone to measure their satisfaction. These results were correlated with the clinical parameters mentioned above. We set our significance level at 0.05. Seventy-four patients were eligible The female sex represented 69% and the median age was 18 years. It occurred predominantly on the face (94%). The comparative study of good/poor responders showed that the mean age in the group of good responders was lower than that of poor responders with a significant difference (p = 0.047). The number of sessions in the group of good responders was higher (p = 0.044). The parameters were variable from one patient to another. There was no difference in the type of skin between the two groups. The best bleached location was the area V2. This study showed that patients undergoing several PWS treatment sessions at a young age had a superior therapeutic response in our context. This highlights the role of early diagnosis and short interval management to improve outcomes and minimize adverse effects.
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spelling pubmed-53261872017-03-10 Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas Baghad, Bouchra Chiheb, Soumiya Benchikhi, Hakima Pan Afr Med J Case Series Pulsed dye laser (LCP) is currently the gold standard for Port wine stains (PWS) treatment. However, predictive clinical criteria indicating a right or poor response are not yet clear in our context. This study aims to determine the factors associated with poor/good response in Moroccan patients with PWS treated with LCP. We conducted a retrospective study of patients treated for PWS at the dermatology department at the CHU Ibn Rochd in Casablanca between January 2008 and December 2013. We collected the following clinical parameters: age, sex, location, history, parameters used, number of sessions, phototype and physician satisfaction with outcome of the bleaching therapy. A good response was defined by the achievement of 50% lesional lightening at the end of the 6th session. Patients were contacted by telephone to measure their satisfaction. These results were correlated with the clinical parameters mentioned above. We set our significance level at 0.05. Seventy-four patients were eligible The female sex represented 69% and the median age was 18 years. It occurred predominantly on the face (94%). The comparative study of good/poor responders showed that the mean age in the group of good responders was lower than that of poor responders with a significant difference (p = 0.047). The number of sessions in the group of good responders was higher (p = 0.044). The parameters were variable from one patient to another. There was no difference in the type of skin between the two groups. The best bleached location was the area V2. This study showed that patients undergoing several PWS treatment sessions at a young age had a superior therapeutic response in our context. This highlights the role of early diagnosis and short interval management to improve outcomes and minimize adverse effects. The African Field Epidemiology Network 2016-12-06 /pmc/articles/PMC5326187/ /pubmed/28292171 http://dx.doi.org/10.11604/pamj.2016.25.218.9229 Text en © Bouchra Baghad et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Baghad, Bouchra
Chiheb, Soumiya
Benchikhi, Hakima
Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
title Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
title_full Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
title_fullStr Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
title_full_unstemmed Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
title_short Angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
title_sort angiomes plans et laser à colorant pulsé: étude des facteurs pronostiques dans une série marocaine de 74 cas
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5326187/
https://www.ncbi.nlm.nih.gov/pubmed/28292171
http://dx.doi.org/10.11604/pamj.2016.25.218.9229
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