Successful Treatment of Iatrogenic Cutaneous Siderosis with Pigment Lasers: A Retrospective Study in 15 Consecutive Patients.

Heidemeyer, Kristine; Feldmeyer, Laurence; Räber, Irene; Dietrich, Nathalie; Cazzaniga, Simone; Yawalkar, Nikhil; Seyed Jafari, Seyed Morteza; Borradori, Luca; Adatto, Maurice (2020). Successful Treatment of Iatrogenic Cutaneous Siderosis with Pigment Lasers: A Retrospective Study in 15 Consecutive Patients. Acta dermato-venereologica, 100(10), adv00148. Acta Dermato-Venereologica 10.2340/00015555-3503

[img]
Preview
Text
5758.pdf - Published Version
Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC).

Download (1MB) | Preview

Intravenous ferric carboxymaltose is increasingly used to treat iron deficiency. However, a common side-effect is paravenous extravasation of iron preparations, resulting in cutaneous siderosis. Quality-switched (QS) lasers and, recently, picosecond (PS) lasers have been used to treat these hyperpigmentations with variable success. The optimal treatment protocol remains unclear. The aims of this study were to assess the response of cutaneous siderosis to treatment with pigment lasers and to determine the optimal wavelength, number of treatment sessions and pulse duration. Fifteen patients with cutaneous siderosis on the arms were included. The effectiveness of laser treatment was evaluated using a 5-point standard Physician Global Assessment (PGA) grading system. Differences in continuous variables between distinct groups of patients were assessed with a Mann-Whitney U test. In all 15 patients clearance of at least 50% was obtained. In 12 patients, at least 75% of pigment was removed. In conclusion, pigment lasers are an effective and safe method to treat cutaneous siderosis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Dermatology

UniBE Contributor:

Heidemeyer, Kristine; Feldmeyer, Laurence; Räber, Irene; Dietrich, Nathalie; Cazzaniga, Simone; Yawalkar, Nikhil; Jafari, Morteza; Borradori, Luca and Adatto, Maurice Alfred

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1651-2057

Publisher:

Acta Dermato-Venereologica

Language:

English

Submitter:

Sandra Nyffenegger

Date Deposited:

10 Dec 2020 17:55

Last Modified:

13 Dec 2020 02:51

Publisher DOI:

10.2340/00015555-3503

PubMed ID:

32399574

Uncontrolled Keywords:

iron laser siderosis

BORIS DOI:

10.7892/boris.148335

URI:

https://boris.unibe.ch/id/eprint/148335

Actions (login required)

Edit item Edit item
Provide Feedback