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Treatment of oral lichen planus with topical pimecrolimus 1% cream
Author(s) -
EsquivelPedraza L.,
FernándezCuevas L.,
OrtízPedroza G.,
ReyesGutiérrez E.,
OrozcoTopete R.
Publication year - 2004
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/j.0007-0963.2004.05875.x
Subject(s) - dermatology , medicine , humanities , art
the dermis compared with untreated tattoos. The tannic acid and oxalic acid combination has a better cosmetic outcome than tannic acid alone. Many wavelengths are needed to treat multicoloured tattoos, and not one laser system alone can be used to remove all the available inks and combinations of inks. The composition of tattoo ink varies greatly among like-coloured pigments. This may explain differences in response of seemingly similar tattoo ink to laser treatment in different patients. The popular black gothic style tattoo anecdotally appears more difficult to remove by QS nanosecond lasers. The newer QS picosecond lasers, which appear to be generally more effective, may be the answer to laser-resistant tattoos. Side-effects include hypoand hyperpigmentation, textural change, and scarring. The latter two effects are more commonly seen with the QS ruby than the QS Nd:YAG laser. When seen, scarring or textural changes are subtle and discrete. The Rejuvi Tattoo Remover technique is being marketed as a safe, simple, cheap, quick and noncolour-selective method of tattoo removal. Only small areas are treated at a time, so the overall cost may not differ greatly from that of a series of standard QS laser treatments. There are no laws regulating this kind of practice and our anecdotal evidence suggests that such a method is not only less effective than laser treatment, but can also result in unacceptable scarring. Tighter regulation and accountability by legislation are needed to protect patients from nonmedical personnel practising cosmetic or medical procedures.