Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Acne Successfully Treated with Laser Combination

Dermatolog Surg; ePub 2018 Jun 5; Bakus, et al

Active acne can be treated successfully with a combination of long-pulsed (LP) and Q-switched (QS) YAG lasers with patients remaining off acne medications throughout laser therapy and the follow-up period, according to a recent study. 20 patients with moderate-to-severe inflammatory acne were treated with LP YAG laser followed immediately with QS YAG laser. Patients received at least 8 treatments. Follow-up evaluation occurred at a minimum of 12 months. Pre- and post-treatment photographs were graded by blinded physicians. All topical acne medications and oral antibiotics were discontinued throughout the therapy and follow-up period. Researchers found:

  • There was an 81% reduction in acne lesions, with 60% of patients having ≥90% reduction.
  • Overall appearance was graded at 84% improvement at follow-up.
  • Follow-up occurred at a mean of 22.7 months after completion of therapy.
  • Aside from transient erythema, there were no other adverse effects.

Citation:

Bakus AD, Yaghmai D, Massa MC, Garden BC, Garden JM. Sustained benefit after treatment of acne vulgaris using only a novel combination of long-pulsed and Q-switched 1064-nm Nd: YAG lasers. [Published online ahead of print June 5, 2018]. Dermatolog Surg. doi:10.1097/DSS.0000000000001565.

This Week's Must Reads

Nevus Development Trajectory from Age 3 to 16 Years, JAMA Dermatology; ePub 2018 Sep 12; Asdigian, et al

Pruritis Strongly Associated with Certain Cancers , J Am Acad Dermatol; ePub 2018 Sep 11; Larson, et al

Trends in Medicare Billing Among Mohs Surgeons, Dermatolog Surg; ePub 2018 Sep 7; Tsai, et al

Mohs Surgery Effective for Invasive Melanomas, Dermatolog Surg; ePub 2018 Sep 7; Degesys, et al

Young Adults with Psoriasis Have Impaired QOL, J Dermatolog Treat; ePub 2018 Sep 7; Bronckers, et al

Must Reads in Acne

Acne Successfully Treated with Laser Combination, Dermatolog Surg; ePub 2018 Jun 5; Bakus, et al

Large Acne Study of Twins Supports Genetic Link, J Drugs Dermatol; 2018 Apr 1; Suggs, Loesch, et al

Hormonal Antiandrogen Acne Treatment Examined, Am J Clin Dermatol; ePub 2018 Mar 20; Park, et al

New Technology for Acne Evaluations Reliable, JAMA Dermatol; ePub 2017 Dec 20; Singer, et al

Acne Vulgaris: Higher Incidence in Western Nations, Clin Dermatol; 2018 Jan/Feb; Melnik