Complex non-invasive methods of investigation of the pathophysiological processes in the skin of patients with rosacea

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Abstract

Goal. To develop a complex method for diagnosing rosacea by using non-invasive examination methods and study their application for assessing the treatment efficacy. Materials and methods. The authors conducted a study of 46 rosacea patients (15 male and 31 female) including 29 patients with erythematous and 17 ones with papulous subtypes of the disease. The patients underwent treatment using IPL (5-8 treatment sessions). The condition of skin vessels was assessed prior to and after treatment using dermatoscopy, laser Doppler flowmetry (LDF) and confocal laser scanning microscopy in vivo (CLSM). Results. The authors developed a complex method for diagnosing rosacea using dermatoscopy, CLSM and LDF techniques prior to and after treatment. As many as 46 patients suffering from erythematous and papulous subtypes of rosacea underwent treatment using broadband pulse light emission. The clinical efficacy of such treatment was assessed by using a set of non-invasive examination methods, and terms for new treatment courses were forecasted. Conclusion. A combination of different enables real-time assessment of the dynamics of the pathological process in the skin of patients suffering from rosacea and makes it possible to get unbiased information about the treatment efficacy and forecast terms for new treatment courses.

About the authors

A. A. Kubanova

State Research Center of Dermatovenereology and Cosmetology, Ministry of Healthcare of the Russian

Author for correspondence.
Email: info@cnikvi.ru
Россия

YU. B. Makhakova

State Research Center of Dermatovenereology and Cosmetology, Ministry of Healthcare of the Russian

Email: info@cnikvi.ru
Россия

A. I. Krupatkin

N.N. Pirogov Central Research Institute for Traumatology and Orthopedic Surgery, Ministry of Healthcare of the Russian Federation

Email: info@cnikvi.ru
Россия

References

  1. Wilkin J.K. Rosacea: pathophysiology and treatment. Arch Dermatol 1994; 130: 359-362.
  2. Rios-Yuil J.M., Mercadillo-Perez P. Evaluation of Demodex folliculorum as a Risk Factor for the Diagnosis of Rosacea In Skin Biopsies. Mexico’s General Hospital (1975-2010). Indian J Dermatol 2013; 58: 157.
  3. Drummond P.D., Su D. Blushing in rosacea sufferers. J Psychosom Res 2012; 72 (2): 153-8.
  4. Steinhoff M. et al. Clinical, cellular, and molecular aspects in the pathophysiology of rosacea. J Investig Dermatol Symp Proc 2011; 15 (1): 2-11.
  5. Gupta M.A. et al. Comorbidity of rosacea and depression: an analysis of the National Ambulatory Medical Care Survey and National Hospital Ambulatory Care Survey Outpatient Department data collected by the U.S. National Center for Health Statistics from 1995 to 2002. Br J Dermatol 2005; 153 (6): 1176-1181.
  6. Wilkin J., Dahl M., Detmar M. et al. Standart classification of rosacea: Report of the National Rosacea Society Expert Committee on the Classification and Staging of Rosacea. J Am Acad Dermatol 2002; 46 (4): 584-587.
  7. Lallas A. et al. Dermoscopic patterns of common facial inflammatory skin diseases. J Eur Acad Dermatol Venereol 2014; 28 (5): 609-614.
  8. Krupatkin A.I., Sidorov V.V. Funktsionalnaya diagnostika sostoyaniya mikrotsirkulyatornotkanevykh sistem. Kolebaniya, informatsiya, nelineynost'. M: Librokom, 2013. [Крупаткин А.И., Сидоров В.В. Функциональная диагностика состояния микроциркуляторнотканевых систем. Колебания, информация, нелинейность. М: Либроком, 2013.]
  9. Bezuglyi A.P., Bikbulatova N.N., Shuginina Ye.A. et al. Skin ultrasound examination in the cosmetologist’s practice. Vestn Dermatol Venerol 2011; (3): 142-145. [Безуглый А.П. и др. Ультразвуковое исследование кожи в практике врача-косметолога. Вестн дерматол венерол 2011; (3): 142-145.]
  10. Hoogedoorn L. et al. The value of in vivo reflectance confocal microscopy in the diagnosis and monitoring of inflammatory and infectious skin diseases: a systematic review. Br J Dermatol 2015; 172 (5): 1222-48.
  11. Two A.M. et al. Rosacea: part II. Topical and systemic therapies in the treatment of rosacea. J Am Acad Dermatol 2015; 72 (5): 761-70.
  12. Wat H. et al. Application of intense pulsed light in the treatment of dermatologic disease: a systematic review. Dermatol Surg 2014; 40 (4): 359-77.
  13. Kruglova L.S., Kotenko K.V., Orlova E.N. Laser and ultrasound therapy in the treatment of rosacea. Vestn novykh med tekhnol. Elektronnyy zhurnal 2014; 8 (1): 1-4. [Круглова Л.С., Котенко К.В., Орлова Е.Н. Лазеротерапия и ультразвуковая терапия в лечении больных розацеа. Вестн новых мед технол. Электронный журнал 2014; 8 (1): 1-4.]

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Copyright (c) 2015 Kubanova A.A., Makhakova Y.B., Krupatkin A.I.

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