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1 4 カフェオレ斑のピコ秒レーザー治療のエビデンス 論文リスト 表1

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Reference Type of study Laser Location, Skin type Results Comments

Chan JC et al. 2016 Retrospective studies

PS-Alex 3.52 J/cm2 3.5 Hz 2.8 mm

2.8 Tx (4-6 week interval)

5 Asian, skin type III, IV

40% Pts had 50-74% clearance, (good) 60% Pts had 25-49%

clearance (fair)

Adverse events were only mild in severity  (transient erythema, swelling , pain, and  crust formation) and resolved withnin 1 week (self-limiting).

Transient hypopigmentaion were noted in one patient (2.83 J/cm2, 2.5Hz, 3 mm).

Aft 6M follow-up, no re-darkening, no lesional recurrence.

Levin MK et al. 2016 Retrospective case series

PS-Alex 1.59 J/cm2 2.5 mm 1 Tx

2 cases (one case result not described)

Skin type III 50-74% clearance (good) Aft 18.21 week follow-up, no lesional recurrence.

Belkin DA et al. 2017 Retrospective case series PS-Alex

multiple Tx 3 cases (2cases PS alone) PS results not shown

Artzi O et al. 2018 Retrospective case series

PS-532 0.8-1.6 J/cm2 4-5 mm 1-4 Tx (4-8 week Interval)

16 cases, Skin type II:7, III: 7, IV: 2 Face 8, extremities 33, trunk 4 Average 25.7 y.o.

Improvement scale average:3.43 1 case: no response

Aft 9M, 2 partical reccurence (skin type III and IV).

Satisfaction and tolerance levels were high

Kung KY et al. 2019 Retrospective case series

PS-532 0.36-0.87 J/cm2 3-6 mm 5 Tx

2 cases, Skin type III and IV

1 case had 50-74% clearance, (good) , 1case had 75- 94%clearance (excellent)

Mehrabi JN et al. 2020 Retrospective case series

PS-532 0.8-1.6 J/cm2 4-5 mm 1-2 Passes 2.5 Tx

(5.3 week Interval)

14 cases,Skin type I: 1, II: 6, III: 5, IV: 2 Face 7 , extremities 3, trunk 4 Average y.o.

Improvement scale*

average:3.60

No advantabe over QS lasers interms of preventing recurrence and average Tx number to achieve clearance

*Improvement scale: 0-5%: grade0, 6-24%: grade1, 25-49%: grade2, 50-74%: grade3, 75-99%: grade4, 100%clearance: grade5.

カフェオレ斑のピコ秒レーザー治療のエビデンス 論文リスト

14

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