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Skin Type III (skin + type_iii)
Selected AbstractsRemoval of amateur blue-black tattoos in Arabic women of skin type (III,IV) with Q-switched alexandrite laserJOURNAL OF COSMETIC DERMATOLOGY, Issue 2 2005Iqbal A Bukhari Summary Background and Objectives, Tattoos in Arabic society used to have a cosmetic importance on the face of females. These were usually amateur tattoos done by non-professional women in the tribe. Because Islam as a religion prohibited its practice and its application, people became concerned about removing the old tattoos by any means. Nowadays, laser is considered an effective method of tattoo removal. Here, we report our experience in the removal of tattoos in Arabic women of skin type III,IV using the Q-switched alexandrite laser. Study Design/Materials and Methods, Twenty female subjects aged 35,50 years from similar racial and ethnic background with amateur tattoos were treated using the Q-switched alexandrite laser. Fluence threshold was determined and a spot test was made. Q-switched alexandrite laser with a fluence range 4.0,7.5 J/cm2 (mean 6.05) was used at 6,12-week intervals. Total treatment numbers ranged from three to six sessions (mean 4.15) with single-pulse technique application. Results, More than 95% lightening was achieved in five patients after three to six sessions at fluence range of 6,7.5 J/cm2 and > 75% lightening in 10 subjects after three to six sessions of treatment at fluence range of 4,7.5 J/cm2. Pinpoint bleeding was observed in one case but no pigmentary alteration or scarring was seen. Conclusion, Tattoo pigment removal by Q-switched alexandrite laser is an effective method in skin type (III,IV) with minimal side effects, which gives high patient satisfaction. [source] Optical Properties of Human Melanocytic Nevi In VivoPHOTOCHEMISTRY & PHOTOBIOLOGY, Issue 1 2009George Zonios We present an in vivo study of the optical properties of melanin present in melanocytic nevi of human subjects with Fitzpatrick skin type III (Caucasian descent) using optical spectroscopy. We show that the melanin absorption spectrum exhibits an exponential dependence on wavelength with a decay constant which follows a normal distribution characteristic of a random biological variable. Moreover, we demonstrate lack of correlation among melanin optical properties, melanin concentration and skin light scattering properties, which indicates that the true optical absorption of melanin can be measured free from confounding scattering effects. We also show that the average melanin absorption spectrum in vivo is in very good agreement with a previously reported oxygen photoconsumption action spectrum of melanin. Finally, we provide an overview of the emerging picture of the melanin absorption properties in vivo among various skin types and also among various skin lesions such as melanocytic nevi and melanoma. [source] Plasma levels of opioid peptides after sunbed exposuresBRITISH JOURNAL OF DERMATOLOGY, Issue 6 2002T. Gambichler Summary Background Previous studies have indicated that solar and artificial ultraviolet (UV) radiation have a positive influence on psychological variables such as mood and emotional state. Circulating opioid peptides have been suggested as being important in this effect. Objectives To investigate in a controlled trial the influence of UVA radiation on opioid peptide levels. Methods We determined plasma levels of ,-endorphin immunoreactive material (IRM) and met-enkephalin in UV-exposed ( n = 35) and non-exposed ( n = 9) healthy volunteers. On the first day of the study, blood samples were taken from the volunteers (time A). UVA irradiation was subsequently administered with an air-conditioned tanning device. During the UV exposures the volunteers wore opaque goggles. Twenty minutes after UV exposure, blood samples were collected again (time B). Within the following 3 weeks the volunteers had a series of five UV exposures. On the last day of the study (24 h after the sixth UV exposure) blood samples were collected (time C). The cumulative UVA doses were 96 J cm ,2 for skin type II and 126 J cm ,2 for skin type III. The controls had no UV exposures. Plasma ,-endorphin IRM and met-enkephalin levels were determined using radioimmunoassays. Results At all times of blood collection (A, B, C), there were no significant differences in plasma levels of ,-endorphin IRM and met-enkephalin between UV-exposed and non-exposed volunteers ( P > 0·05). Conclusions UVA irradiation does not significantly elevate plasma levels of ,-endorphin IRM and met-enkephalin. Therefore we suggest that psychological benefits claimed to occur after UV exposure are unlikely to be mediated by the types of circulating opioid peptides measured in this study. [source] A randomized, controlled study of the safety and efficacy of topical corticosteroid treatments of sunburn in healthy volunteersCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 4 2002L. Duteil Summary Topical glucocorticosteroids are frequently used for the treatment of sunburn despite the scarcity of randomized, double-blind controlled trials to support this indication. This randomized, intra-individually controlled trial compared the efficacy and safety of two topical glucocorticosteroids, 0.1% methylprednisolone aceponate milk (MPA) and 0.1% hydrocortisone 17-butyrate emulsion (HCB), for treatment of sunburn in 24 healthy volunteers of skin type III. After irradiation of the skin by simulated sunlight, treatments were blinded and randomly allocated to 36 cm2 test areas on both sides of the spine. Volunteers were treated twice daily for 7 days and assessed daily with 1-day follow-up. The untreated area was not blinded. Primary efficacy measures were sum score and sunburn reaction based on erythema, oedema, burning and itching. Secondary efficacy measures were physician's global assessment, individual signs/symptoms, colorimetry, dermatological improvement, and time to healing. Intra-individual comparisons were made. Differences in sum score were apparent on days 3,4 and significant on days 4,5 for corticosteroids compared with nontreatment. Treated areas had significantly lower sunburn reaction than untreated areas (P = 0.1% and P = 0.5% for MPA and HCB, respectively). Differences between treatments were not significant. Secondary efficacy measures were in line with these findings. None of the three adverse events reported were considered to be related to treatment. We conclude that MPA and HCB are safe and effective in the treatment of sunburn. [source] The Treatment of Melasma with Fractional Photothermolysis: A Pilot StudyDERMATOLOGIC SURGERY, Issue 12 2005Cameron K. Rokhsar MD Background. Melasma is a common pigmentary disorder that remains resistant to available therapies. Facial resurfacing with the pulsed CO2 laser has been reported successful but requires significant downtime, and there is a risk of adverse sequelae. Objective. To determine if melasma will respond to a new treatment paradigm, fractional resurfacing. Methods. Ten female patients (Fitzpatrick skin types III,V) who were unresponsive to previous treatment were treated at 1- to 2-week intervals with the Fraxel laser (Reliant Technologies, Palo Alto, CA, USA). Wavelengths of 1,535 and 1,550 nm were both used, and 6 to 12 mJ per microthermal zone with 2,000 to 3,500 mtz/cm2 were the treatment parameters. Four to six treatment sessions were performed. Responses were evaluated according to the percentage of lightening of original pigmentation. Two physicians evaluated the photographs, and each patient evaluated her own response. Results. The physician evaluation was that 60% of patients achieved 75 to 100% clearing and 30% had less than 25% improvement. The patients' evaluations agreed, except for one patient, who graded herself as 50 to 75% improved as opposed to the physician grading of over 75%. There was one patient with postinflammatory hyperpigmentation and no patient with hypopigmentation. No downtime was necessary for wound healing. Conclusions. Fractional resurfacing affords a new treatment algorithm for the treatment of melasma that combines decreased risk and downtime with significant efficacy. This treatment modality deserves further exploration to maximize benefits. RELIANT technologies LOANED THE FRAXEL LASER FOR THE STUDY. RICHARD E. FITZPATRICK, MD, IS A PAID CONSULTANT FOR RELIANT AND A STOCKHOLDER. [source] Multiple senile lentigos of the face, a skin ageing pattern resulting from a life excess of intermittent sun exposure in dark-skinned caucasians: a case,control studyBRITISH JOURNAL OF DERMATOLOGY, Issue 3 2006S. Monestier Summary Background, Different patterns of skin ageing can be described depending on the predominant lesions, i.e. wrinkles, laxity, atrophy, senile lentigos (SLs), etc. They may correspond to different epidemiological contexts. Objectives, To identify and assess the epidemiological factors for a skin ageing pattern characterized by a high density of SLs on the face, or ,lentigo ageing pattern' (LAP). Methods, An age- and sex-matched case,control study was conducted in individuals aged between 60 and 80 years, comparing cases (n = 118) with a very high number of SLs on the face for their age, and controls (n = 118) with no or very few SLs for their age. The cases and controls were recruited in two hospitals. Results, In univariate and multivariate analysis, LAP was associated with skin types III and IV, with frequent sunburns, and with the part of the lifetime cumulative sun exposure which was received during vacations. Conversely, there was no link with the occupational and everyday exposures and the total cumulative exposure. LAP was associated with multiple solar lentigos of the upper back. No relationship was found with postmenopausal hormonal therapy, number of naevi, or freckles. Conclusions, Different epidemiological factors may account for the different skin ageing patterns. LAP seems to develop preferentially in dark-skinned caucasians who have repeatedly received intermittent and intense sun irradiations throughout their life, and have often developed solar lentigos on the upper back earlier in life, whereas the ,prominent wrinkling' pattern is known to affect light-skinned people and smokers with a life excess of continuous exposure. [source] | ||||||||||